Cost-Effectivity Analysis of One-Step versus Two-Step Screening for Gestational Diabetes
Department of High Risk Pregnancy, Zekai Tahir Burak Women’s Health and Research Hospital, Ankara, Turkey
Private Practice Institution, Ankara, Turkey
1Department of High Risk Pregnancy, Zekai Tahir Burak Women’s Health and Research Hospital, Ankara, Turkey
EAJM 2012; 44: 84-87
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Key Words: Cost-eff ectiveness, Gestational diabetes, Screening
Objective: Early diagnosis of gestational diabetes mellitus (GDM) is important for both maternal and fetal health. The literature has varying recommendations about one-step and two-step tests for GDM screening and diagnosis. The present study aimed to investigate the difference in the cost and duration of hospital stay of a one-step procedure compared to a two-step procedure, which is routinely performed in our hospital.
Materials and Methods: The two-step procedure was performed in 2,724 pregnant women, and the one-step procedure was performed in 185 pregnant women. The one-step and two-step screening procedures for gestational diabetes were compared with respect to the duration of hospital stay and cost.
Results: The test cost per woman was 0.75 TL less in the one-step procedure; however, the duration of the one-step test was 18.6 min longer, and the number of blood sampling procedures was 1.08 times higher.
Conclusion: The one-step method may be preferred over the two-step (or glucose challenge) test due to its diagnostic value and lower cost.