Evidence mapPaperPMID 34218508Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2021

A core outcome set for the treatment of pregnant women with pregestational diabetes: an international consensus study.

O Kgosidialwa, D Bogdanet, A M Egan, P M O'Shea, C Newman, T P Griffin, C McDonagh, C O'Shea, L Carmody, S D Cooray and 19 more

Open access · hybridAbstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
10.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Glycaemic control in labour with diabetes: GILD, a scoping study.Health technology assessment (Winchester, England) · 2025
    Article
  6. Article
  7. Review
  8. Health-related quality of life in pregnant women with type 1 diabetes and associations with maternal and neonatal complications.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Diabetic Ketoacidosis in Pregnancy: Clinical Risk Factors, Presentation, and Outcomes.The Journal of clinical endocrinology and metabolism · 2022
    Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 17 institutions in 11 countries.

O KgosidialwaCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0002-4249-6302
D BogdanetCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0001-6127-5049
A M EganDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-0379-9279
P M O'SheaCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
C NewmanCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
T P GriffinCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
C McDonaghCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
C O'SheaCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
L CarmodyCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
S D CoorayDiabetes and Endocrinology Units, Monash Health, Clayton, Vic., Australia.ORCID 0000-0002-6825-4440
E AnastasiouDepartment Diabetes & Pregnancy Outpatients, Mitera Hospital, Athens, Greece.
E Wender-OzegowskaDepartment of Reproduction, Poznan University of Medical Sciences, Poznan, Poland.
C ClarsonDepartment of Paediatrics, University of Western Ontario, London, ON, Canada.
A SpadolaMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA.
F AlvaradoMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA.
E NoctorDivision of Endocrinology, University Hospital Limerick, Limerick, Ireland.
E DempseyINFANT Centre and Department of Paediatrics & Child Health, University College Cork, Cork, Ireland.
A NapoliDepartment of Clinical and Molecular Medicine, Sant'Andrea University Hospital, Sapienza, University of Rome, Rome, Italy.
C CrowtherLiggins Institute, The University of Auckland, Auckland, New Zealand.
S GaljaardDepartment of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
M R LoekenSection of Islet Cell and Regenerative Biology, Joslin Diabetes Center, Boston, MA, USA.
Mja MareshDepartment of Obstetrics, St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
P GillespieHealth Economics and Policy Analysis Centre (HEPAC), National University of Ireland, Galway, Ireland.
H de ValkDepartment of Internal Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands.
A AgostiniA.S.LViterbo Distretto A, Consultorio Montefiascone, Rome, Italy.
L BiestySchool of Nursing & Midwifery, National University of Ireland Galway, Galway, Ireland.
D DevaneSchool of Nursing & Midwifery, National University of Ireland Galway, Galway, Ireland.
F DunneCollege of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
INSPIRED Research Group
Ollscoil na Gaillimhe – University of Galway · IETufts Medical Center · USAzienda Ospedaliera Sant'Andrea · ITEnergias de Portugal (Portugal) · PTErasmus MC · NLJoslin Diabetes Center · USManchester Academic Health Science Centre · GBMayo Clinic in Arizona · USMitera Hospital · GRMonash Health · AUNational University of Ireland · IEPoznan University of Medical Sciences · PLUniversity College Cork · IEUniversity Hospital Limerick · IEUniversity Medical Center Utrecht · NLUniversity of Auckland · NZWestern University · CA

Funding

PILOT STUDY--SECRETORY TARGETING IN PANCREATIC B CELLSP30DK036836 · JOSLIN DIABETES CENTER · 1986 to 2025
$12.1M
NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK104649Wellcome Trust
6 · The paper itself

Abstract

objectiveTo develop a core outcome set (COS) for randomised controlled trials (RCTs) evaluating the effectiveness of interventions for the treatment of pregnant women with pregestational diabetes mellitus (PGDM).

designA consensus developmental study.

settingInternational. POPULATION: Two hundred and five stakeholders completed the first round.

methodsThe study consisted of three components. (1) A systematic review of the literature to produce a list of outcomes reported in RCTs assessing the effectiveness of interventions for the treatment of pregnant women with PGDM. (2) A three-round, online eDelphi survey to prioritise these outcomes by international stakeholders (including healthcare professionals, researchers and women with PGDM). (3) A consensus meeting where stakeholders from each group decided on the final COS.

main outcome measuresAll outcomes were extracted from the literature.

resultsWe extracted 131 unique outcomes from 67 records meeting the full inclusion criteria. Of the 205 stakeholders who completed the first round, 174/205 (85%) and 165/174 (95%) completed rounds 2 and 3, respectively. Participants at the subsequent consensus meeting chose 19 outcomes for inclusion into the COS: trimester-specific haemoglobin A1c, maternal weight gain during pregnancy, severe maternal hypoglycaemia, diabetic ketoacidosis, miscarriage, pregnancy-induced hypertension, pre-eclampsia, maternal death, birthweight, large for gestational age, small for gestational age, gestational age at birth, preterm birth, mode of birth, shoulder dystocia, neonatal hypoglycaemia, congenital malformations, stillbirth and neonatal death.

conclusionsThis COS will enable better comparison between RCTs to produce robust evidence synthesis, improve trial reporting and optimise research efficiency in studies assessing treatment of pregnant women with PGDM. TWEETABLE ABSTRACT: 165 key stakeholders have developed #Treatment #CoreOutcomes in pregnant women with #diabetes existing before pregnancy.

Indexed as

Delphi TechniqueDiabetes, GestationalFemaleHumansInternational CooperationOutcome Assessment, Health CarePregnancyPrenatal CareRandomized Controlled Trials as TopicStakeholder ParticipationTreatment OutcomeCore outcome setinterventionspregestational diabetesrandomised controlled trialstreatment

Identifiers

PMID34218508
PMCPMC9311326
OpenAlexW3179187735

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.