Evidence map›Paper›PMID 39861424›Full record

Observational studyNutrients2025

Risk-Prioritised Versus Universal Medical Nutrition Therapy for Gestational Diabetes: A Retrospective Observational Study.

Roslyn A Smith, Madeline Boaro, Ka Hi Mak, Vincent Wong

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Roslyn A SmithDiabetes and Endocrine Service, Liverpool Hospital, Sydney, NSW 2170, Australia.ORCID 0000-0001-6435-8907
Madeline BoaroDiabetes and Endocrine Service, Liverpool Hospital, Sydney, NSW 2170, Australia.
Ka Hi MakDepartment of Dietetics, Liverpool Hospital, Sydney, NSW 2170, Australia.
Vincent WongDiabetes and Endocrine Service, Liverpool Hospital, Sydney, NSW 2170, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal application of medical nutrition therapy (MNT) in treating gestational diabetes remains uncertain. MNT involves individualised nutrition assessment and counselling, which is labour-intensive and is not the sole type of intervention offered by clinical dietitians.

objectiveTo determine whether pregnancy outcomes differed for individuals with gestational diabetes who were offered MNT on a risk-prioritised (RP) versus universal basis.

methodsObservational data from two cohorts of individuals who were offered MNT only if they met the high-risk criteria following general group-based dietary education (RP1,

resultsMNT consultations halved under the RP approach (59 vs. 119 sessions per 100 diagnoses for RP2 vs. UM) and saved more than 20 h of dietitian time per 100 diagnoses (95 vs. 73 h for RP2 vs. UM). No significant increases were observed (

conclusionsRisk-prioritised MNT was a more efficient dietetic service approach to gestational diabetes than the universal MNT model, with comparable pregnancy outcomes. Similar approaches may represent a strategic way to address sustainable health service planning amidst the rising global prevalence of this condition. However, further research is needed to investigate consumer perspectives, wider service impacts and post-partum maternal and child health outcomes.

Indexed as

Diabetes, GestationalNutrition TherapyAdultCOVID-19FemaleHumansInfant, NewbornNutrition AssessmentPregnancyPregnancy OutcomeRetrospective StudiesSARS-CoV-2gestational diabeteshealth prioritiesmedical nutrition therapyrisk assessment

Identifiers

PMID39861424
PMCPMC11767799

What Socratic holds

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Registered trials

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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.