Cover Image

How useful is clinical scoring in reducing the need for gestational diabetes screening?

Predicting gestational diabetes by clinical scoring is meant to improve the efficiency of screening. The aim of this study was to determine the usefulness of clinical scoring in a Malaysian population. Using a retrospective cohort of 1997 women, a predictive model was developed and validated on a se...

Full description

Saved in:
Bibliographic Details
Main Authors: Gill, P., Choo, W., Bulgiba, A.
Format: Article
Published: 2012
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/3732/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.3732
record_format eprints
spelling my.um.eprints.37322012-10-08T04:20:37Z http://eprints.um.edu.my/3732/ How useful is clinical scoring in reducing the need for gestational diabetes screening? Gill, P. Choo, W. Bulgiba, A. R Medicine Predicting gestational diabetes by clinical scoring is meant to improve the efficiency of screening. The aim of this study was to determine the usefulness of clinical scoring in a Malaysian population. Using a retrospective cohort of 1997 women, a predictive model was developed and validated on a separate set of 1,000 patients. The efficiency of screening with risk scores was then compared with universal screening. The model derived was well calibrated ( p = 0.80) with an AUC 0.74 (95 CI 0.71 to 0.76). Different combinations of thresholds for the risk score produced a screening reduction between 26 and 29 (Sensitivity- 86 compared to 97 from universal screening) in Strategy 1. Strategy 2 had no screening reduction but had a higher sensitivity of 95 . The performance of the risk score was moderate and the screening reduction minimal. Therefore the usefulness of clinical scoring in our population is of limited value. 2012 Article PeerReviewed Gill, P. and Choo, W. and Bulgiba, A. (2012) How useful is clinical scoring in reducing the need for gestational diabetes screening? International Journal of Diabetes in Developing Countries. pp. 1-6. ISSN 0973-3930 10.1007/s13410-012-0068-0
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Gill, P.
Choo, W.
Bulgiba, A.
How useful is clinical scoring in reducing the need for gestational diabetes screening?
description Predicting gestational diabetes by clinical scoring is meant to improve the efficiency of screening. The aim of this study was to determine the usefulness of clinical scoring in a Malaysian population. Using a retrospective cohort of 1997 women, a predictive model was developed and validated on a separate set of 1,000 patients. The efficiency of screening with risk scores was then compared with universal screening. The model derived was well calibrated ( p = 0.80) with an AUC 0.74 (95 CI 0.71 to 0.76). Different combinations of thresholds for the risk score produced a screening reduction between 26 and 29 (Sensitivity- 86 compared to 97 from universal screening) in Strategy 1. Strategy 2 had no screening reduction but had a higher sensitivity of 95 . The performance of the risk score was moderate and the screening reduction minimal. Therefore the usefulness of clinical scoring in our population is of limited value.
format Article
author Gill, P.
Choo, W.
Bulgiba, A.
author_facet Gill, P.
Choo, W.
Bulgiba, A.
author_sort Gill, P.
title How useful is clinical scoring in reducing the need for gestational diabetes screening?
title_short How useful is clinical scoring in reducing the need for gestational diabetes screening?
title_full How useful is clinical scoring in reducing the need for gestational diabetes screening?
title_fullStr How useful is clinical scoring in reducing the need for gestational diabetes screening?
title_full_unstemmed How useful is clinical scoring in reducing the need for gestational diabetes screening?
title_sort how useful is clinical scoring in reducing the need for gestational diabetes screening?
publishDate 2012
url http://eprints.um.edu.my/3732/
_version_ 1643687188697710592
score 13.211869

Similar Items