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The Unrealised Potential for Predicting Pregnancy Complications in Women with Gestational Diabetes: A Systematic Review and Critical Appraisal

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  • Shamil D. Cooray

    (Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia
    Diabetes Unit, Monash Health, Clayton, VIC 3168, Australia)

  • Lihini A. Wijeyaratne

    (Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia)

  • Georgia Soldatos

    (Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia
    Diabetes Unit, Monash Health, Clayton, VIC 3168, Australia)

  • John Allotey

    (Barts Research Centre for Women’s Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK
    Multidisciplinary Evidence Synthesis Hub, Queen Mary University of London, London E1 2AB, UK)

  • Jacqueline A. Boyle

    (Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia
    Monash Women’s Program, Monash Health, Clayton, VIC 3168, Australia)

  • Helena J. Teede

    (Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia
    Diabetes Unit, Monash Health, Clayton, VIC 3168, Australia)

Abstract

Gestational diabetes (GDM) increases the risk of pregnancy complications. However, these risks are not the same for all affected women and may be mediated by inter-related factors including ethnicity, body mass index and gestational weight gain. This study was conducted to identify, compare, and critically appraise prognostic prediction models for pregnancy complications in women with gestational diabetes (GDM). A systematic review of prognostic prediction models for pregnancy complications in women with GDM was conducted. Critical appraisal was conducted using the prediction model risk of bias assessment tool (PROBAST). Five prediction modelling studies were identified, from which ten prognostic models primarily intended to predict pregnancy complications related to GDM were developed. While the composition of the pregnancy complications predicted varied, the delivery of a large-for-gestational age neonate was the subject of prediction in four studies, either alone or as a component of a composite outcome. Glycaemic measures and body mass index were selected as predictors in four studies. Model evaluation was limited to internal validation in four studies and not reported in the fifth. Performance was inadequately reported with no useful measures of calibration nor formal evaluation of clinical usefulness. Critical appraisal using PROBAST revealed that all studies were subject to a high risk of bias overall driven by methodologic limitations in statistical analysis. This review demonstrates the potential for prediction models to provide an individualised absolute risk of pregnancy complications for women affected by GDM. However, at present, a lack of external validation and high risk of bias limit clinical application. Future model development and validation should utilise the latest methodological advances in prediction modelling to achieve the evolution required to create a useful clinical tool. Such a tool may enhance clinical decision-making and support a risk-stratified approach to the management of GDM. Systematic review registration: PROSPERO CRD42019115223.

Suggested Citation

  • Shamil D. Cooray & Lihini A. Wijeyaratne & Georgia Soldatos & John Allotey & Jacqueline A. Boyle & Helena J. Teede, 2020. "The Unrealised Potential for Predicting Pregnancy Complications in Women with Gestational Diabetes: A Systematic Review and Critical Appraisal," IJERPH, MDPI, vol. 17(9), pages 1-20, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3048-:d:351224
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    References listed on IDEAS

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    1. Andrew J. Vickers & Elena B. Elkin, 2006. "Decision Curve Analysis: A Novel Method for Evaluating Prediction Models," Medical Decision Making, , vol. 26(6), pages 565-574, November.
    2. Teus H. Kappen & Yvonne Vergouwe & Wilton A. van Klei & Leo van Wolfswinkel & Cor J. Kalkman & Karel G. M. Moons, 2012. "Adaptation of Clinical Prediction Models for Application in Local Settings," Medical Decision Making, , vol. 32(3), pages 1-10, May.
    3. Neal V. Dawson & Robert Weiss, 2012. "Dichotomizing Continuous Variables in Statistical Analysis," Medical Decision Making, , vol. 32(2), pages 225-226, March.
    4. Lars Holmberg & Andrew Vickers, 2013. "Evaluation of Prediction Models for Decision-Making: Beyond Calibration and Discrimination," PLOS Medicine, Public Library of Science, vol. 10(7), pages 1-2, July.
    5. Geert-Jan Geersing & Walter Bouwmeester & Peter Zuithoff & Rene Spijker & Mariska Leeflang & Karel Moons, 2012. "Search Filters for Finding Prognostic and Diagnostic Prediction Studies in Medline to Enhance Systematic Reviews," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-6, February.
    6. Karel G M Moons & Joris A H de Groot & Walter Bouwmeester & Yvonne Vergouwe & Susan Mallett & Douglas G Altman & Johannes B Reitsma & Gary S Collins, 2014. "Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies: The CHARMS Checklist," PLOS Medicine, Public Library of Science, vol. 11(10), pages 1-12, October.
    Full references (including those not matched with items on IDEAS)

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