IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0237738.html
   My bibliography  Save this article

Within-trial cost-effectiveness of lifestyle intervention using a 3-tier shared care approach for pregnancy outcomes in Chinese women with gestational diabetes

Author

Listed:
  • Weiqin Li
  • Cuiping Zhang
  • Junhong Leng
  • Ping Shao
  • Huiguang Tian
  • Fuxia Zhang
  • Ling Dong
  • Zhijie Yu
  • Juliana C N Chan
  • Gang Hu
  • Ping Zhang
  • Xilin Yang

Abstract

This study assessed within-trial cost-effectiveness of a shared care program (SC, n = 339) for pregnancy outcomes compared to usual care (UC, n = 361), as implemented in a randomized trial of Chinese women with gestational diabetes (GDM). SC consisted of an individualized dietary advice and physical activity counseling program. The UC was a one-time group education program. The effectiveness was measured by number needed to treat (NNT) to prevent one macrosomia/large for gestational age (LGA) infant. The cost-effectiveness was measured by incremental cost-effectiveness ratio in terms of cost (2012 Chinese Yuan/US dollar) per case of macrosomia and LGA prevented. The study took both a health care system and a societal perspective. This study found that the NNT was 16/14 for macrosomia/LGA. The incremental cost for treating a pregnant woman was ¥1,877 ($298) from a health care system perspective and ¥2,056 ($327) from a societal perspective. The cost of preventing a case of macrosomia/LGA from the two corresponding perspectives were ¥30,032/¥26,278 ($4,775/$4,178) and ¥32,896/¥28,784 ($5,230/$4,577), respectively. Considering the potential severe adverse health and economic consequences of a macrosomia/LGA infant, our findings suggest that implementing this lifestyle intervention for women with GDM is an efficient use of health care resources.

Suggested Citation

  • Weiqin Li & Cuiping Zhang & Junhong Leng & Ping Shao & Huiguang Tian & Fuxia Zhang & Ling Dong & Zhijie Yu & Juliana C N Chan & Gang Hu & Ping Zhang & Xilin Yang, 2020. "Within-trial cost-effectiveness of lifestyle intervention using a 3-tier shared care approach for pregnancy outcomes in Chinese women with gestational diabetes," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0237738
    DOI: 10.1371/journal.pone.0237738
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0237738
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0237738&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0237738?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Rosenberg, T.J. & Garbers, S. & Lipkind, H. & Chiasson, M.A., 2005. "Maternal obesity and diabetes as risk factors for adverse pregnancy outcomes: Differences among 4 racial/ethnic groups," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1545-1551.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elisabete Alves & Sofia Correia & Henrique Barros & Ana Azevedo, 2012. "Prevalence of self-reported cardiovascular risk factors in Portuguese women: a survey after delivery," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(5), pages 837-847, October.
    2. Anca Cotet & Lee C. Spector, 2012. "The Impact of Diabetes Mandates on Infant Health," Working Papers 201204, Ball State University, Department of Economics, revised Sep 2012.
    3. Anca M. Grecu & Lee C. Spector, 2015. "The impact of diabetes insurance mandates on infant health," Southern Economic Journal, John Wiley & Sons, vol. 81(4), pages 1040-1061, April.
    4. Lobel, Marci & DeLuca, Robyn Stein, 2007. "Psychosocial sequelae of cesarean delivery: Review and analysis of their causes and implications," Social Science & Medicine, Elsevier, vol. 64(11), pages 2272-2284, June.
    5. Laura M. Segal & Emily A. Gadola, 2008. "Generation O: Addressing Childhood Overweight before It's Too Late," The ANNALS of the American Academy of Political and Social Science, , vol. 615(1), pages 195-213, January.
    6. Charles Baum, 2012. "The effects of food stamp receipt on weight gained by expectant mothers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(4), pages 1307-1340, October.
    7. Charles L. Baum II, 2010. "The Effects of Food Stamps on Weight Gained by Expectant Mothers," Working Papers 201002, Middle Tennessee State University, Department of Economics and Finance.
    8. Sparks, P. Johnelle, 2009. "Do biological, sociodemographic, and behavioral characteristics explain racial/ethnic disparities in preterm births?," Social Science & Medicine, Elsevier, vol. 68(9), pages 1667-1675, May.
    9. Brown, Susan D. & Ehrlich, Samantha F. & Kubo, Ai & Tsai, Ai-Lin & Hedderson, Monique M. & Quesenberry, Charles P. & Ferrara, Assiamira, 2016. "Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes," Social Science & Medicine, Elsevier, vol. 160(C), pages 87-93.
    10. Christie Sennott & Sadé L. Lindsay & Brian C. Kelly & Mike Vuolo, 2022. "The Liberalization of Cannabis Possession Laws and Birth Outcomes: A State-Level Fixed Effects Analysis, 2003–2019," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(4), pages 1809-1829, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0237738. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.