A core outcome set for studies evaluating the effectiveness of prepregnancy care for women with pregestational diabetes

Diabetologia. 2017 Jul;60(7):1190-1196. doi: 10.1007/s00125-017-4277-4. Epub 2017 Apr 13.

Abstract

Aims/hypothesis: The aim of this study was to develop a core outcome set (COS) for trials and other studies evaluating the effectiveness of prepregnancy care for women with pregestational (pre-existing) diabetes mellitus.

Methods: A systematic literature review was completed to identify all outcomes reported in prior studies in this area. Key stakeholders then prioritised these outcomes using a Delphi study. The list of outcomes included in the final COS were finalised at a face-to-face consensus meeting.

Results: In total, 17 outcomes were selected and agreed on for inclusion in the final COS. These outcomes were grouped under three domains: measures of pregnancy preparation (n = 9), neonatal outcomes (n = 6) and maternal outcomes (n = 2).

Conclusions/interpretation: This study identified a COS essential for studies evaluating prepregnancy care for women with pregestational diabetes. It is advocated that all trials and other non-randomised studies and audits in this area use this COS with the aim of improving transparency and the ability to compare and combine future studies with greater ease.

Keywords: Clinical diabetes; Healthcare delivery; Other techniques; Pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Consensus
  • Consensus Development Conferences as Topic
  • Databases, Factual
  • Delphi Technique
  • Diabetes Mellitus / physiopathology*
  • Diabetes Mellitus / therapy
  • Diabetes, Gestational / diagnosis*
  • Diabetes, Gestational / therapy
  • Female
  • Humans
  • Preconception Care*
  • Pregnancy
  • Pregnancy Complications
  • Pregnancy in Diabetics / diagnosis*
  • Pregnancy in Diabetics / therapy
  • Surveys and Questionnaires
  • Treatment Outcome