Determination of the most important risk factors of gestational diabetes in Iran by group analytical hierarchy process

Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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JR_IJRM-15-2_007

تاریخ نمایه سازی: 11 تیر 1396

Abstract:

Background: The outbreak of gestational diabetes has a significant increase during recent years. This disease has complications for mother and her baby. Screening is an opportunity for preventing of gestational diabetes complications.Objective: The aim of this research was to determine the most important risk factors for Gestational Diabetes Mellitus (GDM) in Iran according to the expert s views byGroup Analytical Hierarchy Process.Materials and Methods: In this cross-sectional study, papers related to the prevalence and risk factors of GDM in Iran from 1992-2015 were reviewed. By studying texts and Up to Date databases, 10 risk factors for gestational diabetes werecollected. Among these 10 items, the risk factors that have become significant based on studying literature in Iran were selected for analysis. Group Analytical HierarchyProcess (GAHP) questionnaire distributed among all experts. Results: 8 risk factors of gestational diabetes were significant in Iran. The analysis of experts views showed that History of GDM or disorder in glucose tolerance inpregnancy is the most important risk factor for developing GDM (40.7%). The second and third most important risk factors were History of macrosomia (infantbirth weight > 4.1 Kg) (20.2%) and History of diabetes in first degree relatives (10.7%). Conclusion: Suggesting screening based on the determined order of these risk factors can reduce the cost and stress in pregnant women. Also, it makes patientidentifying faster. The healthcare sector can consider these priorities determined in experts views to prevent gestational diabetes

Authors

Masoumeh Abbasi

Research Committee,Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Zahra Mazloum Khorasani

Endocrine Research Center,Mashhad University of Medical Sciences, Mashhad, Iran

Kobra Etminani

Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Rasool Rahmanvand

Islamic Azad University, South Tehran Branch, Tehran, Iran