Treating mild gestational diabetes mellitus: A cost-effectiveness analysis

Mika S. Ohno, Teresa N. Sparks, Yvonne W. Cheng, Aaron B. Caughey

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Objective: This study investigated the cost-effectiveness of treating mild gestational diabetes mellitus (GDM). Study Design: A decision analytic model was built to compare treating vs not treating mild GDM. The primary outcome was the incremental cost per quality-adjusted life year (QALY). All probabilities, costs, and benefits were derived from the literature. Base case, sensitivity analyses, and a Monte Carlo simulation were performed. Results: Treating mild GDM was more expensive, more effective, and cost-effective at $20,412 per QALY. Treatment remained cost-effective when the incremental cost to treat GDM was less than $3555 or if treatment met at least 49% of its reported efficacy at the baseline cost to treat of $1786. Conclusion: Treating mild GDM is cost-effective in terms of improving maternal and neonatal outcomes including decreased rates of preeclampsia, cesarean sections, macrosomia, shoulder dystocia, permanent and transient brachial plexus injury, neonatal hypoglycemia, neonatal hyperbilirubinemia, and neonatal intensive care unit admissions.

Original languageEnglish (US)
Pages (from-to)282.e1-282.e7
JournalAmerican journal of obstetrics and gynecology
Volume205
Issue number3
DOIs
StatePublished - Sep 2011

Keywords

  • cost-effectiveness
  • decision analysis
  • gestational diabetes mellitus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Treating mild gestational diabetes mellitus: A cost-effectiveness analysis'. Together they form a unique fingerprint.

  • Cite this