PMID- 37407183
OWN - NLM
STAT- MEDLINE
DCOM- 20230707
LR  - 20230718
IS  - 1875-6263 (Electronic)
IS  - 1028-4559 (Linking)
VI  - 62
IP  - 4
DP  - 2023 Jul
TI  - Meta-analysis comparing diabetes in pregnancy study group India (DIPSI) vs the 
      international association of the diabetes and pregnancy study groups (IADPSG) 
      criteria for diagnosis of gestational diabetes among Indian population.
PG  - 498-505
LID - S1028-4559(23)00120-1 [pii]
LID - 10.1016/j.tjog.2023.03.013 [doi]
AB  - Despite consensus on universal screening of women at 24-28 weeks for a diagnosis 
      of gestational diabetes, controversy remains on an appropriate criterion. The 
      study is aimed to find out the sensitivity and specificity of Diabetes in 
      Pregnancy Study Group India (DIPSI) criteria compared to the International 
      Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria for 
      diagnosis of Gestational Diabetes Mellitus (GDM). A meta-analysis of studies 
      comparing DIPSI as an index test to IADPSG as the reference test for diagnosing 
      GDM was carried out. A total of 8 comparative studies were included. Pooled 
      analysis showed a sensitivity of 0.44 [0.29 to 0.60] and specificity of 0.97 
      [0.94 to 0.98], which means the index test DIPSI will correctly identify only 44% 
      of the subjects who have the disease (GDM positive) but it will also fail to 
      identify 56% of the GDM positive subjects. Derek's funnel graph revealed 
      fewerchances of publication bias. Though convenient, DIPSI criteria was not found 
      to be sensitive enough for a diagnosis of GDM and missed an opportunity to 
      improve pregnancy and subsequent long-term outcomes for a substantial number of 
      women. Further studies should focus on comparing pregnancy outcomes for the two 
      criteria, so that decision to adopt any criteria is more evidence-based.
CI  - Copyright (c) 2023. Published by Elsevier B.V.
FAU - Rawat, Dimple
AU  - Rawat D
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: rawat.dimple96@gmail.com.
FAU - Chowdhury, Sumit Roy
AU  - Chowdhury SR
AD  - Department of Neuroanesthesiology and Critical Care, All India Institute of 
      Medical Sciences, New Delhi, India. Electronic address: 
      sumitroychowdhury94@gmail.com.
FAU - Yadav, Arun Kumar
AU  - Yadav AK
AD  - Department of Community Medicine, Armed Forces Medical College (AFMC), Pune, 
      India. Electronic address: arunyadavpsm@gmail.com.
FAU - Gupta, Yashdeep
AU  - Gupta Y
AD  - Department of Endocrinology, Metabolism and Diabetes, All India Institute of 
      Medical Sciences, New Delhi, India. Electronic address: 
      yash_deep_gupta@yahoo.co.in.
FAU - Singh, Neeta
AU  - Singh N
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: drneetasingh@yahoo.com.
FAU - Sharma, K Aparna
AU  - Sharma KA
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: kaparnasharma@gmail.com.
FAU - Bharti, Juhi
AU  - Bharti J
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: drjuhigeorgian.04@gmail.com.
FAU - Vatsa, Richa
AU  - Vatsa R
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: dr.richavatsa@gmail.com.
FAU - Zangmo, Rinchen
AU  - Zangmo R
AD  - Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 
      New Delhi, India. Electronic address: rinchhen.zn@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - China (Republic : 1949- )
TA  - Taiwan J Obstet Gynecol
JT  - Taiwanese journal of obstetrics & gynecology
JID - 101213819
SB  - IM
MH  - Pregnancy
MH  - Female
MH  - Humans
MH  - *Diabetes, Gestational/diagnosis/epidemiology
MH  - Glucose Tolerance Test
MH  - *Pregnancy in Diabetics
MH  - Pregnancy Outcome
MH  - India/epidemiology
OTO - NOTNLM
OT  - DIPSI
OT  - GDM
OT  - IADPSG
COIS- Declaration of competing interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/07/06 01:08
MHDA- 2023/07/07 06:42
CRDT- 2023/07/05 20:57
PHST- 2023/03/03 00:00 [accepted]
PHST- 2023/07/07 06:42 [medline]
PHST- 2023/07/06 01:08 [pubmed]
PHST- 2023/07/05 20:57 [entrez]
AID - S1028-4559(23)00120-1 [pii]
AID - 10.1016/j.tjog.2023.03.013 [doi]
PST - ppublish
SO  - Taiwan J Obstet Gynecol. 2023 Jul;62(4):498-505. doi: 10.1016/j.tjog.2023.03.013.