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Prevalencia, factores de riesgo y desenlaces asociados a la Diabetes Mellitus Gestacional según los criterios IADPSG y NICE en México 519
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ago 21, 2023
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Resumen
En México aún no existe consenso de un criterio para el diagnóstico de Diabetes Mellitus Gestacional (DMG). El objetivo fue comparar características entre los criterios diagnósticos de DMG de la Asociación Internacional de Diabetes y Grupos de Estudio del Embarazo (IADPSG) y el Instituto Nacional para la Salud y la Excelencia Clínica (NICE) en México. Se realizó un estudio prospectivo y descriptivo en la región Noreste de México. Se evaluó prevalencia, factores de riesgo, desenlaces materno-fetales. La prevalencia de DMG fue del 44,5% por IADPSG y del 37,5% por NICE. El análisis de los factores de riesgo y los resultados tendieron a ser iguales entre los criterios; sin embargo, el uso exclusivo de los criterios IADPSG o NICE limitó el número de pacientes diagnosticadas de DMG, lo que generó un porcentaje de casos mal clasificados. Los criterios IADPSG parecen tener menos limitaciones para identificar pacientes con DMG que NICE debido a las características de la cohorte. Aunque, determinando en paralelo criterios NICE, podría ser complementario para el diagnóstico de DMG en México. Como conclusiones proponemos la valoración de ambos criterios (IADPSG y NICE) para identificar el mayor número de mujeres en riesgo de DMG. La falta de diferencias significativas en los resultados entre los criterios refleja la importancia del tratamiento oportuno para pacientes con DMG, que no se administra en un porcentaje de casos de DMG perdidos cuando solo se utiliza un criterio.
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Violante Ortíz, R., Reyna-Beltrán, E., Requena-Rivera, C. A., & Tavera Tapia, A. (2023). Prevalencia, factores de riesgo y desenlaces asociados a la Diabetes Mellitus Gestacional según los criterios IADPSG y NICE en México. Revista Del Centro De Investigación De La Universidad La Salle, 15(60), 01-32. https://doi.org/10.26457/recein.v15i60.3506
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Adam, S. y Rheeder, P. (2017). Screening for gestational diabetes mellitus in a South African population: Prevalence, comparison of diagnostic criteria and the role of risk factors. South African Medical Journal, 107(6), 523–527. https://doi.org/10.7196/SAMJ.2017.v107i6.12043
Alfadhli, E. (2015). Gestational diabetes in Saudi women identified by the International Association of Diabetes and Pregnancy Study Group versus the former American Diabetes Association criteria: a prospective cohort study. Annals of Saudi Medicine, 35 (6), 428–434. https://doi.org/10.5144/0256-4947.2015.428
Avalos, G.E., Owens, L.A., Dunne, F. y ATLANTIC DIP Collaborators. (2013) Applying current screening tools for gestational diabetes mellitus to a European population: is it time for change? Diabetes Care, 36(10), 3040–3044. https://doi.org/10.2337/dc12-2669
Basri, N.I., Mahdy, Z.A., Ahmad, S., Karim, A.K.A., Shan, L.P., Manaf, M.R.A. y Ismail, N.A.M. (2018). The World Health Organization (WHO) versus The International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria of gestational diabetes mellitus (GDM) and their associated maternal and neonatal outcomes. Hormone Molecular Biology and Clinical Investigation, 34(1). https://doi.org/10.1515/hmbci-2017-0077
Bhatia, M., Mackillop, L.H., Bartlett, K., Loerup, L., Kenworthy, Y., Levy, J.C.… y Hirst, J.E. (2018) Clinical Implications of the NICE 2015 Criteria for Gestational Diabetes Mellitus. Journal of Clinical Medicine, 7(10), 376. https://doi.org/10.3390/jcm7100376
Billionnet, C., Mitanchez, D., Weill, A., Nizard, J., Alla, F., Hartemann, A.… y Jacqueminet, S. (2017). Gestational diabetes and adverse perinatal outcomes from 716,152 births in France in 2012. Diabetologia, 60, 636-644. https://doi.org/10.1007/s00125-017-4206-6
Boyadzhieva, M.V., Atanasova, I., Zacharieva, S., Tankova, T. y Dimitrova, V. (2012). Comparative analysis of current diagnostic criteria for gestational diabetes mellitus. Obstetric Medicine, 5(2), 71–77. https://doi.org/10.1258/om.2011.110073
Brown, F.M. y Wyckoff, J. (2017) Application of One-Step IADPSG Versus Two-Step Diagnostic Criteria for Gestational Diabetes in the Real World: Impact on Health Services, Clinical Care, and Outcomes. Current Diabetes Reports, 17(10), 85. doi: https://doi.org/10.1007/s11892-017-0922-z
Djelmis, J., Pavic, M., Kotori, V.M., Renar, I.P., Ivanisevic, M. y Oreskovic, S. (2016) Prevalence of gestational diabetes mellitus according to IADPSG and NICE criteria. International Journal of Gynaecology and Obstetrics, 135(3), 250–254. https://doi.org/10.1016/j.ijgo.2016.07.005
Duran, A., Sáenz, S., Torrejón, M.J., Bordiú, E., Del Valle, L., Galindo, M., …y Calle-Pascual A.L. (2014). Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St. Carlos Gestational Diabetes Study. Diabetes Care, 37(9), 2442–2250. https://doi.org/10.2337/dc14-0179
Font-López, K.C. y Gutiérrez-Castañeda, M.R. (2017). Diagnóstico de diabetes gestacional en población mexicana. Ginecología y Obstetricia de México, 85(2), 116–124.
Forsbach-Sánchez, G., González-Obele, E., Villanueva-Cuellar, M.A., Tamez-Pérez, H.E., y Rocha-Márquez, J. (2003). Impacto del nuevo criterio para el diagnóstico de diabetes gestacional en la estimación de su prevalencia. Revista de Investigación Clínica, 55(5), 507–510.
Gopalakrishnan, V., Singh, R., Pradeep, Y., Kapoor, D., Rani, A.K., Pradhan S. … y Yadav, S. B. (2015). Evaluation of the prevalence of gestational diabetes mellitus in North Indians using the International Association of Diabetes and Pregnancy Study groups (IADPSG) criteria. Journal of Postgraduate Medicine, 61(3), 155–158. https://doi.org/10.4103/0022-3859.159306
Gorban de Lapertosa, S., Sucanis, S., Salzberg, S., Alvariñas, J., Faingold, C., Jawerbaum, A. … y DSPG-SAD Group. (2020). Prevalence of gestational diabetes mellitus in Argentina according to the Latin American Diabetes Association (ALAD) and International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria and the associated maternal-neonatal complications. Health Care Women International, 42(4-6), 636-656. https://doi.org/10.1080/07399332.2020.1800012
HAPO Study Cooperative Research Group, Metzger, B.E., Lowe, L.P., Dyer, A.R., Trimble, E.R., Chaovarindr, U., … y Sacks, D.A. (2008). Hyperglycemia and adverse pregnancy outcomes. New England Journal of Medicine, 358 (19), 1991–2002. https://doi.org/10.1056/NEJMoa0707943
Hinojosa-Hernández, M.A., Hernández-Aldana, J.H., Barrera-Tenorio, E.F., Gayosso y Martínez, M.T. (2010). Prevalencia de diabetes mellitus gestacional en el Hospital Juárez de México. Revista del Hospital Juárez de México, 77(2), 123–128.
International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger, B., Gabbe, S. G., Persson, B., Buchanan, T. A., Catalano, P.A. ... y Schmidt, M. I. (2010). International Association of Diabetes and Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care, 33(3), 676–682. https://doi.org/10.2337/dc09-1848
Jenum, A.K., Mørkrid, K., Sletner, L., Vangern, S., Torper, J.L., Nakstad, B., … y Birkeland, K. I. (2012). Impact of ethnicity on gestational diabetes identified with the WHO and the modified International Association of Diabetes and Pregnancy Study Groups criteria: a population-based cohort study. European Journal of Endocrinology, 166(2), 317–324. https://doi.org/10.1530/EJE-11-0866
Johns, E.C., Denison, F.C., Norman, J.E., Reynolds, R.M. (2018). Gestational Diabetes Mellitus: Mechanisms, Treatment, and Complications. Trends in Endocrinology and Metabolism, 29(11), 743-754. https://doi.org/10.1016/j.tem.2018.09.004
Kamana, K.C,, K., Shakya, S., y Zhang, H. (2015). Gestational diabetes mellitus and macrosomia: a literature review. Annals of Nutrition and Metabolism, 66(Suppl 2), 14–20. https://doi.org/10.1159/000371628
Kautzky-Willer, A., Harreiter, J., Winhofer-Stöckl, Y., Bancher-Todesca, D., Berger, A., Repa, A., ... y Weitgasser, R. (2019). [Gestational diabetes mellitus (Update 2019)]. Wiener Klinsiche Wochenschrift, 131 (Suppl 1), 91–102. https://doi.org/10.1007/s00508-018-1419-8
Kim, S.H, England, L., Wilson, H.G., Bish, C., Satten, G.A., Dietz, P. (2010). Percentage of gestational diabetes mellitus attributable to overweight and obesity. American Journal of Public Health, 100(6), 1047-52. https://doi.org/10.2105/AJPH.2009.172890
Kim, M.H., Kwak, S.H., Kim, S.H., Hong, J.S., Chung, H.R., Choi, S.H., … y Jang, H. C. (2019). Pregnancy Outcomes of Women Additionally Diagnosed as Gestational Diabetes by the International Association of the Diabetes and Pregnancy Study Groups Criteria. Diabetes and Metabolism Journal, 43(6), 766–775. https://doi.org/10.4093/dmj.2018.0192
Koivunen, S., Viljakainen, M., Männistö, T., Gissler, M., Pouta, A., Kaaja, R., … y Vääräsmäki, M. (2020). Pregnancy outcomes according to the definition of gestational diabetes. PLoS One, 15 (3), e0229496. https://doi.org/10.1371/journal.pone.0229496
Nguyen, C.L., Lee, A.H., Pham, N.M., Nguyen, P.T.H., Van Ha, A.V., Chu, T.K … y Binns, C. W. (2020). Prevalence and pregnancy outcomes of gestational diabetes mellitus by different international diagnostic criteria: a prospective cohort study in Vietnam. Journal of Maternal-Fetal and Neonatal Medicine, 33(21), 3706–3712. https://doi.org/10.1080/14767058.2019.1583733
Ramírez-Torres, M.A. (2005). Diabetes mellitus gestacional. Experiencia en una institución de tercer nivel de atención. Ginecología y Obstetricia de México, 73(9), 484–491.
Reichelt, A.J., Schwerz-Weinert, L., Silveira-Mastella, L., Gnielka, V., Campos, M.A., Hirakata, V.N.,…y Schmidt, M. I. (2017). Clinical characteristics of women with gestational diabetes - comparison of two cohorts enrolled 20 years apart in southern Brazil. Sao Paulo Medical Journal, 135(4), 376–382. https://doi.org/10.1590/1516-3180.2016.0332190317
Reyes-Muñoz, E., Parra, A., Castillo-Mora, A. y Ortega-Gonzalez, C. (2012). Effect of the diagnostic criteria of the International Association of Diabetes and Pregnancy Study Groups on the prevalence of gestational diabetes mellitus in urban Mexican women: a cross-sectional study. Endocrine Practice, 18(2), 146–151. https://doi.org/10.4158/EP11167.OR
Salzberg, S., Alvariñas, J., López, G., Gorbán de Lapertosa, S., Linari, M.A., Falcón, E., …y Barba, A.M. (2016). Guías de diagnóstico y tratamiento de diabetes gestacional. Revista de la Asociación Latinoamericana de Diabetes, 6, 155–169. http://dx.doi.org/10.47196/diab.v50i3.45
Staltari, B.J., Cutó, F.G., Merlo, C., Garcés, N., Benkovic, R.I., de Loredo, S., y de Loredo, L. (2020). Prevalence of gestational diabetes, reclassification and results after delivery in patients attended at the University Private Hospital of Cordoba. Revista de la Asociación Latinoamericana de Diabetes, 10, 47–53.
Todi, S., Sagili, H., y Kamalanathan, S.K. (2020) Comparison of criteria of International Association of Diabetes and Pregnancy Study Groups (IADPSG) with National Institute for Health and Care Excellence (NICE) for diagnosis of gestational diabetes mellitus. Archives of Gynecology and Obstetrics, 302(9), 47–52. https://doi.org/10.1007/s00404-020-05564-9
Torloni, M.R., Betrán, A.P., Horta, B.L., Nakamura, M. U., Atallah, A. N., Moron, A.F., y Valente, O. (2009). Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis. Obesity Reviews, 10(2), 194-203. https://doi.org/10.1111/j.1467-789X.2008.005
Alfadhli, E. (2015). Gestational diabetes in Saudi women identified by the International Association of Diabetes and Pregnancy Study Group versus the former American Diabetes Association criteria: a prospective cohort study. Annals of Saudi Medicine, 35 (6), 428–434. https://doi.org/10.5144/0256-4947.2015.428
Avalos, G.E., Owens, L.A., Dunne, F. y ATLANTIC DIP Collaborators. (2013) Applying current screening tools for gestational diabetes mellitus to a European population: is it time for change? Diabetes Care, 36(10), 3040–3044. https://doi.org/10.2337/dc12-2669
Basri, N.I., Mahdy, Z.A., Ahmad, S., Karim, A.K.A., Shan, L.P., Manaf, M.R.A. y Ismail, N.A.M. (2018). The World Health Organization (WHO) versus The International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria of gestational diabetes mellitus (GDM) and their associated maternal and neonatal outcomes. Hormone Molecular Biology and Clinical Investigation, 34(1). https://doi.org/10.1515/hmbci-2017-0077
Bhatia, M., Mackillop, L.H., Bartlett, K., Loerup, L., Kenworthy, Y., Levy, J.C.… y Hirst, J.E. (2018) Clinical Implications of the NICE 2015 Criteria for Gestational Diabetes Mellitus. Journal of Clinical Medicine, 7(10), 376. https://doi.org/10.3390/jcm7100376
Billionnet, C., Mitanchez, D., Weill, A., Nizard, J., Alla, F., Hartemann, A.… y Jacqueminet, S. (2017). Gestational diabetes and adverse perinatal outcomes from 716,152 births in France in 2012. Diabetologia, 60, 636-644. https://doi.org/10.1007/s00125-017-4206-6
Boyadzhieva, M.V., Atanasova, I., Zacharieva, S., Tankova, T. y Dimitrova, V. (2012). Comparative analysis of current diagnostic criteria for gestational diabetes mellitus. Obstetric Medicine, 5(2), 71–77. https://doi.org/10.1258/om.2011.110073
Brown, F.M. y Wyckoff, J. (2017) Application of One-Step IADPSG Versus Two-Step Diagnostic Criteria for Gestational Diabetes in the Real World: Impact on Health Services, Clinical Care, and Outcomes. Current Diabetes Reports, 17(10), 85. doi: https://doi.org/10.1007/s11892-017-0922-z
Djelmis, J., Pavic, M., Kotori, V.M., Renar, I.P., Ivanisevic, M. y Oreskovic, S. (2016) Prevalence of gestational diabetes mellitus according to IADPSG and NICE criteria. International Journal of Gynaecology and Obstetrics, 135(3), 250–254. https://doi.org/10.1016/j.ijgo.2016.07.005
Duran, A., Sáenz, S., Torrejón, M.J., Bordiú, E., Del Valle, L., Galindo, M., …y Calle-Pascual A.L. (2014). Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St. Carlos Gestational Diabetes Study. Diabetes Care, 37(9), 2442–2250. https://doi.org/10.2337/dc14-0179
Font-López, K.C. y Gutiérrez-Castañeda, M.R. (2017). Diagnóstico de diabetes gestacional en población mexicana. Ginecología y Obstetricia de México, 85(2), 116–124.
Forsbach-Sánchez, G., González-Obele, E., Villanueva-Cuellar, M.A., Tamez-Pérez, H.E., y Rocha-Márquez, J. (2003). Impacto del nuevo criterio para el diagnóstico de diabetes gestacional en la estimación de su prevalencia. Revista de Investigación Clínica, 55(5), 507–510.
Gopalakrishnan, V., Singh, R., Pradeep, Y., Kapoor, D., Rani, A.K., Pradhan S. … y Yadav, S. B. (2015). Evaluation of the prevalence of gestational diabetes mellitus in North Indians using the International Association of Diabetes and Pregnancy Study groups (IADPSG) criteria. Journal of Postgraduate Medicine, 61(3), 155–158. https://doi.org/10.4103/0022-3859.159306
Gorban de Lapertosa, S., Sucanis, S., Salzberg, S., Alvariñas, J., Faingold, C., Jawerbaum, A. … y DSPG-SAD Group. (2020). Prevalence of gestational diabetes mellitus in Argentina according to the Latin American Diabetes Association (ALAD) and International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria and the associated maternal-neonatal complications. Health Care Women International, 42(4-6), 636-656. https://doi.org/10.1080/07399332.2020.1800012
HAPO Study Cooperative Research Group, Metzger, B.E., Lowe, L.P., Dyer, A.R., Trimble, E.R., Chaovarindr, U., … y Sacks, D.A. (2008). Hyperglycemia and adverse pregnancy outcomes. New England Journal of Medicine, 358 (19), 1991–2002. https://doi.org/10.1056/NEJMoa0707943
Hinojosa-Hernández, M.A., Hernández-Aldana, J.H., Barrera-Tenorio, E.F., Gayosso y Martínez, M.T. (2010). Prevalencia de diabetes mellitus gestacional en el Hospital Juárez de México. Revista del Hospital Juárez de México, 77(2), 123–128.
International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger, B., Gabbe, S. G., Persson, B., Buchanan, T. A., Catalano, P.A. ... y Schmidt, M. I. (2010). International Association of Diabetes and Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care, 33(3), 676–682. https://doi.org/10.2337/dc09-1848
Jenum, A.K., Mørkrid, K., Sletner, L., Vangern, S., Torper, J.L., Nakstad, B., … y Birkeland, K. I. (2012). Impact of ethnicity on gestational diabetes identified with the WHO and the modified International Association of Diabetes and Pregnancy Study Groups criteria: a population-based cohort study. European Journal of Endocrinology, 166(2), 317–324. https://doi.org/10.1530/EJE-11-0866
Johns, E.C., Denison, F.C., Norman, J.E., Reynolds, R.M. (2018). Gestational Diabetes Mellitus: Mechanisms, Treatment, and Complications. Trends in Endocrinology and Metabolism, 29(11), 743-754. https://doi.org/10.1016/j.tem.2018.09.004
Kamana, K.C,, K., Shakya, S., y Zhang, H. (2015). Gestational diabetes mellitus and macrosomia: a literature review. Annals of Nutrition and Metabolism, 66(Suppl 2), 14–20. https://doi.org/10.1159/000371628
Kautzky-Willer, A., Harreiter, J., Winhofer-Stöckl, Y., Bancher-Todesca, D., Berger, A., Repa, A., ... y Weitgasser, R. (2019). [Gestational diabetes mellitus (Update 2019)]. Wiener Klinsiche Wochenschrift, 131 (Suppl 1), 91–102. https://doi.org/10.1007/s00508-018-1419-8
Kim, S.H, England, L., Wilson, H.G., Bish, C., Satten, G.A., Dietz, P. (2010). Percentage of gestational diabetes mellitus attributable to overweight and obesity. American Journal of Public Health, 100(6), 1047-52. https://doi.org/10.2105/AJPH.2009.172890
Kim, M.H., Kwak, S.H., Kim, S.H., Hong, J.S., Chung, H.R., Choi, S.H., … y Jang, H. C. (2019). Pregnancy Outcomes of Women Additionally Diagnosed as Gestational Diabetes by the International Association of the Diabetes and Pregnancy Study Groups Criteria. Diabetes and Metabolism Journal, 43(6), 766–775. https://doi.org/10.4093/dmj.2018.0192
Koivunen, S., Viljakainen, M., Männistö, T., Gissler, M., Pouta, A., Kaaja, R., … y Vääräsmäki, M. (2020). Pregnancy outcomes according to the definition of gestational diabetes. PLoS One, 15 (3), e0229496. https://doi.org/10.1371/journal.pone.0229496
Nguyen, C.L., Lee, A.H., Pham, N.M., Nguyen, P.T.H., Van Ha, A.V., Chu, T.K … y Binns, C. W. (2020). Prevalence and pregnancy outcomes of gestational diabetes mellitus by different international diagnostic criteria: a prospective cohort study in Vietnam. Journal of Maternal-Fetal and Neonatal Medicine, 33(21), 3706–3712. https://doi.org/10.1080/14767058.2019.1583733
Ramírez-Torres, M.A. (2005). Diabetes mellitus gestacional. Experiencia en una institución de tercer nivel de atención. Ginecología y Obstetricia de México, 73(9), 484–491.
Reichelt, A.J., Schwerz-Weinert, L., Silveira-Mastella, L., Gnielka, V., Campos, M.A., Hirakata, V.N.,…y Schmidt, M. I. (2017). Clinical characteristics of women with gestational diabetes - comparison of two cohorts enrolled 20 years apart in southern Brazil. Sao Paulo Medical Journal, 135(4), 376–382. https://doi.org/10.1590/1516-3180.2016.0332190317
Reyes-Muñoz, E., Parra, A., Castillo-Mora, A. y Ortega-Gonzalez, C. (2012). Effect of the diagnostic criteria of the International Association of Diabetes and Pregnancy Study Groups on the prevalence of gestational diabetes mellitus in urban Mexican women: a cross-sectional study. Endocrine Practice, 18(2), 146–151. https://doi.org/10.4158/EP11167.OR
Salzberg, S., Alvariñas, J., López, G., Gorbán de Lapertosa, S., Linari, M.A., Falcón, E., …y Barba, A.M. (2016). Guías de diagnóstico y tratamiento de diabetes gestacional. Revista de la Asociación Latinoamericana de Diabetes, 6, 155–169. http://dx.doi.org/10.47196/diab.v50i3.45
Staltari, B.J., Cutó, F.G., Merlo, C., Garcés, N., Benkovic, R.I., de Loredo, S., y de Loredo, L. (2020). Prevalence of gestational diabetes, reclassification and results after delivery in patients attended at the University Private Hospital of Cordoba. Revista de la Asociación Latinoamericana de Diabetes, 10, 47–53.
Todi, S., Sagili, H., y Kamalanathan, S.K. (2020) Comparison of criteria of International Association of Diabetes and Pregnancy Study Groups (IADPSG) with National Institute for Health and Care Excellence (NICE) for diagnosis of gestational diabetes mellitus. Archives of Gynecology and Obstetrics, 302(9), 47–52. https://doi.org/10.1007/s00404-020-05564-9
Torloni, M.R., Betrán, A.P., Horta, B.L., Nakamura, M. U., Atallah, A. N., Moron, A.F., y Valente, O. (2009). Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis. Obesity Reviews, 10(2), 194-203. https://doi.org/10.1111/j.1467-789X.2008.005