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Table 6 Summary of direct costs post-randomisation and consequences of management of mild gestational diabetes mellitus expressed per 100 women with a singleton gestation

From: Costs and consequences of treatment for mild gestational diabetes mellitus – evaluation from the ACHOIS randomised trial

 

Intervention group (n = 100)

Routine-care group (n = 100)

Difference (n = 100)

Direct costs post-randomisation-

   

Antenatal ambulatory services *

   

Antenatal clinic

$12,479

$14,483

$-2,004

Specialist clinic

$32,657

$15,290

$17,367

Dietician

$8,716

$1,127

$7,589

Diabetes educator

$6,692

$982

$5,710

Insulin therapy

$6,888

$1,800

$5,088

Subtotal

$67,432

$33,681

$33,751

Inpatient services

   

Hospital costs†

$545,125

$524,891

$20,234

Total direct health service costs

$612,557

$558,572

$53,985

Patient/family costs‡

$36,749

$30,229

$6,521

Consequences§

   

Infants

   

Any serious perinatal complication¶

1.1

3.2

-2.2

Admission to neonatal nursery

68.1

59.5

8.6

Women

   

Induction of labour

38.0

28.3

9.7

  1. *Antenatal ambulatory services post-randomisation based on ACHOIS trial data for 970 women (474 in Intervention group and 496 in Routine care group respectively).
  2. † Hospital costs for all mothers and babies based on WCH patient costing system (obtained from data for 195 inpatient women with a singleton pregnancy at the WCH).
  3. ‡ Patient/family costs obtained by survey of a patient subsample of 108 South Australian study participants.
  4. §Based on ACHOIS trial data for 474 and 496 singleton women (respectively) (see Table 4).
  5. ¶Serious perinatal complications were defined prospectively as one or more of the following: death, shoulder dystocia, bone fracture, and nerve palsy.
  6. Adjusted for maternal age, race or ethnic group, and parity.
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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