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A Prepregnancy Care Program for Women With Diabetes: Effective and Cost Saving

Overview of attention for article published in The Journal of Clinical Endocrinology & Metabolism, April 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (76th percentile)
  • Good Attention Score compared to outputs of the same age and source (71st percentile)

Mentioned by

twitter
8 tweeters
facebook
1 Facebook page

Citations

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31 Dimensions

Readers on

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33 Mendeley
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Title
A Prepregnancy Care Program for Women With Diabetes: Effective and Cost Saving
Published in
The Journal of Clinical Endocrinology & Metabolism, April 2016
DOI 10.1210/jc.2015-4046
Pubmed ID
Authors

Aoife M. Egan, Andriy Danyliv, Louise Carmody, Breda Kirwan, Fidelma P. Dunne

Abstract

Only a minority of women with diabetes attend prepregnancy care and the economic effects of providing the service are unclear. To design, put into practice and evaluate a regional prepregnancy care program for women with type 1 and 2 diabetes. A prospective cohort and cost-analysis study. Antenatal centres along the Irish Atlantic Seaboard. Four hundred and fourteen women with type 1 or 2 diabetes. A newly developed prepregnancy care program. The program was assessed for its effect on the risk of adverse pregnancy outcomes. The difference between program delivery cost and the excess cost of treating adverse outcomes in non-attendees was evaluated. In total, 149 (36%) attended- this increased from 19% to 50% after increased recruitment measures in 2010. Attendees were more likely to take preconception folic acid (97.3 vs 57.7%, p<0.001) and less likely to smoke (8.7 vs 16.6%, p=0.03) or take potentially teratogenic medications at conception (0.7 vs 6.0, p=0.008). Attendees had lower HbA1c levels throughout pregnancy (first trimester HbA1c: 6.8 vs 7.7%, p<0.001, third trimester HbA1c: 6.1 vs 6.5%, p=0.001) and their offspring had lower rates of serious adverse outcome (2.4 vs 10.5%, p=0.007). The adjusted difference in complication costs between those who received prepregnancy care versus usual antenatal care only is €2,578.00. The average cost of prepregnancy care delivery is €449.00 per pregnancy. This regional prepregnancy care program is clinically effective. The cost of program delivery is less than the excess cost of managing adverse pregnancy outcomes.

Twitter Demographics

The data shown below were collected from the profiles of 8 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 33 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 33 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 15%
Researcher 4 12%
Student > Bachelor 4 12%
Student > Postgraduate 3 9%
Lecturer 3 9%
Other 7 21%
Unknown 7 21%
Readers by discipline Count As %
Medicine and Dentistry 14 42%
Nursing and Health Professions 6 18%
Economics, Econometrics and Finance 1 3%
Psychology 1 3%
Social Sciences 1 3%
Other 1 3%
Unknown 9 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 November 2018.
All research outputs
#3,249,458
of 14,574,851 outputs
Outputs from The Journal of Clinical Endocrinology & Metabolism
#2,877
of 11,630 outputs
Outputs of similar age
#61,860
of 267,410 outputs
Outputs of similar age from The Journal of Clinical Endocrinology & Metabolism
#42
of 146 outputs
Altmetric has tracked 14,574,851 research outputs across all sources so far. Compared to these this one has done well and is in the 77th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 11,630 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one has done well, scoring higher than 75% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,410 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 76% of its contemporaries.
We're also able to compare this research output to 146 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 71% of its contemporaries.