SEARCHSYSTEMATIC_REVIEWobstetrics and gynecology, cardiology

systematic_review·obstetrics and gynecology, cardiology, endocrinology, public health, systematic review·PMC10537141

Gestational diabetes mellitus, follow-up of future maternal risk of cardiovascular disease and the use of eHealth technologies—a scoping review

Systematic Reviews · 4 authors, 4 centres

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TL;DR

A scoping review of 15 articles and 12 systematic reviews found no established systematic cardiovascular follow-up strategy for women after gestational diabetes, and no studies assessed long-term overall cardiovascular risk directly. eHealth technologies were acceptable to participants but showed no consistent, statistically significant effect on relevant health outcomes.

Full summary

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This scoping review followed JBI methodology, searching four databases and ultimately including 15 primary articles and 12 systematic reviews. The review examined cardiovascular follow-up after gestational diabetes mellitus and the utility of eHealth technologies. No studies or systematic reviews were identified that assessed long-term cardiovascular disease risk per se; outcomes were limited to incidence of type 2 diabetes, markers of impaired glucose homeostasis, or individual cardiovascular risk factors such as weight and physical activity. The scoping review methodology does not entail quality assessment of included studies, and language restrictions and inability to retrieve all guideline versions in original language are acknowledged limitations.

STUDY TYPE

systematic_review

SPECIALTY

obstetrics and gynecology

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10537141

Gestational diabetes mellitus, follow-up of future maternal risk of cardiovascular disease and the use of eHealth technologies—a scoping review

Systematic Reviews

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ABSTRACT

Background Globally, gestational diabetes mellitus complicates 1 in 6 pregnancies and increases future risk of type 2 diabetes and cardiovascular disease in the affected women. There is a lack of consensus on the optimal follow-up of these women. eHealth is emerging as a health care tool, but its practical utility and advantages over standard care in the follow-up after pregnancy complications remains to be determined. Our aim was to systematically review the existing literature on cardiovascular follow-up after gestational diabetes, the utility of eHealth technology for this purpose, and to identify research gaps. Methods We performed a systematic scoping review following a published protocol and the Joanna Briggs methodology for studies up until May 2022. Four databases were searched: Ovid MEDLINE, Embase, Maternity and Infant Care, and Cochrane Database of Systematic Reviews. Primary research articles and systematic reviews were included in the final analyses. Two reviewers independently screened abstracts and performed full text assessment. Data was extracted using a data charting form. In all stages of the process, if consensus was not reached, a third reviewer was consulted. The findings from the data charting process provided the basis for summarizing the findings from the included studies. Results The search of the databases generated 2772 hits. After removing duplicates and manually adding a total of 19 studies, reviews, and guidelines, a total of 2769 titles and abstracts were screened, and 97 papers underwent full-text review. In the final analyses, 15 articles and 12 systematic reviews were included, whereas guidelines are presented as supplementary material. No studies were identified that examined follow-up regarding long-term overall cardiovascular risk after gestational diabetes. Various lifestyle interventions were tested for individual cardiovascular risk factors, with diverging effects. eHealth technologies were found acceptable by participants but had no consistent, statistically significant effect on relevant health outcomes. Conclusions This scoping review of the existing literature revealed neither an established systematic cardiovascular follow-up strategy for women after gestational diabetes nor evidence that eHealth technologies are superior to conventional follow-up. Further research into the utility of eHealth in cardiovascular follow-up after complicated pregnancies should include longer-term follow-up and core cardiovascular outcomes. Systematic review registration The protocol for this scoping review was published at Open Science Framework (osf.io/p5hw6) Supplementary Information The online version contains supplementary material available at 10.1186/s13643-023-02343-w.

CITATION EXPORT

Bendik S. Fiskå, Aase Serine Devold Pay, Anne Cathrine Staff et al.. Gestational diabetes mellitus, follow-up of future maternal risk of cardiovascular disease and the use of eHealth technologies—a scoping review. Systematic Reviews. (2023). https://doi.org/10.1186/s13643-023-02343-w

AUTHORS

4 · 4 CENTRES

Bendik S. Fiskå, Aase Serine Devold Pay, Anne Cathrine Staff, Meryam Sugulle

1https://ror.org/00j9c2840grid.55325.340000 0004 0389 8485Division of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway
2https://ror.org/01xtthb56grid.5510.10000 0004 1936 8921Institute for Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
3https://ror.org/04q12yn84grid.412414.60000 0000 9151 4445Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
4https://ror.org/03wgsrq67grid.459157.b0000 0004 0389 7802Department of Obstetrics and Gynaecology, Bærum Hospital, Vestre Viken Hospital Trust, Bærum, Norway