TABLE 1.
Probabilities, costs, and utilities used in the decision analytic model of treatment vs no treatment of mild GDM
| Parameter | Probabilities | Utilities | Costs | Reference | |
|---|---|---|---|---|---|
| GDM treatment | $1786 | 16 | |||
| Maternal outcomes | Without treatment | With treatment | |||
| Preeclampsia | 0.136 | 0.086 | $19,184 | 6,12 | |
| Cesarean delivery | 0.338 | 0.269 | 0.99 | $11,979 | 6,13,19,22 |
| Vaginal delivery | 1 | $7790 | 13,21 | ||
| Maternal death | |||||
| Cesarean | 0.000022 | 0.000022 | 0 | $100,000 | 10,17 |
| Vaginal | 0.000002 | 0.000002 | 0 | $100,000 | 10,17 |
| Shoulder dystocia | |||||
| With macrosomia | 0.105 | 0.03885 | 6,8 | ||
| Without macrosomia | 0.016 | 0.00592 | 6,8 | ||
| Neonatal outcomes | |||||
| Macrosomia | 0.143 | 0.059 | 6 | ||
| Brachial plexus injury | Please see Table 2 for the probabilities of brachial plexus injury | ||||
| Permanent | 0.067 | 0.067 | 0.6 | $15,699 | 6,9,18 |
| Transient | 0.99 | $1757 | 6,9,18 | ||
| Hypoglycemia | 1 | $2419 | 6,8,14 | ||
| With macrosomia | 0.053 | 0.05618 | |||
| Without macrosomia | 0.026 | 0.02756 | |||
| Hyperbilirubinemia | 1 | $2006 | 6,8,26 | ||
| With macrosomia | 0.132 | 0.0977 | |||
| Without macrosomia | 0.104 | 0.077 | |||
| NICU admission | 0.116 | 0.09 | 1 | $15,065 | 6,14,21 |
| Neonatal death | 0 | 0 | $82,361 | 6,15,21,22 | |
| Maternal perspective | 0.92 | ||||
| Neonatal perspective | 0 | ||||
GDM, gestational diabetes mellitus; NICU, neonatal intensive care unit.
Ohno. Treating mild gestational diabetes mellitus: a cost-effectiveness analysis. Am J Obstet Gynecol 2011.