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Nice proposes that figure should halve to 10%.
And there are fears that there could be more upper age limits now that a new consultation paper by NICE proposes that some treatments could be denied if age affects their risks or benefits.
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NICE proposed alternative criteria for adoption in 2015 (75 g OGTT 0 h ≥5.6 mmol/l; 2 h ≥7.8 mmol/l) [ 15].> The aim of the current study was to retrospectively compare outcomes among women who would test positive for the IADPSG criteria for GDM but negative for NICE 2015 diagnostic criteria.
Nice, nice, nice.
In England, the NHS drugs advisory body NICE has proposed that the drug not be made routinely available.
It is nice to propose a strategy, but why then not implement it and study its effects?
I couldn't afford a nice ring to propose, but friends suggested I think outside the box.
Using the IADPSG criteria instead of the proposed NICE 2015 criteria would have resulted in treating 126 more women over 5 years.
Using the proposed NICE 2015 criteria would have resulted in 0.49% fewer women being offered treatment but would have failed to identify 3.82% cases of LGA, 2.68% cases of pre-eclampsia and 5.30% cases of polyhydramnios.
This study demonstrates a significant risk of LGA among infants of women who meet the IADPSG criteria for GDM who would be unidentified and untreated using many criteria in current clinical use (WHO 1999, modified WHO 1999 and proposed NICE 2015) [ 27].
René is unmoved, and he proposes something "a little nicer".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com