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Cost consequences of different diagnostic strategies and different treatment targets for women with gestational diabetes

  • Full or part time
  • Application Deadline
    Applications accepted all year round
  • Competition Funded PhD Project (Students Worldwide)
    Competition Funded PhD Project (Students Worldwide)

Project Description

Gestational diabetes mellitus (GDM) is a major health problem globally. Within New Zealand one in every 11 pregnant women or over 5,500 women annually are affected. There is global controversy as to the precise degree of glucose intolerance required for the diagnosis of GDM, leading to the use of several different diagnostic criteria worldwide. Similarly there is controversy as to the optimal glycaemic targets to use for women with gestational diabetes.

The GEMS Trial is assessing the effects of the new IADPSG criteria compared with current recommended New Zealand criteria on maternal and infant health outcomes.

The TARGET Trial has assessed the use of tight with less tight treatment targets for women with gestational diabetes on maternal and infant health.

This research project will compare health care utilisation between the two diagnostic criteria used in the GEMS Trial and also the two treatment targets used in the TARGET Trial.

The objectives of this research project are
1. To establish the cost effectiveness of the new IADPSG criteria for the diagnosis of GDM, compared with current recommended New Zealand criteria.
2. To establish the cost effectiveness of the use of tighter treatment targets with less tight treatment targets for women with GDM.

The student will be based within the Liggins Institute at the University of Auckland and supervision will be provided by Professor Caroline Crowther (Liggins Institute, University of Auckland) and Dr Richard Edlin (Department of Health Systems, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland).

Who are we

The Liggins Institute is a world-leading centre for research on fetal and child health, nutrition, development, genome biology and translational and implementation science. Our mission is to improve life-long health through excellent research into the long-term consequences of early life events.

We work across a range of fields to view human health problems from different angles. This unique approach enables us to turn research discoveries into real strategies that will help people to prevent or manage major health problems in the 21st century.
As a research-only institute, we attract some of the best research students and clinical fellows in the world. You’ll be supported by internationally-recognised staff and you’ll benefit from state-of-the-art laboratory facilities and a dedicated clinical research unit.

Funding Notes

Applicants should meet the criteria for acceptance to the doctoral program at the University of Auckland and hold a Masters or Honours degree or equivalent in a health discipline with an interest in health economics or an economics background. Examples include (but are not limited to) health economics, public health, epidemiology, medicine, midwifery.

[[To apply, please send a CV and academic transcript to Caroline Crowther: ]]

References

[[Relevant publications]]
To learn more about the Liggins Institute visit https://www.auckland.ac.nz/en/liggins.html

Here is more information about the GEMS Study: https://www.auckland.ac.nz/en/liggins/in-the-community/clinical-studies/clinical-studies-pregnancy/gems.html

Here is more information about the TARGET trial: https://www.auckland.ac.nz/en/liggins/our-research/research-themes/healthy-mothers-healthy-babies/clinical-trials/complete-clinical-studies/target.html

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