Τίτλος:
Evaluation of the Finnish Diabetes Risk Score as a screening tool for undiagnosed type 2 diabetes and dysglycaemia among early middle-aged adults in a large-scale European cohort. The Feel4Diabetes-study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Aim: To assess the diagnostic accuracy of the FINDRISC for undiagnosed type 2 diabetes mellitus (T2DM) and dysglycaemia (i.e. the presence of prediabetes or T2DM) among early middle-aged adults from vulnerable groups in a large-scale European cohort. Methods: Participants were recruited from low-socioeconomic areas in high-income countries (HICs) (Belgium-Finland) and in HICs under austerity measures (Greece-Spain) and from the overall population in low/middle-income countries (LMICs) (Bulgaria-Hungary). Study population comprised of 2116 parents of primary-school children from families identified at increased risk of T2DM, based on parental self-reported FINDRISC. Sensitivity (Se), specificity (Sp), area under the receiver operating characteristic curves (AUC-ROC) and the optimal cut-offs of FINDRISC that indicate an increased probability for undiagnosed T2DM or dysglycaemia were calculated. Results: The AUC-ROC for undiagnosed T2DM was 0.824 with optimal cut-off ≥14 (Se = 68%, Sp = 81.7%) for the total sample, 0.839 with optimal cut-off ≥15 (Se = 83.3%, Sp = 86.9%) for HICs, 0.794 with optimal cut-off ≥12 (Se = 83.3%, Sp = 61.1%) for HICs under austerity measures and 0.882 with optimal cut-off ≥14 (Se = 71.4%, Sp = 87.8%) for LMICs. The AUC-ROC for dysglycaemia was 0.663 with optimal cut-off ≥12 (Se = 58.3%, Sp = 65.7%) for the total sample, 0.656 with optimal cut-off ≥12 (Se = 54.5%, Sp = 64.8%) for HICs, 0.631 with optimal cut-off ≥12 (Se = 59.7%, Sp = 62.0%) for HICs under austerity measures and 0.735 with optimal cut-off ≥11 (Se = 72.7%, Sp = 70.2%) for LMICs. Conclusion: FINDRISC can be applied for screening primarily undiagnosed T2DM but also dysglycaemia among vulnerable groups across Europe, considering the use of different cut-offs for each subpopulation. © 2019 Elsevier B.V.
Συγγραφείς:
Mavrogianni, C.
Lambrinou, C.-P.
Androutsos, O.
Lindström, J.
Kivelä, J.
Cardon, G.
Huys, N.
Tsochev, K.
Iotova, V.
Chakarova, N.
Rurik, I.
Moreno, L.A.
Liatis, S.
Makrilakis, K.
Manios, Y.
Περιοδικό:
Diabetes Research and Clinical Practice
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
adult; Article; Belgium; Bulgaria; cardiometabolic risk; cohort analysis; controlled study; diagnostic accuracy; diagnostic test accuracy study; dysglycemia; European; female; Finland; Finnish Diabetes Risk Score; Greece; high income country; human; Hungary; low income country; male; middle income country; non insulin dependent diabetes mellitus; receiver operating characteristic; scoring system; screening; self report; sensitivity and specificity; social status; Spain; vulnerable population
DOI:
10.1016/j.diabres.2019.02.017
