Development and Validation of the Life Expectancy Estimator for Older Adults with Diabetes (LEAD): the Diabetes and Aging Study.

ABSTRACT:

Background

Estimated life expectancy for older patients with diabetes informs decisions about treatment goals, cancer screening, long-term and advanced care, and inclusion in clinical trials. Easily implementable, evidence-based, diabetes-specific approaches for identifying patients with limited life expectancy are needed.

Objective

Develop and validate an electronic health record (EHR)-based tool to identify older adults with diabetes who have limited life expectancy.

Design

Predictive modeling based on survival analysis using Cox-Gompertz models in a retrospective cohort.

Participants

Adults with diabetes aged ≥ 65 years from Kaiser Permanente Northern California: a 2015 cohort (N = 121,396) with follow-up through 12/31/2019, randomly split into training (N =

SUBMITTER: Karter AJ 

PROVIDER: S-EPMC10228886 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature