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Cross-sectional validation of diabetes risk scores for predicting diabetes, metabolic syndrome, and chronic kidney disease in Taiwanese.


ABSTRACT:

Objective

To validate the performance of current diabetes risk scores (DRSs) based on simple clinical information in detecting type 2 diabetes, metabolic syndrome (MetSyn), and chronic kidney disease (CKD).

Research design and methods

The performance of 10 DRSs was evaluated in a cross-sectional population screening of 2,759 Taiwanese subjects.

Results

All DRSs significantly correlated with measures of insulin resistance, estimated glomerular filtration rate, and urine albumin excretion. The prevalence of screening-detected diabetes (SDM), MetSyn, and CKD increased with higher DRSs. For prediction of SDM, the Cambridge DRS by Griffin et al. and the Finnish DRS outperformed other DRSs in terms of discriminative power and model fit. For prediction of MetSyn and CKD, the Atherosclerosis Risk in Community Study score by Schmidt et al. outperformed other DRSs.

Conclusions

Risk scores based on simple clinical information are useful to identify individuals at high risk for diabetes, MetSyn, and CKD in different ethnic populations.

SUBMITTER: Lin JW 

PROVIDER: S-EPMC2782993 | biostudies-literature | 2009 Dec

REPOSITORIES: biostudies-literature

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Publications

Cross-sectional validation of diabetes risk scores for predicting diabetes, metabolic syndrome, and chronic kidney disease in Taiwanese.

Lin Jou-Wei JW   Chang Yi-Cheng YC   Li Hung-Yuan HY   Chien Yu-Fen YF   Wu Mei-Yu MY   Tsai Ru-Yi RY   Hsieh Yenh-Chen YC   Chen Yu-Jen YJ   Hwang Juey-Jen JJ   Chuang Lee-Ming LM  

Diabetes care 20090915 12


<h4>Objective</h4>To validate the performance of current diabetes risk scores (DRSs) based on simple clinical information in detecting type 2 diabetes, metabolic syndrome (MetSyn), and chronic kidney disease (CKD).<h4>Research design and methods</h4>The performance of 10 DRSs was evaluated in a cross-sectional population screening of 2,759 Taiwanese subjects.<h4>Results</h4>All DRSs significantly correlated with measures of insulin resistance, estimated glomerular filtration rate, and urine albu  ...[more]

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