The health system and population health implications of large-scale diabetes screening in India: a microsimulation model of alternative approaches.

ABSTRACT:

Background

Like a growing number of rapidly developing countries, India has begun to develop a system for large-scale community-based screening for diabetes. We sought to identify the implications of using alternative screening instruments to detect people with undiagnosed type 2 diabetes among diverse populations across India.

Methods and findings

We developed and validated a microsimulation model that incorporated data from 58 studies from across the country into a nationally representative sample of Indians aged 25-65 y old. We estimated the diagnostic and health system implications of three major survey-based screening instruments and random glucometer-based screening. Of the 567 million Indians eligible for screening, depending on which of four screening approaches is u

SUBMITTER: Basu S 

PROVIDER: S-EPMC4437977 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature