Validation of a type 2 diabetes screening tool in rural Honduras.
| Autor: | Milton EC; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA., Herman WH, Aiello AE, Danielson KR, Mendoza-Avelarez MO, Piette JD |
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| Jazyk: | angličtina |
| Zdroj: | Diabetes care [Diabetes Care] 2010 Feb; Vol. 33 (2), pp. 275-7. Date of Electronic Publication: 2009 Nov 16. |
| DOI: | 10.2337/dc09-1021 |
| Abstrakt: | Objective: To validate a low-cost tool for identifying diabetic patients in rural areas of Latin America. Research Design and Methods: A regression equation incorporating postprandial time and a random plasma glucose was used to screen 800 adults in Honduras. Patients with a probability of diabetes of > or =20% were asked to return for a fasting plasma glucose (FPG). A random fifth of those with a screener-based probability of diabetes <20% were also asked to return for follow-up. The gold standard was an FPG > or =126 mg/dl. Results: The screener had very good test characteristics (area under the receiver operating characteristic curve = 0.89). Using the screening criterion of > or =0.42, the equation had a sensitivity of 74.1% and specificity of 97.2%. Conclusions: This screener is a valid measure of diabetes risk in Honduras and could be used to identify diabetic patients in poor clinics in Latin America. |
| Databáze: | MEDLINE |
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