The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines

G.M. Ku; G. Kegels

doi:10.1016/j.pcd.2013.07.004

The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines

G.M. Ku, G. Kegels

Complexity and Health

Research output: Contribution to journal › A1: Web of Science-article › peer-review

Abstract

AIM: The performance of the Finnish Diabetes Risk Score (FINDRISC) and 2 modifications in community screening for undiagnosed type 2 diabetes (UDD) in the Philippines was evaluated.

METHODS: Active community-based screening for diabetes was conducted where FINDRISC assessment was done. Modified (modFINDRISC) and simplified (simpFINDRISC) versions were rendered based on Asian standards, study results, and local context. Diabetes was diagnosed through 2 separate blood glucose tests. Areas under the receiver operating characteristic curve (ROC-AUC) and statistics for diagnostic tests for FINDRISC and the modifications were analyzed.

RESULTS: Complete data was collected from 1752 people aged 20-92; 8.6% tested positive for diabetes. ROC-AUC for UDD were 0.738 (FINDRISC), 0.743 (modFINDRISC) and 0.752 (simpFINDRISC). The differences between the FINDRISC and the modifications were not statistically significant (p=0.172).

CONCLUSIONS: The performance of all 3 risk score calculators in the screening for UDD in the Philippines was good and may be useful in populations having similar characteristics. Considering the setting and resource constraints, the simpFINDRISC is preferred.

Original language	English
Journal	Primary Care Diabetes
Volume	7
Issue number	4
Pages (from-to)	249-259
Number of pages	11
ISSN	1751-9918
DOIs	https://doi.org/10.1016/j.pcd.2013.07.004 https://doi.org/0.1016/j.pcd.2013.07.004 https://doi.org/10.1016/j.pcd.2013.07.004
Publication status	Published - 2013

Keywords

Adult
Aged
Aged, 80 and over
Area Under Curve
Asian People
Biomarkers/blood
Blood Glucose/analysis
Community Health Services
Cross-Sectional Studies
Diabetes Mellitus, Type 2/blood
Female
Humans
Male
Mass Screening/methods
Middle Aged
Philippines/epidemiology
Predictive Value of Tests
ROC Curve
Risk Assessment
Risk Factors
Young Adult

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Ku, G. M., & Kegels, G. (2013). The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines. Primary Care Diabetes, 7(4), 249-259. https://doi.org/10.1016/j.pcd.2013.07.004, https://doi.org/0.1016/j.pcd.2013.07.004, https://doi.org/10.1016/j.pcd.2013.07.004

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title = "The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines",

abstract = "AIM: The performance of the Finnish Diabetes Risk Score (FINDRISC) and 2 modifications in community screening for undiagnosed type 2 diabetes (UDD) in the Philippines was evaluated.METHODS: Active community-based screening for diabetes was conducted where FINDRISC assessment was done. Modified (modFINDRISC) and simplified (simpFINDRISC) versions were rendered based on Asian standards, study results, and local context. Diabetes was diagnosed through 2 separate blood glucose tests. Areas under the receiver operating characteristic curve (ROC-AUC) and statistics for diagnostic tests for FINDRISC and the modifications were analyzed.RESULTS: Complete data was collected from 1752 people aged 20-92; 8.6% tested positive for diabetes. ROC-AUC for UDD were 0.738 (FINDRISC), 0.743 (modFINDRISC) and 0.752 (simpFINDRISC). The differences between the FINDRISC and the modifications were not statistically significant (p=0.172).CONCLUSIONS: The performance of all 3 risk score calculators in the screening for UDD in the Philippines was good and may be useful in populations having similar characteristics. Considering the setting and resource constraints, the simpFINDRISC is preferred.",

keywords = "Adult, Aged, Aged, 80 and over, Area Under Curve, Asian People, Biomarkers/blood, Blood Glucose/analysis, Community Health Services, Cross-Sectional Studies, Diabetes Mellitus, Type 2/blood, Female, Humans, Male, Mass Screening/methods, Middle Aged, Philippines/epidemiology, Predictive Value of Tests, ROC Curve, Risk Assessment, Risk Factors, Young Adult",

author = "G.M. Ku and G. Kegels",

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Ku, GM & Kegels, G 2013, 'The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines', Primary Care Diabetes, vol. 7, no. 4, pp. 249-259. https://doi.org/10.1016/j.pcd.2013.07.004, https://doi.org/0.1016/j.pcd.2013.07.004, https://doi.org/10.1016/j.pcd.2013.07.004

The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines. / Ku, G.M.; Kegels, G.
In: Primary Care Diabetes, Vol. 7, No. 4, 2013, p. 249-259.

Research output: Contribution to journal › A1: Web of Science-article › peer-review

TY - JOUR

T1 - The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines

AU - Ku, G.M.

AU - Kegels, G.

N1 - NPP; ITG-H1B; ITG-HLA; DPH; U-HSO; JIF; DOI; PDF; Abstract; DSPACE56; NOKW; CHAU

PY - 2013

Y1 - 2013

N2 - AIM: The performance of the Finnish Diabetes Risk Score (FINDRISC) and 2 modifications in community screening for undiagnosed type 2 diabetes (UDD) in the Philippines was evaluated.METHODS: Active community-based screening for diabetes was conducted where FINDRISC assessment was done. Modified (modFINDRISC) and simplified (simpFINDRISC) versions were rendered based on Asian standards, study results, and local context. Diabetes was diagnosed through 2 separate blood glucose tests. Areas under the receiver operating characteristic curve (ROC-AUC) and statistics for diagnostic tests for FINDRISC and the modifications were analyzed.RESULTS: Complete data was collected from 1752 people aged 20-92; 8.6% tested positive for diabetes. ROC-AUC for UDD were 0.738 (FINDRISC), 0.743 (modFINDRISC) and 0.752 (simpFINDRISC). The differences between the FINDRISC and the modifications were not statistically significant (p=0.172).CONCLUSIONS: The performance of all 3 risk score calculators in the screening for UDD in the Philippines was good and may be useful in populations having similar characteristics. Considering the setting and resource constraints, the simpFINDRISC is preferred.

AB - AIM: The performance of the Finnish Diabetes Risk Score (FINDRISC) and 2 modifications in community screening for undiagnosed type 2 diabetes (UDD) in the Philippines was evaluated.METHODS: Active community-based screening for diabetes was conducted where FINDRISC assessment was done. Modified (modFINDRISC) and simplified (simpFINDRISC) versions were rendered based on Asian standards, study results, and local context. Diabetes was diagnosed through 2 separate blood glucose tests. Areas under the receiver operating characteristic curve (ROC-AUC) and statistics for diagnostic tests for FINDRISC and the modifications were analyzed.RESULTS: Complete data was collected from 1752 people aged 20-92; 8.6% tested positive for diabetes. ROC-AUC for UDD were 0.738 (FINDRISC), 0.743 (modFINDRISC) and 0.752 (simpFINDRISC). The differences between the FINDRISC and the modifications were not statistically significant (p=0.172).CONCLUSIONS: The performance of all 3 risk score calculators in the screening for UDD in the Philippines was good and may be useful in populations having similar characteristics. Considering the setting and resource constraints, the simpFINDRISC is preferred.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Area Under Curve

KW - Asian People

KW - Biomarkers/blood

KW - Blood Glucose/analysis

KW - Community Health Services

KW - Cross-Sectional Studies

KW - Diabetes Mellitus, Type 2/blood

KW - Female

KW - Humans

KW - Male

KW - Mass Screening/methods

KW - Middle Aged

KW - Philippines/epidemiology

KW - Predictive Value of Tests

KW - ROC Curve

KW - Risk Assessment

KW - Risk Factors

KW - Young Adult

U2 - 10.1016/j.pcd.2013.07.004

DO - 10.1016/j.pcd.2013.07.004

M3 - A1: Web of Science-article

C2 - 23953706

SN - 1751-9918

VL - 7

SP - 249

EP - 259

JO - Primary Care Diabetes

JF - Primary Care Diabetes

IS - 4

ER -

Ku GM, Kegels G. The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines. Primary Care Diabetes. 2013;7(4):249-259. doi: 10.1016/j.pcd.2013.07.004, 0.1016/j.pcd.2013.07.004, 10.1016/j.pcd.2013.07.004