[FINDRISC作为检测糖尿病前期和未知2型糖尿病的查]
Horacio M Peralta1, José E Costa Gil2, Antonio E Saleme3
1Sanatorio Regional de Cañada de Gómez, Santa Fe, Argentina.
Medicina
|January 25, 2024
概括
该FINDRISC评分有效地选市政工作者糖尿病前期和未诊断的2型糖尿病 (T2D). 在这个人群中,13的最佳切线显示出良好的灵敏度和特异性.
科学领域:
- 内分泌学和新陈代谢学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 早期发现2型糖尿病 (T2D) 风险对人口健康至关重要.
- 查工具对于识别有T2D风险的个体至关重要.
- 芬德里斯克评分是糖尿病风险评估中广泛使用的工具.
研究的目的:
- 评估FINDRISC评分在市政工作者中进行糖尿病前期和未诊断的T2D查方面的有效性.
- 为了确定FINDRISC得分在这个特定人群中的最佳切割点.
- 通过使用灵敏度,特异性和AUC-ROC来评估FINDRISC得分的诊断性能.
主要方法:
- 从2021年10月到2022年3月进行了一项描述性,横截面的流行病学研究.
- 排除标准包括严重疾病,怀孕或当前使用葡萄糖修饰药物.
- 参与者填写了FINDRISC问卷,并接受了口服葡萄糖耐受性测试 (OGTT).
主要成果:
- 这项研究包括148名市政工人 (平均年龄为42.9±11.8岁;69%是男性).
- 未诊断的T2D的患病率为3.3%,糖尿病前期的患病率为12.2%.
- 最优的FINDRISC截止分数被确定为≥13,产生了65.2%的灵敏度和74.4%的特异性 (AUC-ROC = 0.76).
结论:
- 芬德里斯克评分是有效的查工具,用于识别研究人口中的糖尿病前期和未诊断的T2D.
- 对于这个人口群体,建议FINDRISC截止分数为13分.
- 实施FINDRISC评分可以帮助T2D的早期检测和预防策略.
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