讨论糖尿病风险的个性化估计对糖尿病前期患者的影响
medRxiv : the preprint server for health sciences
|December 22, 2025
概括
整合基于电子健康记录 (EHR) 的2型糖尿病风险预测显著减少了糖尿病前期患者的进展. 这种工具提高了医疗服务提供者的信心和患者参与预防策略.
科学领域:
- 糖尿病研究研究 糖尿病研究
- 临床信息学是一种临床信息学.
- 预防医学 预防医学
背景情况:
- 糖尿病前期影响到三分之一的美国成年人,增加2型糖尿病的风险.
- 很少有糖尿病前期患者接受推的预防干预措施.
- 需要有效的风险分层来针对预防工作.
研究的目的:
- 评估将个性化糖尿病风险预测纳入临床实践的可接受性,可行性和有效性.
- 评估个性化风险信息对临床决策和患者提供者沟通的影响.
- 为了确定个性化风险预测是否能改善糖尿病前期患者的健康结果.
主要方法:
- 基于电子健康记录 (EHR) 的预测模型被整合到临床工作流程中.
- 进行了患者和提供者焦点小组和调查.
- 干预组和倾向性得分匹配的常规护理队列之间的2型糖尿病的进展在3年内进行了比较.
主要成果:
- 提供者对估计糖尿病风险的信心从41.6%上升到92.8%;患者的信心从63.8%上升到66.9%.
- 与提供者讨论个性化风险的患者明显不太可能发展为糖尿病 (19.5%对27.6%,p=0.042).
- 电子健康报告工具促进了预防性干预的优先级,增加了DPP转诊和美特福林处方.
结论:
- 基于EHR的糖尿病风险计算器改善了临床决策和在护理点的沟通.
- 这种方法增强了患者和医疗服务提供者的共同决策,以预防糖尿病.
- 该工具通过减少糖尿病前期患者的2型糖尿病进展,明显改善了健康结果.
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