Validation of a Type 2 Diabetes Screening Tool in Rural Honduras  

Oleh:

Milton, Evan C. ; Herman, William H. ; Aiello, Allison E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Diabetes Care vol. 33 no. 02 (Feb. 2010), page 275-277.
Topik: DIABETES; DIABETES MELLITUS; Type 2 Diabetes; Screening Tool; Rural Honduras

Ketersediaan

Perpustakaan FK Nomor Panggil: D05.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

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 =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 =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 =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.

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