A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes

Abstract We developed a diabetes risk score using a novel analytical approach and tested its diagnostic performance to detect individuals at high risk of diabetes, by applying it to the Qatari population. A representative random sample of 5,000 Qataris selected at different time points was simulated...

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Autores principales: Susanne F. Awad, Soha R. Dargham, Amine A. Toumi, Elsy M. Dumit, Katie G. El-Nahas, Abdulla O. Al-Hamaq, Julia A. Critchley, Jaakko Tuomilehto, Mohamed H. J. Al-Thani, Laith J. Abu-Raddad
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/7fb478e20e8f46c4b29a1b003c980897
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spelling oai:doaj.org-article:7fb478e20e8f46c4b29a1b003c9808972021-12-02T10:49:22ZA diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes10.1038/s41598-021-81385-32045-2322https://doaj.org/article/7fb478e20e8f46c4b29a1b003c9808972021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81385-3https://doaj.org/toc/2045-2322Abstract We developed a diabetes risk score using a novel analytical approach and tested its diagnostic performance to detect individuals at high risk of diabetes, by applying it to the Qatari population. A representative random sample of 5,000 Qataris selected at different time points was simulated using a diabetes mathematical model. Logistic regression was used to derive the score using age, sex, obesity, smoking, and physical inactivity as predictive variables. Performance diagnostics, validity, and potential yields of a diabetes testing program were evaluated. In 2020, the area under the curve (AUC) was 0.79 and sensitivity and specificity were 79.0% and 66.8%, respectively. Positive and negative predictive values (PPV and NPV) were 36.1% and 93.0%, with 42.0% of Qataris being at high diabetes risk. In 2030, projected AUC was 0.78 and sensitivity and specificity were 77.5% and 65.8%. PPV and NPV were 36.8% and 92.0%, with 43.0% of Qataris being at high diabetes risk. In 2050, AUC was 0.76 and sensitivity and specificity were 74.4% and 64.5%. PPV and NPV were 40.4% and 88.7%, with 45.0% of Qataris being at high diabetes risk. This model-based score demonstrated comparable performance to a data-derived score. The derived self-complete risk score provides an effective tool for initial diabetes screening, and for targeted lifestyle counselling and prevention programs.Susanne F. AwadSoha R. DarghamAmine A. ToumiElsy M. DumitKatie G. El-NahasAbdulla O. Al-HamaqJulia A. CritchleyJaakko TuomilehtoMohamed H. J. Al-ThaniLaith J. Abu-RaddadNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Susanne F. Awad
Soha R. Dargham
Amine A. Toumi
Elsy M. Dumit
Katie G. El-Nahas
Abdulla O. Al-Hamaq
Julia A. Critchley
Jaakko Tuomilehto
Mohamed H. J. Al-Thani
Laith J. Abu-Raddad
A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
description Abstract We developed a diabetes risk score using a novel analytical approach and tested its diagnostic performance to detect individuals at high risk of diabetes, by applying it to the Qatari population. A representative random sample of 5,000 Qataris selected at different time points was simulated using a diabetes mathematical model. Logistic regression was used to derive the score using age, sex, obesity, smoking, and physical inactivity as predictive variables. Performance diagnostics, validity, and potential yields of a diabetes testing program were evaluated. In 2020, the area under the curve (AUC) was 0.79 and sensitivity and specificity were 79.0% and 66.8%, respectively. Positive and negative predictive values (PPV and NPV) were 36.1% and 93.0%, with 42.0% of Qataris being at high diabetes risk. In 2030, projected AUC was 0.78 and sensitivity and specificity were 77.5% and 65.8%. PPV and NPV were 36.8% and 92.0%, with 43.0% of Qataris being at high diabetes risk. In 2050, AUC was 0.76 and sensitivity and specificity were 74.4% and 64.5%. PPV and NPV were 40.4% and 88.7%, with 45.0% of Qataris being at high diabetes risk. This model-based score demonstrated comparable performance to a data-derived score. The derived self-complete risk score provides an effective tool for initial diabetes screening, and for targeted lifestyle counselling and prevention programs.
format article
author Susanne F. Awad
Soha R. Dargham
Amine A. Toumi
Elsy M. Dumit
Katie G. El-Nahas
Abdulla O. Al-Hamaq
Julia A. Critchley
Jaakko Tuomilehto
Mohamed H. J. Al-Thani
Laith J. Abu-Raddad
author_facet Susanne F. Awad
Soha R. Dargham
Amine A. Toumi
Elsy M. Dumit
Katie G. El-Nahas
Abdulla O. Al-Hamaq
Julia A. Critchley
Jaakko Tuomilehto
Mohamed H. J. Al-Thani
Laith J. Abu-Raddad
author_sort Susanne F. Awad
title A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
title_short A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
title_full A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
title_fullStr A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
title_full_unstemmed A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
title_sort diabetes risk score for qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/7fb478e20e8f46c4b29a1b003c980897
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