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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Nature Portfolio
2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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