10-års risikokalkulator for diabetes

A clinical algorithm using "routinely collected data" rather than laboratory measurements can help determine a patient's 10-year risk for developing type 2 diabetes, researchers report online in BMJ.

The investigators used electronic medical record data on some 2.5 million primary care patients in the U.K. to identify independent predictors of incident diabetes over 10 years. Identified risk factors were then incorporated into a clinical algorithm that was tested in a validation cohort of roughly 1.2 million adults.

The final algorithm included age, BMI, family history of diabetes, smoking status, treated hypertension, corticosteroid use, presence of cardiovascular disease, socioeconomic status, and self-reported ethnicity. Overall, it performed well, with close correspondence between predicted and observed risk. (The risk calculator is available online; see link.)