HAPT2D: high accuracy of prediction of T2D with a model combining basic and advanced data depending on availability

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: Type 2 diabetes arises from the interaction of physiological and lifestyle risk factors. Our objective was to develop a model for predicting the risk of T2D, which could use various amounts of background information.

RESEARCH DESIGN AND METHODS: We trained a survival analysis model on 8483 people from three large Finnish and Spanish data sets, to predict the time until incident T2D. All studies included anthropometric data, fasting laboratory values, an oral glucose tolerance test (OGTT) and information on co-morbidities and lifestyle habits. The variables were grouped into three sets reflecting different degrees of information availability. Scenario 1 included background and anthropometric information; Scenario 2 added routine laboratory tests; Scenario 3 also added results from an OGTT. Predictive performance of these models was compared with FINDRISC and Framingham risk scores.

RESULTS: The three models predicted T2D risk with an average integrated area under the ROC curve equal to 0.83, 0.87 and 0.90, respectively, compared with 0.80 and 0.75 obtained using the FINDRISC and Framingham risk scores. The results were validated on two independent cohorts. Glucose values and particularly 2-h glucose during OGTT (2h-PG) had highest predictive value. Smoking, marital and professional status, waist circumference, blood pressure, age and gender were also predictive.

CONCLUSIONS: Our models provide an estimation of patient's risk over time and outweigh FINDRISC and Framingham traditional scores for prediction of T2D risk. Of note, the models developed in Scenarios 1 and 2, only exploited variables easily available at general patient visits.

Details

Authors
  • Barbara Di Camillo
  • Liisa Hakaste
  • Francesco Sambo
  • Rafael Gabriel
  • Jasmina Kravic
  • Bo Isomaa
  • Jaakko Tuomilehto
  • Margarita Alonso
  • Enrico Longato
  • Andrea Facchinetti
  • Leif C. Groop
  • Claudio Cobelli
  • Tiinamaija Tuomi
Organisations
External organisations
  • University of Padova
  • Folkhälsan Research Center
  • King Abdulaziz University
  • University of Helsinki
  • Helsinki University Central Hospital
  • Asociación Española Para el Desarrollo de la Epidemiología Clínica
  • Carlos III Health Institute
  • Dasman Diabetes Institute
  • Danube University Krems
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Endocrinology and Diabetes
Original languageEnglish
Pages (from-to)331-341
Number of pages11
JournalEuropean journal of endocrinology
Volume178
Issue number4
Publication statusPublished - 2018 Apr 1
Publication categoryResearch
Peer-reviewedYes