Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups
Objective: To compare screen detected diabetes prevalence and the degree of diagnostic agreement by ethnicity with the current OGTT-based and newly proposed HbA 1c -based diagnostic criteria. Research design and methods: Six studies (1999-2009) from Denmark, United Kingdom, Australia, Greenland, Ken...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | unknown |
Published: |
American Diabetes Association
2009
|
Subjects: | |
Online Access: | http://repository.ias.ac.in/84427/ http://care.diabetesjournals.org/content/early/2009/12/14/dc09-1843 |
id |
ftindianacasci:oai:repository.ias.ac.in:84427 |
---|---|
record_format |
openpolar |
spelling |
ftindianacasci:oai:repository.ias.ac.in:84427 2023-05-15T16:29:01+02:00 Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte 2009-12-15 http://repository.ias.ac.in/84427/ http://care.diabetesjournals.org/content/early/2009/12/14/dc09-1843 unknown American Diabetes Association Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte (2009) Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups Diabetes Care . ISSN 0149-5992 R Medicine Article PeerReviewed 2009 ftindianacasci 2013-01-20T13:21:28Z Objective: To compare screen detected diabetes prevalence and the degree of diagnostic agreement by ethnicity with the current OGTT-based and newly proposed HbA 1c -based diagnostic criteria. Research design and methods: Six studies (1999-2009) from Denmark, United Kingdom, Australia, Greenland, Kenya, and India were tested for the probability of an HbA 1c ≥ 6.5% among diabetes cases based on an OGTT. The difference in probability between centers was analyzed by logistic regression adjusting for relevant confounders. Results: Diabetes prevalence was lower with the HbA 1c -based diagnostic criteria in four out of six studies. The probability of an HbA 1c ≥ 6.5% among OGTT-diagnosed cases ranged widely (17.0 to 78.0%) by study center. Differences in diagnostic agreement between ethnic sub-groups in the United Kingdom study were of the same magnitude as between-country comparisons. Conclusions: A shift to an HbA 1c -based diagnosis for diabetes will have substantially different consequences for diabetes prevalence across ethnic groups and populations. Article in Journal/Newspaper Greenland Indian Academy of Sciences: Publication of Fellows Greenland |
institution |
Open Polar |
collection |
Indian Academy of Sciences: Publication of Fellows |
op_collection_id |
ftindianacasci |
language |
unknown |
topic |
R Medicine |
spellingShingle |
R Medicine Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
topic_facet |
R Medicine |
description |
Objective: To compare screen detected diabetes prevalence and the degree of diagnostic agreement by ethnicity with the current OGTT-based and newly proposed HbA 1c -based diagnostic criteria. Research design and methods: Six studies (1999-2009) from Denmark, United Kingdom, Australia, Greenland, Kenya, and India were tested for the probability of an HbA 1c ≥ 6.5% among diabetes cases based on an OGTT. The difference in probability between centers was analyzed by logistic regression adjusting for relevant confounders. Results: Diabetes prevalence was lower with the HbA 1c -based diagnostic criteria in four out of six studies. The probability of an HbA 1c ≥ 6.5% among OGTT-diagnosed cases ranged widely (17.0 to 78.0%) by study center. Differences in diagnostic agreement between ethnic sub-groups in the United Kingdom study were of the same magnitude as between-country comparisons. Conclusions: A shift to an HbA 1c -based diagnosis for diabetes will have substantially different consequences for diabetes prevalence across ethnic groups and populations. |
format |
Article in Journal/Newspaper |
author |
Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte |
author_facet |
Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte |
author_sort |
Christensen, Dirk L. |
title |
Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
title_short |
Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
title_full |
Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
title_fullStr |
Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
title_full_unstemmed |
Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
title_sort |
moving to an hba1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups |
publisher |
American Diabetes Association |
publishDate |
2009 |
url |
http://repository.ias.ac.in/84427/ http://care.diabetesjournals.org/content/early/2009/12/14/dc09-1843 |
geographic |
Greenland |
geographic_facet |
Greenland |
genre |
Greenland |
genre_facet |
Greenland |
op_relation |
Christensen, Dirk L. Witte, Daniel R. Kaduka, Lydia Jørgensen, Marit E. Borch-Johnsen, Knut Mohan, Viswanathan Shaw, Jonathan E. Tabàk, Adam G. Vistisen, Dorte (2009) Moving to an HbA1c based diagnosis of diabetes has a different impact on prevalence in different ethnic groups Diabetes Care . ISSN 0149-5992 |
_version_ |
1766018702121107456 |