Non-invasive risk scores for prediction of type 2 diabetes (EPIC-InterAct): a validation of existing models

The Lancet:  October 88, 2013

Background

The comparative performance of existing models for prediction of type 2 diabetes across populations has not been investigated. We validated existing non-laboratory-based models and assessed variability in predictive performance in European populations.

Methods

We selected non-invasive prediction models for incident diabetes developed in populations of European ancestry and validated them using data from the EPIC-InterAct case-cohort sample (27 779 individuals from eight European countries, of whom 12 403 had incident diabetes). We assessed model discrimination and calibration for the first 10 years of follow-up. The models were first adjusted to the country-specific diabetes incidence. We did the main analyses for each country and for subgroups defined by sex, age (<60 years vs ≥60 years), BMI (<25 kg/m2vs ≥25 kg/m2), and waist circumference (men <102 cm vs≥102 cm; women <88 cm vs ≥88 cm). Read more