- Title
- Using the AUSDRISK score to screen for pre-diabetes and diabetes in GP practices: a case-finding approach
- Creator
- Fleming, Kerry; Weaver, Natasha; Rissel, Chris; Ranasinghe, Priyanga; Jayawardena, Ranil; Samman, Samir; Attia, John; Peel, Roseanne; Hure, Alexis; McEvoy, Mark; Holliday, Elizabeth; Parsons, Martha; Acharya, Shamasunder; Luu, Judy; Wiggers, John
- Relation
- Australian and New Zealand Journal of Public Health Vol. 46, Issue 2, p. 203-207
- Publisher Link
- http://dx.doi.org/10.1111/1753-6405.13181
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2022
- Description
- Objective: To identify the optimal AUSDRISK threshold score to screen for pre-diabetes and diabetes. Methods: A total of 406 adult patients not diagnosed with diabetes were screened in General Practices (GP) between May and October 2019. All patients received a point of care (POC) HbA1c test. HbA1c test results were categorised into diabetes (≥6.5% or ≥48 mmol/mol), pre-diabetes (5.7–6.4% or 39–47 mmol/mol), or normal (<5.7% or 39 mmol/mol). Results: Of these patients, 9 (2%) had undiagnosed diabetes and 60 (15%) had pre-diabetes. A Receiver Operator Characteristic (ROC) curve was constructed to predict the presence of pre-diabetes and diabetes; the area under the ROC curve was 0.72 (95%CI 0.65–0.78) indicating modest predictive ability. The optimal threshold cut point for AUSDRISK score was 17 (sensitivity 76%, specificity 61%, + likelihood ratio (LR) 1.96, - likelihood ratio of 0.39) while the accepted cut point of 12 performed less well (sensitivity 94%, specificity 23%, +LR=1.22 -LR+0.26). Conclusions: The AUSDRISK tool has the potential to be used as a screening tool for pre-diabetes/diabetes in GP practices. A cut point of ≥17 would potentially identify 75% of all people at risk and three in 10 sent for further testing would be positive for prediabetes or diabetes. Implications for public health: Routine case-finding in high-risk patients will enable GPs to intervene early and prevent further public health burden from the sequelae of diabetes.
- Subject
- diabetes; pre-diabetes; prevention; primary care; AUSDRISK; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1464618
- Identifier
- uon:47053
- Identifier
- ISSN:1326-0200
- Language
- eng
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