Abstract
Aim
The performance of the Finnish Diabetes Risk Score (FINDRISC) and 2 modifications
in community screening for undiagnosed type 2 diabetes (UDD) in the Philippines was
evaluated.
Methods
Active community-based screening for diabetes was conducted where FINDRISC assessment
was done. Modified (modFINDRISC) and simplified (simpFINDRISC) versions were rendered
based on Asian standards, study results, and local context. Diabetes was diagnosed
through 2 separate blood glucose tests. Areas under the receiver operating characteristic
curve (ROC-AUC) and statistics for diagnostic tests for FINDRISC and the modifications
were analyzed.
Results
Complete data was collected from 1752 people aged 20–92; 8.6% tested positive for
diabetes. ROC-AUC for UDD were 0.738 (FINDRISC), 0.743 (modFINDRISC) and 0.752 (simpFINDRISC).
The differences between the FINDRISC and the modifications were not statistically
significant (p = 0.172).
Conclusions
The performance of all 3 risk score calculators in the screening for UDD in the Philippines
was good and may be useful in populations having similar characteristics. Considering
the setting and resource constraints, the simpFINDRISC is preferred.
Keywords
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Article info
Publication history
Published online: August 16, 2013
Accepted:
July 16,
2013
Received in revised form:
June 26,
2013
Received:
March 28,
2013
Identification
Copyright
© 2013 Primary Care Diabetes Europe. Published by Elsevier Inc. All rights reserved.
