Kahn et al reported 2 scores for predicting diabetes mellitus in an American adult. One is based on clinical findings and the second includes laboratory testing. The authors are from the Centers for Disease Control and Prevention.
Patient selection: US adult from 45 to 64 years
Parameters:
(1) diabetes in mother
(2) diabetes in father
(3) hypertension
(4) race
(5) age in years
(6) ever smoker
(7) waist circumference in cm
(8) sex
(9) height in cm
(10) resting pulse in beats per minute
(11) weight in kilograms
|
Parameter |
Finding |
Points |
|
diabetes in mother |
no |
0 |
|
|
yes |
13 |
|
diabetes in father |
no |
0 |
|
|
yes |
8 |
|
hypertension |
no |
0 |
|
|
yes |
11 |
|
race |
black |
6 |
|
|
other |
0 |
|
age |
45 to 54 years |
0 |
|
|
55 to 64 years |
5 |
|
ever smoker |
no |
0 |
|
|
yes |
4 |
|
waist circumference |
male and < 90 cm |
0 |
|
|
male and 90 to 94.9 cm |
10 |
|
|
male and 95 to 99.9 cm |
20 |
|
|
male and 100 to 105.9 cm |
26 |
|
|
male and >= 106 cm |
35 |
|
|
female and <81 cm |
0 |
|
|
female and 81 to 87.9 cm |
10 |
|
|
female and 88 to 95.9 cm |
20 |
|
|
female and 96 to 104.9 cm |
26 |
|
|
female and >= 105 cm |
35 |
|
height |
male and < 171 cm |
8 |
|
|
male and 171 to 174.9 cm |
6 |
|
|
male and 175 to 177.9 |
3 |
|
|
male and >= 178 cm |
0 |
|
|
female and < 157 cm |
8 |
|
|
female and 157 to 160.9 cm |
6 |
|
|
female 161 cm to 163.9 cm |
3 |
|
|
female >= 164 cm |
0 |
|
resting pulse |
male and < 68 beats per minute |
0 |
|
|
male and >= 68 bpm |
5 |
|
|
female and < 70 bpm |
0 |
|
|
female and >= 70 bpm |
5 |
|
weight |
male and < 86.4 kg |
0 |
|
|
male and >= 86.4 kg |
5 |
|
|
female and < 72.7 kg |
0 |
|
|
female and >= 72.7 |
5 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
|
Score |
Quintile |
10-Year Risk Diabetes |
|
0 to 20 |
1 |
5% |
|
21 to 32 |
2 |
9% |
|
33 to 42 |
3 |
15% |
|
43 to 54 |
4 |
24% |
|
>= 55 |
5 |
33% |
Performance:
• The area under the ROC curve is 0.71.
Specialty: Endocrinology
