Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016)
Approximately half of the population worldwide suffers from under/undiagnosed diabetes. In South Korea, 27.7% of people aged over 30 years have type 2 diabetes and are unaware of their condition because they have not been diagnosed. Optimal tools for identifying risk factors of undiagnosed diabetes,...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/9/1138 |
| _version_ | 1797519069141794816 |
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| author | Eunhee Cho Deulle Min Hye Sun Lee |
| author_facet | Eunhee Cho Deulle Min Hye Sun Lee |
| author_sort | Eunhee Cho |
| collection | DOAJ |
| description | Approximately half of the population worldwide suffers from under/undiagnosed diabetes. In South Korea, 27.7% of people aged over 30 years have type 2 diabetes and are unaware of their condition because they have not been diagnosed. Optimal tools for identifying risk factors of undiagnosed diabetes, which is associated with multiple complications, are currently lacking. Secondary data analysis was conducted using the 2010–2016 Korean National Health and Nutrition Examination Survey. This study aimed to identify the risk factors in individuals not diagnosed with type 2 diabetes, using glycated hemoglobin as the diagnostic standard. Furthermore, we aimed to develop an accurate screening tool for diabetes using HbA1c values by analyzing the data of 12,843 adults (aged ≥20 years) not diagnosed with type 2 diabetes. Age, gender, family history of diabetes, hypertension diagnosis, waist-to-height ratio, smoking, and health check-ups were identified as significant risk factors for undiagnosed type 2 diabetes. A screening tool with total and cutoff scores of 13 and 7 points was developed, and it had a sensitivity of 82.7% and specificity of 58.2%. The developed screening tool appears to be a simple and cost-effective method for detecting undiagnosed type 2 diabetes. |
| first_indexed | 2024-03-10T07:37:57Z |
| format | Article |
| id | doaj.art-a207a8d6d6df42b8866f93691557ffd2 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T07:37:57Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-a207a8d6d6df42b8866f93691557ffd22023-11-22T13:17:29ZengMDPI AGHealthcare2227-90322021-08-0199113810.3390/healthcare9091138Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016)Eunhee Cho0Deulle Min1Hye Sun Lee2Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul 03722, KoreaDepartment of Nursing, College of Medicine, Wonkwang University, Iksan 54538, KoreaBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul 06229, KoreaApproximately half of the population worldwide suffers from under/undiagnosed diabetes. In South Korea, 27.7% of people aged over 30 years have type 2 diabetes and are unaware of their condition because they have not been diagnosed. Optimal tools for identifying risk factors of undiagnosed diabetes, which is associated with multiple complications, are currently lacking. Secondary data analysis was conducted using the 2010–2016 Korean National Health and Nutrition Examination Survey. This study aimed to identify the risk factors in individuals not diagnosed with type 2 diabetes, using glycated hemoglobin as the diagnostic standard. Furthermore, we aimed to develop an accurate screening tool for diabetes using HbA1c values by analyzing the data of 12,843 adults (aged ≥20 years) not diagnosed with type 2 diabetes. Age, gender, family history of diabetes, hypertension diagnosis, waist-to-height ratio, smoking, and health check-ups were identified as significant risk factors for undiagnosed type 2 diabetes. A screening tool with total and cutoff scores of 13 and 7 points was developed, and it had a sensitivity of 82.7% and specificity of 58.2%. The developed screening tool appears to be a simple and cost-effective method for detecting undiagnosed type 2 diabetes.https://www.mdpi.com/2227-9032/9/9/1138diabetes early diagnosishealth check-upsscreening toolsmoking cessationundiagnosed diabetes |
| spellingShingle | Eunhee Cho Deulle Min Hye Sun Lee Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) Healthcare diabetes early diagnosis health check-ups screening tool smoking cessation undiagnosed diabetes |
| title | Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) |
| title_full | Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) |
| title_fullStr | Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) |
| title_full_unstemmed | Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) |
| title_short | Development and Validation of an Undiagnosed Diabetes Screening Tool: Based on the Korean National Health and Nutrition Examination Survey (2010–2016) |
| title_sort | development and validation of an undiagnosed diabetes screening tool based on the korean national health and nutrition examination survey 2010 2016 |
| topic | diabetes early diagnosis health check-ups screening tool smoking cessation undiagnosed diabetes |
| url | https://www.mdpi.com/2227-9032/9/9/1138 |
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