1
|
Deepa M, Elangovan N, Venkatesan U, Das HK, Jampa L, Adhikari P, Joshi PP, Budnah RO, Suokhrie V, John M, Tobgay KJ, Subashini R, Pradeepa R, Anjana RM, Mohan V, Kaur T, Dhaliwal RS. Evaluation of Madras Diabetes Research Foundation-Indian Diabetes Risk Score in detecting undiagnosed diabetes in the Indian population: Results from the Indian Council of Medical Research-INdia DIABetes population-based study (INDIAB-15). Indian J Med Res 2023; 157:239-249. [PMID: 37282387 PMCID: PMC10438401 DOI: 10.4103/ijmr.ijmr_2615_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Indexed: 06/08/2023] Open
Abstract
Background & objectives Screening of individuals for early detection and identification of undiagnosed diabetes can help in reducing the burden of diabetic complications. This study aimed to evaluate the performance of Madras Diabetes Research Foundation (MDRF)-Indian Diabetes Risk Score (IDRS) to screen for undiagnosed type 2 diabetes in a large representative population in India. Methods Data were acquired from the Indian Council of Medical Research-INdia DIABetes (ICMR-INDIAB) study, a large national survey that included both urban and rural populations from 30 states/union territories in India. Stratified multistage design was followed to obtain a sample of 113,043 individuals (94.2% response rate). MDRF-IDRS used four simple parameters, viz. age, waist circumference, family history of diabetes and physical activity to detect undiagnosed diabetes. Receiver operating characteristic (ROC) with area under the curve (AUC) was used to assess the performance of MDRF-IDRS. Results We identified that 32.4, 52.7 and 14.9 per cent of the general population were under high-, moderate- and low-risk category of diabetes. Among the newly diagnosed individuals with diabetes [diagnosed by oral glucose tolerance test (OGTT)], 60.2, 35.9 and 3.9 per cent were identified under high-, moderate- and low-risk categories of IDRS. The ROC-AUC for the identification of diabetes was 0.697 (95% confidence interval: 0.684-0.709) for urban population and 0.694 (0.684-0.704) for rural, as well as 0.693 (0.682-0.705) for males and 0.707 (0.697-0.718) for females. MDRF-IDRS performed well when the population were sub-categorized by state or by regions. Interpretation & conclusions Performance of MDRF-IDRS is evaluated across the nation and is found to be suitable for easy and effective screening of diabetes in Asian Indians.
Collapse
Affiliation(s)
- Mohan Deepa
- Department of Epidemiology, Diabetes Complications, Chennai, Tamil Nadu, India
| | - Nirmal Elangovan
- Department of Research Operations & Diabetes Complications, Chennai, Tamil Nadu, India
| | | | - Hiranya Kumar Das
- Regional Medical Research Centre, ICMR NE Region, Dibrugarh, Assam, India
| | - Lobsang Jampa
- Directorate of Health Services, Naharlagun, Arunachal Pradesh, India
| | - Prabha Adhikari
- Department of Epidemiology, Yenepoya Medical College, Yenepoya University Campus, Deralakatte, Karnataka, India
| | - Prashant P. Joshi
- Department of General Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | | | - Vizolie Suokhrie
- Directorate of Health & Family Welfare, Government of Nagaland, Kohima, Nagaland, India
| | - Mary John
- Deparment of Internal Medicine, Christian Medical College & Hospital, Ludhiana, Punjab, India
| | - Karma Jigme Tobgay
- Department of Health Care, Human Services & Family Welfare, Government of Sikkim, Gangtok, Sikkim, India
| | - Radhakrishnan Subashini
- Department of Biostatistics, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India
| | - Rajendra Pradeepa
- Department of Research Operations & Diabetes Complications, Chennai, Tamil Nadu, India
| | - Ranjit Mohan Anjana
- Department of Diabetology, Madras Diabetes Research Foundation & Dr. Mohan’s Diabetes Specialities Centre, Chennai, Tamil Nadu, India
| | - Viswanathan Mohan
- Department of Diabetology, Madras Diabetes Research Foundation & Dr. Mohan’s Diabetes Specialities Centre, Chennai, Tamil Nadu, India
| | - Tanvir Kaur
- Division of Non-communicable Diseases, Indian Council of Medical Research, New Delhi, India
| | | | | |
Collapse
|