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Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan

OBJECTIVE: In the diabetes treatment policy after the Kumamoto Declaration 2013, it is difficult to accurately predict the incidence of complications in patients using the JJ risk engine. This study was conducted to develop a prediction equation suitable for the current diabetes treatment policy usi...

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Autores principales: Yamashita, Yasunari, Inoue, Gaku, Nozaki, Yoichi, Kitajima, Rina, Matsubara, Kiyoshi, Horii, Takeshi, Mohri, Junichi, Atsuda, Koichiro, Matsubara, Hajime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613942/
https://www.ncbi.nlm.nih.gov/pubmed/34823578
http://dx.doi.org/10.1186/s13104-021-05844-w
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author Yamashita, Yasunari
Inoue, Gaku
Nozaki, Yoichi
Kitajima, Rina
Matsubara, Kiyoshi
Horii, Takeshi
Mohri, Junichi
Atsuda, Koichiro
Matsubara, Hajime
author_facet Yamashita, Yasunari
Inoue, Gaku
Nozaki, Yoichi
Kitajima, Rina
Matsubara, Kiyoshi
Horii, Takeshi
Mohri, Junichi
Atsuda, Koichiro
Matsubara, Hajime
author_sort Yamashita, Yasunari
collection PubMed
description OBJECTIVE: In the diabetes treatment policy after the Kumamoto Declaration 2013, it is difficult to accurately predict the incidence of complications in patients using the JJ risk engine. This study was conducted to develop a prediction equation suitable for the current diabetes treatment policy using patient data from Kitasato University Kitasato Institute Hospital (Hospital A) and to externally validate the developed equation using patient data from Kitasato University Hospital (Hospital B). Outlier tests were performed on the patient data from Hospital A to exclude the outliers. Prediction equation was developed using the patient data excluding the outliers and was subjected to external validation. RESULTS: By excluding outlier data, we could develop a new prediction equation for the incidence of coronary heart disease (CHD) as a complication of type 2 diabetes, incorporating the use of antidiabetic drugs with a high risk of hypoglycemia. This is the first prediction equation in Japan that incorporates the use of antidiabetic drugs. We believe that it will be useful in preventive medicine for treatment for people at high risk of CHD as a complication of diabetes or other diseases. In the future, we would like to confirm the accuracy of this equation at other facilities. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13104-021-05844-w.
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spelling pubmed-86139422021-11-29 Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan Yamashita, Yasunari Inoue, Gaku Nozaki, Yoichi Kitajima, Rina Matsubara, Kiyoshi Horii, Takeshi Mohri, Junichi Atsuda, Koichiro Matsubara, Hajime BMC Res Notes Research Note OBJECTIVE: In the diabetes treatment policy after the Kumamoto Declaration 2013, it is difficult to accurately predict the incidence of complications in patients using the JJ risk engine. This study was conducted to develop a prediction equation suitable for the current diabetes treatment policy using patient data from Kitasato University Kitasato Institute Hospital (Hospital A) and to externally validate the developed equation using patient data from Kitasato University Hospital (Hospital B). Outlier tests were performed on the patient data from Hospital A to exclude the outliers. Prediction equation was developed using the patient data excluding the outliers and was subjected to external validation. RESULTS: By excluding outlier data, we could develop a new prediction equation for the incidence of coronary heart disease (CHD) as a complication of type 2 diabetes, incorporating the use of antidiabetic drugs with a high risk of hypoglycemia. This is the first prediction equation in Japan that incorporates the use of antidiabetic drugs. We believe that it will be useful in preventive medicine for treatment for people at high risk of CHD as a complication of diabetes or other diseases. In the future, we would like to confirm the accuracy of this equation at other facilities. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13104-021-05844-w. BioMed Central 2021-11-25 /pmc/articles/PMC8613942/ /pubmed/34823578 http://dx.doi.org/10.1186/s13104-021-05844-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Note
Yamashita, Yasunari
Inoue, Gaku
Nozaki, Yoichi
Kitajima, Rina
Matsubara, Kiyoshi
Horii, Takeshi
Mohri, Junichi
Atsuda, Koichiro
Matsubara, Hajime
Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title_full Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title_fullStr Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title_full_unstemmed Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title_short Development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in Japan
title_sort development and validation of an equation to predict the incidence of coronary heart disease in patients with type 2 diabetes in japan
topic Research Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613942/
https://www.ncbi.nlm.nih.gov/pubmed/34823578
http://dx.doi.org/10.1186/s13104-021-05844-w
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