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Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes

BACKGROUND/AIMS: The Korean Diabetes Association (KDA) guidelines recommend adults aged ≥ 40 years and adults aged ≥ 30 years with diabetes risk factors for diabetes screening. This study aimed to determine the age threshold for diabetes screening in Korean adults. METHODS: This study was based on t...

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Autores principales: Ha, Kyoung Hwa, Lee, Kyung Ae, Han, Kyung-Do, Moon, Min Kyong, Kim, Dae Jung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association of Internal Medicine 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816690/
https://www.ncbi.nlm.nih.gov/pubmed/36420563
http://dx.doi.org/10.3904/kjim.2022.283
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author Ha, Kyoung Hwa
Lee, Kyung Ae
Han, Kyung-Do
Moon, Min Kyong
Kim, Dae Jung
author_facet Ha, Kyoung Hwa
Lee, Kyung Ae
Han, Kyung-Do
Moon, Min Kyong
Kim, Dae Jung
author_sort Ha, Kyoung Hwa
collection PubMed
description BACKGROUND/AIMS: The Korean Diabetes Association (KDA) guidelines recommend adults aged ≥ 40 years and adults aged ≥ 30 years with diabetes risk factors for diabetes screening. This study aimed to determine the age threshold for diabetes screening in Korean adults. METHODS: This study was based on the analyses of Korean adults aged ≥ 20 years using the Korea National Health and Nutrition Examination Survey (KNHANES) and the National Health Insurance Service-National Sample Cohort (NHIS-NSC). To evaluate screening effectiveness, we calculated the number needed to screen (NNS). RESULTS: NNS to detect diabetes decreased from 63 to 34 in the KNHANES and from 71 to 42 in the NHIS-NSC between the ages of 30–34 and 35–39. When universal screening was applied to adults aged ≥ 35, the NNS was similar to that of adults aged ≥ 40. Compared to the KDA guidelines, the rate of missed screening positive in adults aged ≥ 20 decreased from 4.0% to 0.2% when the newly suggested screening criteria were applied. CONCLUSIONS: Universal screening for adults aged ≥ 35 and selective screening for adults aged 20 to 34, considering diabetes risk factors, may be appropriate for detecting prediabetes and diabetes in South Korea.
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spelling pubmed-98166902023-01-18 Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes Ha, Kyoung Hwa Lee, Kyung Ae Han, Kyung-Do Moon, Min Kyong Kim, Dae Jung Korean J Intern Med Original Article BACKGROUND/AIMS: The Korean Diabetes Association (KDA) guidelines recommend adults aged ≥ 40 years and adults aged ≥ 30 years with diabetes risk factors for diabetes screening. This study aimed to determine the age threshold for diabetes screening in Korean adults. METHODS: This study was based on the analyses of Korean adults aged ≥ 20 years using the Korea National Health and Nutrition Examination Survey (KNHANES) and the National Health Insurance Service-National Sample Cohort (NHIS-NSC). To evaluate screening effectiveness, we calculated the number needed to screen (NNS). RESULTS: NNS to detect diabetes decreased from 63 to 34 in the KNHANES and from 71 to 42 in the NHIS-NSC between the ages of 30–34 and 35–39. When universal screening was applied to adults aged ≥ 35, the NNS was similar to that of adults aged ≥ 40. Compared to the KDA guidelines, the rate of missed screening positive in adults aged ≥ 20 decreased from 4.0% to 0.2% when the newly suggested screening criteria were applied. CONCLUSIONS: Universal screening for adults aged ≥ 35 and selective screening for adults aged 20 to 34, considering diabetes risk factors, may be appropriate for detecting prediabetes and diabetes in South Korea. Korean Association of Internal Medicine 2023-01 2022-11-24 /pmc/articles/PMC9816690/ /pubmed/36420563 http://dx.doi.org/10.3904/kjim.2022.283 Text en Copyright © 2022 The Korean Association of Internal Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ha, Kyoung Hwa
Lee, Kyung Ae
Han, Kyung-Do
Moon, Min Kyong
Kim, Dae Jung
Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title_full Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title_fullStr Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title_full_unstemmed Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title_short Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes
title_sort diabetes screening in south korea: a new estimate of the number needed to screen to detect diabetes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816690/
https://www.ncbi.nlm.nih.gov/pubmed/36420563
http://dx.doi.org/10.3904/kjim.2022.283
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