Evidence map›Paper›PMID 27503406›Full record

ArticleJournal of diabetes and its complications2017

Utility of existing diabetes risk prediction tools for young black and white adults: Evidence from the Bogalusa Heart Study.

Benjamin D Pollock, Tian Hu, Wei Chen, Emily W Harville, Shengxu Li, Larry S Webber, Vivian Fonseca, Lydia A Bazzano

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of diabetes and its complications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005129 (The Bogalusa Heart Study), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00005129 active not recruitingnot on this map

The Bogalusa Heart Study

TypeobservationalSponsorTulane UniversityRan1973 to 2029Enrolled11,737ConditionsAtherosclerosis, Cardiovascular Diseases, Heart Diseases, Coronary Disease
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Benjamin D PollockDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112. Electronic address: bpollock@tulane.edu.
Tian HuDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Wei ChenDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Emily W HarvilleDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Shengxu LiDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Larry S WebberDepartment of Biostatistics & Bioinformatics, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Vivian FonsecaDepartment of Endocrinology, Tulane University School of Medicine, New Orleans, LA 70112.
Lydia A BazzanoDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
Tulane University · US

Funding

Lifespan Cardiovascular Risk Exposures and Alzheimer-related brain health: Bogalusa Heart StudyRF1AG041200 · NIA · TULANE UNIVERSITY OF LOUISIANA · PI BAZZANO, LYDIA, CARMICHAEL, OWEN T. · 2019 to 2022
$4.2M
The Role of Vascular Aging in Cognitive and Physical Function - Diversity SupplementR01AG041200 · NIA · TULANE UNIVERSITY OF LOUISIANA · PI BAZZANO, LYDIA · 2012 to 2017
$2.9M
Childhood Secondhand Smoke and Longitudinal Cardiovascular Risk ProfileR01ES021724 · NIEHS · TULANE UNIVERSITY OF LOUISIANA · PI CHEN, WEI · 2012 to 2014
$1.8M
NIA NIH HHS R01 AG041200NIA NIH HHS RF1 AG041200NIEHS NIH HHS R01 ES021724
6 · The paper itself

Abstract

aimsTo evaluate several adult diabetes risk calculation tools for predicting the development of incident diabetes and pre-diabetes in a bi-racial, young adult population.

methodsSurveys beginning in young adulthood (baseline age ≥18) and continuing across multiple decades for 2122 participants of the Bogalusa Heart Study were used to test the associations of five well-known adult diabetes risk scores with incident diabetes and pre-diabetes using separate Cox models for each risk score. Racial differences were tested within each model. Predictive utility and discrimination were determined for each risk score using the Net Reclassification Index (NRI) and Harrell's c-statistic.

resultsAll risk scores were strongly associated (p<.0001) with incident diabetes and pre-diabetes. The Wilson model indicated greater risk of diabetes for blacks versus whites with equivalent risk scores (HR=1.59; 95% CI 1.11-2.28; p=.01). C-statistics for the diabetes risk models ranged from 0.79 to 0.83. Non-event NRIs indicated high specificity (non-event NRIs: 76%-88%), but poor sensitivity (event NRIs: -23% to -3%).

conclusionsFive diabetes risk scores established in middle-aged, racially homogenous adult populations are generally applicable to younger adults with good specificity but poor sensitivity. The addition of race to these models did not result in greater predictive capabilities. A more sensitive risk score to predict diabetes in younger adults is needed.

Indexed as

Black or African AmericanWhite PeopleAdolescentAdultDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansLouisianaMalePrediabetic StatePredictive Value of TestsPrognosisRisk FactorsSensitivity and SpecificitySurveys and QuestionnairesDiabetesPre-diabetesRaceRisk predictionYoung adults

Identifiers

PMID27503406
PMCPMC5209262
OpenAlexW2479420178

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.