单位:[1]Peking Univ, Dept Cardiol, China Japan Friendship Sch Clin Med, Beijing 100029, Peoples R China[2]China Japan Friendship Hosp, Dept Cardiol, 2 Yinghua Dongjie, Beijing 100029, Peoples R China[3]Chinese Acad Med Sci & Peking Union Med Coll, Grad Sch, Peking Union Med Coll, Beijing 100029, Peoples R China
Objective Chinese diabetes society has published the new diagnostic criteria for diabetes in China (2020 edition). We aimed to investigate the predictive value of new diabetes-diagnosed criteria for cardiovascular diseases (CVD). Methods A total of 5884 individuals from the China Health and Retirement Longitudinal Study in 2011 and 2018 were enrolled. Baseline characteristics and outcome data were compared. The association between diabetes diagnosed by two criteria and future CVD was identified by Kaplan-Meier curves, Cox regression analyses, and receiver-operating characteristic analyses. Delong's test was conducted to compare the predictive value for future CVD between diabetes diagnosed by the 2020 edition and diabetes diagnosed by the previous version. Results After multivariate adjustment, both diabetes diagnosed by the 2020 edition and diabetes diagnosed by the previous edition is associated with CVD (HR 1.607, 95% CI 1.221-2.115, P < 0.001; HR 1.244, 95% CI 1.060-1.460, P = 0.007, respectively). The Kaplan-Meier analysis indicated that diabetes patients have more cardiovascular risk (log-rank P<0.001). Moreover, diabetes diagnosed in the 2020 edition illustrated an area under the curve (AUC) of 0.673 for predicting CVD, while diabetes diagnosed in the previous edition showed an AUC of 0.638 (DeLong's test P<0.01). Conclusion Diabetes diagnosis criteria (2020 edition) in China had better performance in predicting cardiovascular diseases than the previous edition.
基金:
Capital's Founds for Health Improvement and Research [2022-1-4062]; National High Level Hospital Clinical Research Funding [2022-NHLHCRF-YSPY-01]; Chinese Society of Cardiology's Foundation [CSCF2021B02]; National Key Clinical Specialty Construction Project [2020-QTL-009]
第一作者单位:[1]Peking Univ, Dept Cardiol, China Japan Friendship Sch Clin Med, Beijing 100029, Peoples R China
通讯作者:
通讯机构:[1]Peking Univ, Dept Cardiol, China Japan Friendship Sch Clin Med, Beijing 100029, Peoples R China[2]China Japan Friendship Hosp, Dept Cardiol, 2 Yinghua Dongjie, Beijing 100029, Peoples R China
推荐引用方式(GB/T 7714):
Ye Zixiang,Gao Yanxiang,Xie Enmin,et al.Evaluating the predictive value of diabetes mellitus diagnosed according to the Chinese guidelines (2020 edition) for cardiovascular events[J].DIABETOLOGY & METABOLIC SYNDROME.2022,14(1):doi:10.1186/s13098-022-00906-w.
APA:
Ye, Zixiang,Gao, Yanxiang,Xie, Enmin,Li, Yike,Guo, Ziyu...&Zheng, Jingang.(2022).Evaluating the predictive value of diabetes mellitus diagnosed according to the Chinese guidelines (2020 edition) for cardiovascular events.DIABETOLOGY & METABOLIC SYNDROME,14,(1)
MLA:
Ye, Zixiang,et al."Evaluating the predictive value of diabetes mellitus diagnosed according to the Chinese guidelines (2020 edition) for cardiovascular events".DIABETOLOGY & METABOLIC SYNDROME 14..1(2022)