Cardiometabolic & kidney

Development and validation of a lifetime prediction model for incident type 2 diabetes in patients with established cardiovascular disease: the CVD2DM model

Eur J Prev CardiolPublished Prediction model development and external validation study

Authors' conclusion

The 10-year and lifetime risks of T2D can be estimated with the CVD2DM model in patients with established CVD, using readily available clinical predictors.

Study context

Population
Patients with established cardiovascular disease (CVD) without diabetes at baseline (derivation UK Biobank; external validation UCC-SMART)3,481 in external validation
Participants
19,281 patients
Comparison
Core model vs extended model
Outcome
10-year and lifetime risk of T2DM
Methodological detailssex-specific, competing risk-adjusted Cox models
  • Sex-specific
  • Competing risk-adjusted Cox models

Performance

As reported in the abstract

External validation discrimination (c-statistic)
Test or modelC-statistic
Core model0.79 (95% CI 0.76-0.82)
Extended model0.81 (95% CI 0.78-0.84)

C-statistic

Core model0.79 (95% CI 0.76-0.82)
Extended model0.81 (95% CI 0.78-0.84)

Further findings

Incident T2DM in UK Biobank derivation cohort · median follow-up 12.2 years (IQR 11.3-13.1)

Participants diagnosed with T2DM
1628

Original publication

Development and validation of a lifetime prediction model for incident type 2 diabetes in patients with established cardiovascular disease: the CVD2DM model. Eur J Prev Cardiol. Published 8 April 2024. doi:10.1093/eurjpc/zwae096

Summarised from the published abstract; every number is checked against it

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