Prevention & lipidsDiagnostic or prognostic study

Development and validation of the CArdiovascular Risk Estimation-Diabetes Mellitus (CARE-DM) model to predict the cardiovascular risk in older persons with type 2 diabetes

Eur J Prev CardiolPublished

  • Prediction model development and validation study
  • 4 population-based prospective cohorts
  • competing-risk model
  • 10-fold cross-validation
  • bootstrapping optimism correction
  • internal-external cross-validation

Authors' conclusion

The new CARE-DM model allows prediction of the incident CVD risk in older adults with type 2 diabetes.

Study context

Population
Adults aged ≥65 years with diabetesmedian age 72 years, 56% women
Participants
6,943 adults
Outcome
Incident CVD (accounting for competing risk of non-CV death)
Follow-up
5 years

Performance

As reported in the abstract

Model performance, internal validation with optimism correction

C-index

0.65 (95% CI 0.63-0.67)

Further findings

Incident cardiovascular disease (CVD) events · median follow-up 6.3 (IQR 3.7, 7.2) years

Participants with a CVD event: 1204 (17.3%)

Original publication

Development and validation of the CARE-DM model to predict the cardiovascular risk in older persons with type 2 diabetes. Eur J Prev Cardiol. Published 14 May 2025. doi:10.1093/eurjpc/zwaf296

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