IMPACT OF RECENT CHANGES IN DIAGNOSTIC CRITERIA ON THE APPARENT NATURAL HISTORY OF DIABETES MELLITUS

The effect of changing from the original to the new National Diabetes Data Group diagnostic criteria for diabetes mellitus was to delete 16.5% of the original diabetes incidence cohort described among Rochester, Minnesota, residents In 1945–1969, to shift the clinical spectrum at diagnosis toward mo...

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Bibliographic Details
Published in:American journal of epidemiology 1983-05, Vol.117 (5), p.559-565
Main Authors: MELTON, L. JOSEPH, PALUMBO, PASQUALE J., DWYER, MARK S., CHU, CHU-PIN
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Blood Glucose
Child
Child, Preschool
classification
diabetes mellitus
Diabetes Mellitus - diagnosis
Diabetes Mellitus - epidemiology
diagnosis
Epidemiologic Methods
Female
Humans
Infant
Male
Middle Aged
Minnesota
Prognosis
Sex Factors
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Summary:The effect of changing from the original to the new National Diabetes Data Group diagnostic criteria for diabetes mellitus was to delete 16.5% of the original diabetes incidence cohort described among Rochester, Minnesota, residents In 1945–1969, to shift the clinical spectrum at diagnosis toward more severe disease, to reduce relative survival, and to increase the risk of developing macro- or microvascular complications. The changes in apparent natural history were unexpectedly modest in magnitude, however, and should have little practical effect on comparisons of diabetes prognosis under the two different sets of diagnostic criteria.
ISSN:0002-9262
1476-6256
DOI:10.1093/oxfordjournals.aje.a113578