当前位置： SCI文献检索 > DIABETES CARE期刊下所有文献 > Detection of Diabetes Status and Type in Youth Using Electronic Health Records: The SEARCH for Diabetes in Youth Study.

Detection of Diabetes Status and Type in Youth Using Electronic Health Records: The SEARCH for Diabetes in Youth Study.

Abstract：

OBJECTIVE:Diabetes surveillance often requires manual medical chart reviews to confirm status and type. This project aimed to create an electronic health record (EHR)-based procedure for improving surveillance efficiency through automation of case identification. RESEARCH DESIGN AND METHODS:Youth (<20 years old) with potential evidence of diabetes (N = 8,682) were identified from EHRs at three children's hospitals participating in the SEARCH for Diabetes in Youth Study. True diabetes status/type was determined by manual chart reviews. Multinomial regression was compared with an ICD-10 rule-based algorithm in the ability to correctly identify diabetes status and type. Subsequently, the investigators evaluated a scenario of combining the rule-based algorithm with targeted chart reviews where the algorithm performed poorly. RESULTS:The sample included 5,308 true cases (89.2% type 1 diabetes). The rule-based algorithm outperformed regression for overall accuracy (0.955 vs. 0.936). Type 1 diabetes was classified well by both methods: sensitivity (Se) (>0.95), specificity (Sp) (>0.96), and positive predictive value (PPV) (>0.97). In contrast, the PPVs for type 2 diabetes were 0.642 and 0.778 for the rule-based algorithm and the multinomial regression, respectively. Combination of the rule-based method with chart reviews (n = 695, 7.9%) of persons predicted to have non-type 1 diabetes resulted in perfect PPV for the cases reviewed while increasing overall accuracy (0.983). The Se, Sp, and PPV for type 2 diabetes using the combined method were ≥0.91. CONCLUSIONS:An ICD-10 algorithm combined with targeted chart reviews accurately identified diabetes status/type and could be an attractive option for diabetes surveillance in youth.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Wells BJ,Lenoir KM,Wagenknecht LE,Mayer-Davis EJ,Lawrence JM,Dabelea D,Pihoker C,Saydah S,Casanova R,Turley C,Liese AD,Standiford D,Kahn MG,Hamman R,Divers J

doi

10.2337/dc20-0063

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

2418-2425

issue

10

eissn

0149-5992

issn

1935-5548

pii

dc20-0063

journal_volume

43

pub_type

杂志文章

相关文献

DIABETES CARE文献大全
  • Unrecognized diabetes among hospitalized patients.

    abstract：OBJECTIVE:To evaluate the hospital care rendered to hyperglycemic individuals who did not have a diagnosis of diabetes before admission. RESEARCH DESIGN AND METHODS:A total of 1,034 consecutively hospitalized adult patients at a 750-bed inner-city teaching hospital were evaluated. Patients with one or more plasma gluc...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.21.2.246

    authors： Levetan CS,Passaro M,Jablonski K,Kass M,Ratner RE

    更新日期：1998-02-01 00:00:00

  • Abnormal glucose tolerance and hypertension.

    abstract：:To quantify the association of abnormal glucose tolerance with hypertension and postural hypotension, 2480 men and women aged 50-89 yr from a defined population were evaluated by oral glucose tolerance and measurements of supine, seated, and standing blood pressure. In both sexes, adults with impaired glucose toleranc...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.13.2.119

    authors： Reaven PD,Barrett-Connor EL,Browner DK

    更新日期：1990-02-01 00:00:00

  • Lower risk of cancer in patients on metformin in comparison with those on sulfonylurea derivatives: results from a large population-based follow-up study.

    abstract：OBJECTIVE:Numerous studies have suggested a decreased risk of cancer in patients with diabetes on metformin. Because different comparison groups were used, the effect magnitude is difficult to estimate. Therefore, the objective of this study was to further analyze whether, and to what extent, use of metformin is associ...

    journal_title：Diabetes care

    pub_type： 杂志文章,多中心研究

    doi：10.2337/dc11-0857

    authors： Ruiter R,Visser LE,van Herk-Sukel MP,Coebergh JW,Haak HR,Geelhoed-Duijvestijn PH,Straus SM,Herings RM,Stricker BH

    更新日期：2012-01-01 00:00:00

  • Plasma adiponectin plays an important role in improving insulin resistance with glimepiride in elderly type 2 diabetic subjects.

    abstract：OBJECTIVE:We investigated the effect of glimepiride, a third-generation sulfonylurea hypoglycemic agent, on insulin resistance in elderly patients with type 2 diabetes, in connection with plasma adiponectin and 8-epi-prostagrandin F2alpha (8-epi-PGF2alpha), an oxidative stress marker. RESEARCH DESIGN AND METHODS:A tot...

    journal_title：Diabetes care

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.2337/diacare.26.2.285

    authors： Tsunekawa T,Hayashi T,Suzuki Y,Matsui-Hirai H,Kano H,Fukatsu A,Nomura N,Miyazaki A,Iguchi A

    更新日期：2003-02-01 00:00:00

  • Role of adiposity and lifestyle in the relationship between family history of diabetes and 20-year incidence of type 2 diabetes in U.S. women.

    abstract：OBJECTIVE:To evaluate to what extent the association between family history of diabetes and risk of type 2 diabetes can be explained by excess adiposity and lifestyle risk factors. RESEARCH DESIGN AND METHODS:We analyzed data from 73,227 women who participated in the Nurses' Health Study cohort. A family history of di...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc09-1586

    authors： van 't Riet E,Dekker JM,Sun Q,Nijpels G,Hu FB,van Dam RM

    更新日期：2010-04-01 00:00:00

  • Ocular Anti-VEGF therapy for diabetic retinopathy: the role of VEGF in the pathogenesis of diabetic retinopathy.

    abstract：:Diabetic retinopathy is the leading cause of visual impairment and preventable blindness, and represents a significant socioeconomic cost for health care systems worldwide. Therefore, new approaches beyond current standards of diabetes care are needed. Based on the crucial pathogenic role of vascular endothelial growt...

    journal_title：Diabetes care

    pub_type： 杂志文章,评审

    doi：10.2337/dc13-2002

    authors： Simó R,Sundstrom JM,Antonetti DA

    更新日期：2014-04-01 00:00:00

  • Clustering of cardiovascular risk factors associated with the insulin resistance syndrome: assessment by principal component analysis in young hyperandrogenic women.

    abstract：OBJECTIVE:Hyperinsulinemia is often associated with several metabolic abnormalities and increased blood pressure, which are risk factors for cardiovascular disease. It has been hypothesized that insulin resistance may underlie all these features. However, recent data suggest that some links between insulin resistance a...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.29.02.06.dc05-1478

    authors： Zanolin ME,Tosi F,Zoppini G,Castello R,Spiazzi G,Dorizzi R,Muggeo M,Moghetti P

    更新日期：2006-02-01 00:00:00

  • Amputation prevention initiative in South India: positive impact of foot care education.

    abstract：OBJECTIVE:To determine whether intensive treatment and education strategies for type 2 diabetic patients with high-risk diabetic foot disease helps in preventing foot amputations. RESEARCH DESIGN AND METHODS:Participants included 4,872 consecutive type 2 diabetic patients (male-to-female ratio 3,422:1,450, mean (+/-SD...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.28.5.1019

    authors： Viswanathan V,Madhavan S,Rajasekar S,Chamukuttan S,Ambady R

    更新日期：2005-05-01 00:00:00

  • Incidence of type 1 diabetes in Lithuanians aged 0-39 years varies by the urban-rural setting, and the time change differs for men and women during 1991-2000.

    abstract：OBJECTIVE:Type 1 diabetes has been associated with factors related to welfare and social class. During the past decade, Lithuania has experienced a transition period, leading to dramatic changes in the socioeconomic structure of the society. RESEARCH DESIGN AND METHODS:Incidence in the group aged 0-39 years by urban-r...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.26.3.671

    authors： Pundziute-Lyckå A,Urbonaite B,Ostrauskas R,Zalinkevicius R,Dahlquist GG

    更新日期：2003-03-01 00:00:00

  • Genetics and the prediction of complications in type 1 diabetes.

    abstract：OBJECTIVE:Epidemiological evidence suggests that genetic factors can affect the course of type 1 diabetes complications produced by long-lasting hyperglycemia. In this review, the current strategies applicable to identifying these genetic factors are examined, as are recent findings on the genetics of diabetic nephropa...

    journal_title：Diabetes care

    pub_type： 杂志文章,评审

    doi：

    authors： Marre M

    更新日期：1999-03-01 00:00:00

  • Cancer arising after pancreas and/or kidney transplantation in a series of 99 diabetic patients.

    abstract：OBJECTIVE:Recipients of solid organ transplants have an increased risk of developing certain types of malignancies as compared with the general population. The majority of the literature has reported on neoplasms in kidney and heart transplant recipients. RESEARCH DESIGN AND METHODS:We describe 9 neoplasms occurring i...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.20.3.272

    authors： Martinenghi S,Dell'Antonio G,Secchi A,Di Carlo V,Pozza G

    更新日期：1997-03-01 00:00:00

  • Differential association between biomarkers of subclinical inflammation and painful polyneuropathy: results from the KORA F4 study.

    abstract：OBJECTIVE:Inflammatory processes have been implicated in the pathogenesis of painful neuropathy in rodents, but the relationship between inflammatory biomarkers and painful distal sensorimotor polyneuropathy (DSPN) has not been assessed in population-based studies. Therefore, we investigated whether circulating levels ...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc14-1403

    authors： Herder C,Bongaerts BW,Rathmann W,Heier M,Kowall B,Koenig W,Thorand B,Roden M,Meisinger C,Ziegler D

    更新日期：2015-01-01 00:00:00

  • Racial disparities in quality-adjusted life-years associated with diabetes and visual impairment.

    abstract：OBJECTIVE:Compare differences in health-related quality of life among blacks and whites to examine if race, diabetes, and visual impairment (VI) present a triple disadvantage in terms of quality-adjusted life expectancy. RESEARCH DESIGN AND METHODS:Data were analyzed from the 2000-2003 Medical Expenditure Panel Survey...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc11-2433

    authors： McCollister KE,Zheng DD,Fernandez CA,Lee DJ,Lam BL,Arheart KL,Galor A,Ocasio M,Muennig P

    更新日期：2012-08-01 00:00:00

  • Use of Sodium-Glucose Cotransporter 2 Inhibitors in Patients With Type 1 Diabetes and Rates of Diabetic Ketoacidosis.

    abstract：OBJECTIVE:To estimate real-world off-label use of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patients with type 1 diabetes, estimate rates of diabetic ketoacidosis (DKA), and compare them with DKA rates observed in sotagliflozin clinical trials. RESEARCH DESIGN AND METHODS:We identified initiators of SGLT2 i...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc19-1481

    authors： Hampp C,Swain RS,Horgan C,Dee E,Qiang Y,Dutcher SK,Petrone A,Chen Tilney R,Maro JC,Panozzo CA

    更新日期：2020-01-01 00:00:00

  • Rapid progression of albumin excretion is an independent predictor of cardiovascular mortality in patients with type 2 diabetes and microalbuminuria.

    abstract：OBJECTIVE:In patients with type 2 diabetes, microalbuminuria is associated with an increase in predominantly cardiovascular mortality. Considerable interindividual variability in the rate of progression of microalbuminuria exists. The prognostic significance of rate of progression of microalbuminuria with regard to car...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.24.12.2097

    authors： Spoelstra-de Man AM,Brouwer CB,Stehouwer CD,Smulders YM

    更新日期：2001-12-01 00:00:00

  • Changes in triglyceride levels over time and risk of type 2 diabetes in young men.

    abstract：OBJECTIVE:The association between changes in triglyceride concentrations over time and diabetes is unknown. We assessed whether two triglyceride determinations obtained 5 years apart can predict incident type 2 diabetes. RESEARCH DESIGN AND METHODS:Triglyceride levels at baseline (time 1) and 5 years later (time 2), f...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc08-0825

    authors： Tirosh A,Shai I,Bitzur R,Kochba I,Tekes-Manova D,Israeli E,Shochat T,Rudich A

    更新日期：2008-10-01 00:00:00

  • Peripheral Neuropathy and Nerve Dysfunction in Individuals at High Risk for Type 2 Diabetes: The PROMISE Cohort.

    abstract：OBJECTIVE:Emerging evidence suggests that peripheral neuropathy begins in the early stages of diabetes pathogenesis. Our objective was to describe the prevalence of peripheral neuropathy and nerve dysfunction according to glucose tolerance and metabolic syndrome status and examine how these conditions are associated wi...

    journal_title：Diabetes care

    pub_type： 杂志文章,多中心研究

    doi：10.2337/dc14-2585

    authors： Lee CC,Perkins BA,Kayaniyil S,Harris SB,Retnakaran R,Gerstein HC,Zinman B,Hanley AJ

    更新日期：2015-05-01 00:00:00

  • A meta-analysis of the association between childhood type 1 diabetes and atopic disease.

    abstract：OBJECTIVE:To review the published literature and perform a meta-analysis summarizing the evidence in support of an inverse association between type 1 diabetes and the atopic disorders: asthma, eczema, and allergic rhinitis in children. RESEARCH DESIGN AND METHODS:MEDLINE, Web of Science, and PubMed were searched to id...

    journal_title：Diabetes care

    pub_type： 杂志文章,meta分析

    doi：10.2337/diacare.26.9.2568

    authors： Cardwell CR,Shields MD,Carson DJ,Patterson CC

    更新日期：2003-09-01 00:00:00

  • Survey of physician practice behaviors related to diabetes mellitus in the U.S. Physician adherence to consensus recommendations.

    abstract：OBJECTIVE:To summarize the frequency of physician adherence to consensus recommendations for prevention of diabetic complications. RESEARCH DESIGN AND METHODS:Survey data from a nationwide stratified probability sample of primary-care physicians were analyzed. Adherence to recommendations were reported by physician sp...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.16.11.1507

    authors： Kenny SJ,Smith PJ,Goldschmid MG,Newman JM,Herman WH

    更新日期：1993-11-01 00:00:00

  • Low birth weight and high birth weight infants are both at an increased risk to have type 2 diabetes among schoolchildren in taiwan.

    abstract：OBJECTIVE:To study the effect of birth weight on risk of type 2 diabetes in the schoolchildren in Taiwan. RESEARCH DESIGN AND METHODS:From 1992 to 1997, all schoolchildren aged 6-18 years were screened for diabetes in Taiwan Province. This cohort consisted of 1,966 patients with diabetes and 1,780 randomly selected su...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.26.2.343

    authors： Wei JN,Sung FC,Li CY,Chang CH,Lin RS,Lin CC,Chiang CC,Chuang LM

    更新日期：2003-02-01 00:00:00

  • Development of a prediction equation for insulin sensitivity from anthropometry and fasting insulin in prepubertal and early pubertal children.

    abstract：OBJECTIVE:To test the utility of homeostasis model assessment (HOMA) in predicting insulin sensitivity [x10(- 4) min(-1)/(microIU/ml)] in children and to develop and compare two new prediction equations for insulin sensitivity in children using demographic and anthropometric measures in the presence or absence of fasti...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.25.7.1203

    authors： Huang TT,Johnson MS,Goran MI

    更新日期：2002-07-01 00:00:00

  • Effects of peer-group intervention on metabolic control of adolescents with IDDM. Randomized outpatient study.

    abstract：:In children with insulin-dependent diabetes mellitus (IDDM), deterioration in metabolic control frequently occurs during early adolescence. To prevent this predictable increase in blood glucose levels, we randomly assigned young adolescents with IDDM to an intervention based on problem solving with self-monitoring of ...

    journal_title：Diabetes care

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.2337/diacare.12.3.179

    authors： Anderson BJ,Wolf FM,Burkhart MT,Cornell RG,Bacon GE

    更新日期：1989-03-01 00:00:00

  • Changes in Screening Practices for Prediabetes and Diabetes Since the Recommendation for Hemoglobin A1c Testing.

    abstract：OBJECTIVE:Screening involves the presumptive identification of asymptomatic individuals at increased risk for unrecognized disease. We examined changes in screening practices for prediabetes and diabetes since January 2010, when HbA1c was first recommended as an option for screening and diagnosis. RESEARCH DESIGN AND ...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc17-1726

    authors： Evron JM,Herman WH,McEwen LN

    更新日期：2019-04-01 00:00:00

  • Counterregulation during spontaneous nocturnal hypoglycemia in prepubertal children with type 1 diabetes.

    abstract：OBJECTIVE:To examine counterregulatory responses during spontaneous nocturnal hypoglycemia in prepubertal children with type 1 diabetes. RESEARCH DESIGN AND METHODS:A total of 29 prepubertal patients with type 1 diabetes underwent two overnight profiles. Data were analyzed from 16 children (median [range] 8.7 [5.9-12....

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.22.7.1144

    authors： Matyka KA,Crowne EC,Havel PJ,Macdonald IA,Matthews D,Dunger DB

    更新日期：1999-07-01 00:00:00

  • Insulin absorption, glucose homeostasis, and lipolysis in IDDM during mental stress.

    abstract：OBJECTIVE:To study the effects of mental stress on the absorption kinetics of insulin and on glucose homeostasis and lipolysis in insulin-dependent diabetes mellitus (IDDM). RESEARCH DESIGN AND METHODS:Nine IDDM patients were exposed to the Stroop color word conflict test (CWT) during 40 min after injection of 125I-la...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.14.11.1006

    authors： Fernqvist-Forbes E,Linde B

    更新日期：1991-11-01 00:00:00

  • Effect of ezetimibe on hepatic fat, inflammatory markers, and apolipoprotein B-100 kinetics in insulin-resistant obese subjects on a weight loss diet.

    abstract：OBJECTIVE:Nonalcoholic fatty liver disease is highly prevalent in obese and type 2 diabetic individuals and is strongly associated with dyslipidemia and inflammation. Weight loss and/or pharmacotherapy are commonly used to correct these abnormalities. RESEARCH DESIGN AND METHODS:We performed a 16-week intervention tri...

    journal_title：Diabetes care

    pub_type： 杂志文章,随机对照试验

    doi：10.2337/dc09-1765

    authors： Chan DC,Watts GF,Gan SK,Ooi EM,Barrett PH

    更新日期：2010-05-01 00:00:00

  • Declining rates of hospitalization for nontraumatic lower-extremity amputation in the diabetic population aged 40 years or older: U.S., 1988-2008.

    abstract：OBJECTIVE:To assess trends in rates of hospitalization for nontraumatic lower-extremity amputation (NLEA) in U.S. diabetic and nondiabetic populations and disparities in NLEA rates within the diabetic population. RESEARCH DESIGN AND METHODS:We calculated NLEA hospitalization rates, by diabetes status, among persons ag...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc11-1360

    authors： Li Y,Burrows NR,Gregg EW,Albright A,Geiss LS

    更新日期：2012-02-01 00:00:00

  • The association between different A1C-based measures of glycemia and risk of cardiovascular disease hospitalization.

    abstract：:OBJECTIVE We tested whether average monthly glycemic burden (AMGB), a marker of hyperglycemia that is a function of the extent and duration that A1C exceeded 7%, indicated greater risk of cardiovascular disease (CVD) than traditional A1C measures. RESEARCH DESIGN AND METHODS Using a case-control design, we studied 2,4...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc13-1300

    authors： Nichols GA,Rosales AG,Perrin NA,Fortmann SP

    更新日期：2014-01-01 00:00:00

  • Distortion-product otoacoustic emissions and selective sensorineural loss in IDDM.

    abstract：OBJECTIVE:To provide information about possible subclinical damage of the cochlear outer hair cells (OHCs) by means of transiently evoked otoacoustic emissions (TEOAEs) and distortion-product otoacoustic emissions (DPOAEs) in subjects with IDDM. RESEARCH DESIGN AND METHODS:TEOAEs and DPOAEs were recorded in 47 IDDM pa...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/diacare.21.8.1317

    authors： Di Nardo W,Ghirlanda G,Paludetti G,Cercone S,Saponara C,Del Ninno M,Di Girolamo S,Magnani P,Di Leo MA

    更新日期：1998-08-01 00:00:00

  • Electronic Documentation of Lifestyle Counseling and Glycemic Control in Patients With Diabetes.

    abstract：OBJECTIVE:To establish quantitative characteristics of lifestyle counseling documentation associated with improved glycemic control in patients with diabetes. RESEARCH DESIGN AND METHODS:We retrospectively studied 10,870 hyperglycemic (HbA1c ≥7.0% [53 mmol/mol]) adults with diabetes followed at primary care practices ...

    journal_title：Diabetes care

    pub_type： 杂志文章

    doi：10.2337/dc14-2016

    authors： Hosomura N,Goldberg SI,Shubina M,Zhang M,Turchin A

    更新日期：2015-07-01 00:00:00