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Optimal Prediction of Diabetes
Michael P. Stern, MD;
Ken Williams, MS; and
Steven M. Haffner, MD
19 November 2002 | Volume 137 Issue 10 | Page 856
IN RESPONSE:
The Web site http://www.statcoder.com contains a large collection of physician-support software that can readily be "hot synched" into a personal digital assistant. This Web site was brought to our attention by one of our younger colleagues, who told us that she and others use these programs frequently for patient evaluation and counseling. Among the software programs available on this Web site is the National Cholesterol Education Program Adult Treatment Guidelines III, which includes the Framingham risk equation, an equation analogous to the one presented in our paper. Also available is an equation for estimating preoperative risk. There is no reason why a diabetes risk calculator could not be added to the collection of programs on this or similar Web sites.
It is true that the oral glucose tolerance test is "easy to order," but this is rarely done because of inconvenience and high cost. We recently estimated that the indirect cost attributable to 2 hours of peoples' time would be several billion dollars if widespread screening with the oral glucose tolerance test were implemented in the segment of the U.S. population deemed eligible for screening by the American Diabetes Association (1).
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Author and Article Information
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University of Texas Health Science Center; San Antonio, TX 78229 (Stern, Williams, Haffner)
1. Stern MP, Fatehi P, Williams K, Haffner SM. Predicting future cardiovascular disease: do we need the oral glucose tolerance test? Diabetes Care. 2002;25:1851-6. [PMID: 12351490].[Abstract/Free Full Text]
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[ABSTRACT][SUMMARY][Full Text]
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