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Table 1 Performance of the original risk prediction models and the recalibrated models based on diagnosis by FPG and HbA1c

From: HbA1c comparable to fasting glucose in the external validation of the African Diabetes Risk Score and other established risk prediction models in Black South Africans

 

ADRS

Simplified FINDRISC

ADA

IRS

T2D Diagnosed by FPG

Sample Size

n = 720 (100 cases)

n = 727 (101 cases)

n = 420 (49 cases)

n = 423 (49 cases)

Performance

Original

Recalibrated

Original

Recalibrated

Original

Recalibrated

Original

Recalibrated

E/O [95% CI]

0.15 [0.12–0.18]

1.01 [0.83–1.23]

0.24 [0.20–0.30]

0.96 [0.79–1.17]

6.40 [5.27–7.78]

2.76 [2.27–3.35]

0.70 [0.57–0.85]

0.90 [0.74–1.09]

Brier score

0.13

0.11

0.13

0.12

0.67

0.19

0.10

0.10

Yates slope

0.02

0.11

0.02

0.08

0.11

0.27

0.05

0.07

C-statistic [95% CI]

0.77 [0.73–0.82]

-

0.69 [0.63–0.74]

-

0.75 [0.69–0.81]

-

0.74 [0.67–0.81]

-

Optimal threshold

0.01

0.08

0.02

0.09

0.92

0.21

0.11

0.15

Sensitivity

87.0

-

70.0

-

88.0

-

67.0

-

Specificity

55.0

-

66.0

-

51.0

-

71.0

-

T2D Diagnosed by HbA1c

Sample Size

n = 815 (215 cases)

n = 822 (218 cases)

n = 477 (124 cases)

n = 480 (125 cases)

Performance

Original

Recalibrated

Original

Recalibrated

Original

Recalibrated

Original

Recalibrated

E/O [95% CI]

0.08 [0.07–0.09]

0.84 [0.73–0.95]

0.13 [0.11–0.15]

0.81 [0.71–0.92]

3.35 [2.94–3.83]

1.93 [1.69–2.20]

0.37 [0.32–0.42]

0.96 [0.84–1.09]

Brier score

0.25

0.16

0.24

0.17

0.55

0.23

0.20

0.16

Yates slope

0.02

0.18

0.04

0.17

0.11

0.31

0.06

0.14

C-statistic [95% CI]

0.79 [0.75–0.82]

-

0.77 [0.73–0.80]

-

0.78 [0.73–0.82]

-

0.79 [0.75–0.83]

-

Optimal threshold

0.01

0.17

0.02

0.16

0.92

0.38

0.08

0.24

Sensitivity

80.0

-

74.0

-

89.0

-

78.0

-

Specificity

64.0

-

71.0

-

55.0

-

73.0

-

  1. FPG – fasting plasma glucose; HbA1c – glycated haemoglobin; E/O – expected/observed
  2. Sample sizes differ for each risk prediction model, as participants with missing data were excluded per model