10-year Risk Prediction Models of Complications and Mortality of DM in Hong Kong
NCT03299010 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 141516
Last updated 2024-12-12
Summary
Diabetes Mellitus (DM) is a well-recognized public health issue worldwide. DM can lead to many complications resulting in morbidity and mortality, approximately 70% of DM related deaths were attributed to cardiovascular diseases (CVD).
Objectives:
To develop 10-year risk prediction models for CVD, end stage renal disease (ESRD) and all-cause mortality among Chinese patients with DM in primary care.
Hypotheses:
1. Patient socio-demographic, clinical parameters, disease characteristics and treatment modalities are predictive of 10-year risk of CVD, ESRD and all-cause mortality.
2. Risk prediction models developed from this study should have over 70% of discriminating power.
Design and Subjects:
10-year retrospective cohort study. All Chinese patients who were clinically diagnosed to have DM and were receiving care in the public (Hospital Authority) primary care clinics on or before 1 July 2006 will be followed up until 31 December 2016.
Main outcomes measures:
For total CVD, CHD, stroke, heart failure, ESRD, all-cause mortality
1. 10-year incidence;
2. Predictive factors
Data analysis:
Two thirds of subjects will be randomly selected as the training sample for model development. Cox regressions will be used to develop sex-specific 10-year risk prediction models for each outcome. The validity of models will be tested on the remaining one third of subjects by Harrell C statistics and ROC
Expected results:
Risk prediction models will enable accurate risk stratification and cost-effective interventions for Chinese DM patients in primary care.
Conditions
- Diabetes Mellitus
- Cardiovascular Diseases
- Mortality
- Primary Health Care
Sponsors & Collaborators
-
The University of Hong Kong
lead OTHER
Principal Investigators
-
Cindy L.K. Lam · Department of Family Medicine and Primary Care, University of Hong Kong
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-07-01
- Primary Completion
- 2018-12-31
- Completion
- 2019-12-31
Countries
- China
- Hong Kong
Study Locations
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