Impact of recent changes in diagnostic criteria on the apparent natural history of diabetes mellitus

L. J. Melton, P. J. Palumbo, M. S. Dwyer, Pin Chu Chu Pin Chu

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)559-565
Number of pages7
JournalAmerican Journal of Epidemiology
Volume117
Issue number5
StatePublished - 1983

ASJC Scopus subject areas

  • Epidemiology
  • Geriatrics and Gerontology

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    Melton, L. J., Palumbo, P. J., Dwyer, M. S., & Chu Pin Chu, P. C. (1983). Impact of recent changes in diagnostic criteria on the apparent natural history of diabetes mellitus. American Journal of Epidemiology, 117(5), 559-565.