PMID- 21074286 OWN - NLM STAT- MEDLINE DCOM- 20110505 LR - 20220311 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 91 IP - 1 DP - 2011 Jan TI - Use of the UKPDS Outcomes Model to predict all-cause mortality in U.S. adults with type 2 diabetes mellitus: comparison of predicted versus observed mortality. PG - 121-6 LID - 10.1016/j.diabres.2010.10.011 [doi] AB - AIMS: The applicability of the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model is unknown in populations with type 2 diabetes mellitus (T2DM) outside the United Kingdom. We compared all-cause mortality predicted from the UKPDS model with observed mortality among T2DM subjects in the U.S. METHODS: we studied participants with T2DM from the National Health and Nutrition Examination Survey 1988-1994 with characteristics comparable to the UKPDS cohort. The 10-year observed all-cause mortality was compared to the UKPDS model-predicted mortality. The Lifetable method was used to estimate the probability of mortality for 10 years following diagnosis. RESULTS: among 156 subjects with characteristics comparable to the UKPDS cohort, mean age was 49.6 years, age at T2DM diagnosis was 47.1 years, and T2DM duration averaged 2.6 years, with follow-up for 10.4 years. The UKPDS model-predicted 10-year mortality was 15.7%, similar to the observed mortality of 14.2%. Corresponding 10-year predicted versus observed mortality was 32.7% versus 32.4% including subjects >age 65, 17.0% versus 19.3% including individuals with pre-existing CVD, and 31.1% versus 20.9% including individuals with diabetes duration >/= 6 years. CONCLUSION: all-cause mortality predicted by the UKPDS model was comparable to observed mortality in U.S. NHANES participants with characteristics similar to the UKPDS. CI - 2010 Elsevier Ireland Ltd. All rights reserved. FAU - Song, May AU - Song M AD - Heart Disease Prevention Program, Division of Cardiology, Department of Medicine, University of California, Irvine, CA, USA. FAU - Alexander, Charles M AU - Alexander CM FAU - Mavros, Panagiotis AU - Mavros P FAU - Lopez, Victor A AU - Lopez VA FAU - Malik, Shaista AU - Malik S FAU - Phatak, Hemant M AU - Phatak HM FAU - Wong, Nathan D AU - Wong ND LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101111 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - Adolescent MH - Adult MH - Cardiovascular Diseases/complications/mortality MH - Cohort Studies MH - Computer Simulation MH - Diabetes Complications/*mortality MH - Diabetes Mellitus, Type 2/*mortality MH - Humans MH - Male MH - Middle Aged MH - Models, Statistical MH - *Mortality MH - Nutrition Surveys MH - Treatment Outcome MH - United Kingdom MH - United States MH - Young Adult EDAT- 2010/11/16 06:00 MHDA- 2011/05/06 06:00 CRDT- 2010/11/16 06:00 PHST- 2010/05/07 00:00 [received] PHST- 2010/09/30 00:00 [revised] PHST- 2010/10/11 00:00 [accepted] PHST- 2010/11/16 06:00 [entrez] PHST- 2010/11/16 06:00 [pubmed] PHST- 2011/05/06 06:00 [medline] AID - S0168-8227(10)00522-X [pii] AID - 10.1016/j.diabres.2010.10.011 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2011 Jan;91(1):121-6. doi: 10.1016/j.diabres.2010.10.011. Epub 2010 Nov 11.