a simple diabetes vascular severity staging instrument and its application to a torres strait islander and aboriginal adult cohort of north australia一个简单的糖尿病血管严重程度分期仪器及其应用和托雷斯海峡岛民北澳大利亚土著成人群体.pdfVIP

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a simple diabetes vascular severity staging instrument and its application to a torres strait islander and aboriginal adult cohort of north australia一个简单的糖尿病血管严重程度分期仪器及其应用和托雷斯海峡岛民北澳大利亚土著成人群体.pdf

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a simple diabetes vascular severity staging instrument and its application to a torres strait islander and aboriginal adult cohort of north australia一个简单的糖尿病血管严重程度分期仪器及其应用和托雷斯海峡岛民北澳大利亚土著成人群体

Gibson et al. BMC Health Services Research 2012, 12:185 /1472-6963/12/185 RESEARCH ARTICLE Open Access A simple diabetes vascular severity staging instrument and its application to a Torres Strait Islander and Aboriginal adult cohort of north Australia Odette R Gibson1*, Leonie Segal1 and Robyn A McDermott2 Abstract Background: To develop an instrument that predicts diabetes-related vascular disease severity using routinely collected data on Australian Aboriginal and Torres Strait Islander adults with type 2 diabetes, in the absence of diabetes duration. Methods: A complex diabetes severity classification system was simplified and adapted for use with an Australian Aboriginal and Torres Strait Islander adult population with type 2 diabetes in north Queensland. Detailed vascular health risks and morbidities were mapped to routinely collected measures. Individual–level health screening, hospital separation and mortality data were linked and used to plot mean monthly in-patient hospital cost and percent mortality by disease severity as defined by the newly developed instrument, to test construct validity. Results: The revised instrument consists of four combined diabetes-related microvascular and macrovascular stages that range from least severe (stage 1) to severe irreversible vascular impairment (stage 4). When applied to data of an Aboriginal and Torres Strait Islander Australian population the instrument showed good construct validity, predicting higher hospital cost and mortality as vascular disease severity increased. Conclusions: This instrument discriminates between levels of diabetes-related vascular disease severity, displays good construct validity by predicting increased hospital cost and mortality with worsening severity and can be populated with routinely collected data. It may assist with future he