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@ARTICLE{Group:277888,
author = {S. W. Group},
collaboration = {the ESC Cardiovascular {Risk Collaboration}},
othercontributors = {L. Pennells and S. Kaptoge and H. B. Østergaard and S. H.
Read and F. Carinci and J. Franch-Nadal and C. Petitjean and
O. Taylor and S. H. J. Hageman and Z. Xu and F. Shi and S.
Spackman and S. Gualdi and N. Holman and R. B. Da
Providencia E Costa and F. Bonnet and H. Brenner$^*$ and R.
F. Gillum and S. Kiechl and D. A. Lawlor and L. Potier and
B. Schöttker$^*$ and R. Sofat and H. Völzke and J. Willeit
and Z. Baltane and S. Fava and S. Janos and A. Lavens and S.
Pildava and T. Poljicanin and I. Pristas and P. Rossing and
R. Sascha and C. Scheidt-Nave and I. Stotl and G. Tibor and
V. Urbančič-Rovan and A.-S. Vanherwegen and D. Vistisen
and Y. Du and M. R. Walker and P. Willeit and B. Ference and
D. De Bacquer and M. Halle and R. Huculeci and J. W. McEvoy
and A. Timmis and P. Vardas and J. A. N. Dorresteijn and I.
Graham and A. Wood and B. Eliasson and W. Herrington and J.
Danesh and D. Mauricio and M. M. Benedetti and N. Sattar and
F. L. J. Visseren and S. Wild and E. Di Angelantonio and B.
Balkau and F. Bonnet and F. Fumeron and H. Stocker and B.
Holleczek and S. Schipf and C. O. Schmidt and M. Dörr and
H. Tilg and C. Leitner and M. Notdurfter and J. Taylor and
C. Dale and D. Prieto-Merino and R. F. Gillum and A. Lavens
and A.-S. Vanherwegen and T. Poljicanin and I. Pristas and
T. Buble and P. Ivanko and P. Rossing and B. Carstensen and
C. Heidemann and Y. Du and C. Scheidt-Nave and T. Gall and
J. Sandor and Z. Baltane and S. Pildava and J. Lepiksone and
C. J. Magri and J. Azzopardi and I. Stotl and J. Real and B.
Vlacho and M. Mata-Cases},
title = {{SCORE}2-{D}iabetes: 10-year cardiovascular risk estimation
in type 2 diabetes in {E}urope.},
journal = {European heart journal},
volume = {44},
number = {28},
issn = {0195-668X},
address = {Oxford},
publisher = {Oxford University Press},
reportid = {DKFZ-2023-01555},
pages = {2544 - 2556},
year = {2023},
abstract = {To develop and validate a recalibrated prediction model
(SCORE2-Diabetes) to estimate the 10-year risk of
cardiovascular disease (CVD) in individuals with type 2
diabetes in Europe.SCORE2-Diabetes was developed by
extending SCORE2 algorithms using individual-participant
data from four large-scale datasets comprising 229 460
participants (43 706 CVD events) with type 2 diabetes and
without previous CVD. Sex-specific competing risk-adjusted
models were used including conventional risk factors (i.e.
age, smoking, systolic blood pressure, total, and
HDL-cholesterol), as well as diabetes-related variables
(i.e. age at diabetes diagnosis, glycated haemoglobin
[HbA1c] and creatinine-based estimated glomerular filtration
rate [eGFR]). Models were recalibrated to CVD incidence in
four European risk regions. External validation included 217
036 further individuals (38 602 CVD events), and showed good
discrimination, and improvement over SCORE2 (C-index change
from 0.009 to 0.031). Regional calibration was satisfactory.
SCORE2-Diabetes risk predictions varied several-fold,
depending on individuals' levels of diabetes-related
factors. For example, in the moderate-risk region, the
estimated 10-year CVD risk was $11\%$ for a 60-year-old man,
non-smoker, with type 2 diabetes, average conventional risk
factors, HbA1c of 50 mmol/mol, eGFR of 90 mL/min/1.73 m2,
and age at diabetes diagnosis of 60 years. By contrast, the
estimated risk was $17\%$ in a similar man, with HbA1c of 70
mmol/mol, eGFR of 60 mL/min/1.73 m2, and age at diabetes
diagnosis of 50 years. For a woman with the same
characteristics, the risk was $8\%$ and $13\%,$
respectively.SCORE2-Diabetes, a new algorithm developed,
calibrated, and validated to predict 10-year risk of CVD in
individuals with type 2 diabetes, enhances identification of
individuals at higher risk of developing CVD across Europe.},
keywords = {Male / Female / Humans / Middle Aged / Diabetes Mellitus,
Type 2: complications / Diabetes Mellitus, Type 2:
epidemiology / Cardiovascular Diseases: epidemiology /
Cardiovascular Diseases: etiology / Risk Factors / Glycated
Hemoglobin / Europe: epidemiology / Heart Disease Risk
Factors / Cardiovascular diseases (Other) / Diabetes (Other)
/ Prediction model (Other) / Glycated Hemoglobin (NLM
Chemicals)},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37247330},
pmc = {pmc:PMC10361012},
doi = {10.1093/eurheartj/ehad260},
url = {https://inrepo02.dkfz.de/record/277888},
}