Type 1 diabetes

Cardiovascular risk stratification in an ethnically mixed population with type 1 diabetes mellitus: comparison of the Steno Type 1 Risk Engine with the Scottish-Swedish risk model

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

In this ethnically mixed and predominantly young T1D cohort, both the ST1RE and the Scottish-Swedish models demonstrated good discriminative ability and calibration for 10-year CV risk prediction.

Study context

Population
Adults with T1D and no prior cardiovascular disease (CVD); predominantly young, ethnically diverse; median age 25 years (IQR: 21–32), T1D duration 13 years (IQR: 9–18)
Participants
435 adults
Exposure
Steno Type 1 Risk Engine vs Scottish-Swedish risk model
Outcome
Performance of the models in predicting 10-year CV events:
  • Kaplan-Meier
  • ROC curves
  • Hosmer-Lemeshow test
  • Cohen's kappa
Follow-up
10-year
Methodological detailsrisk model comparison
  • Risk model comparison

Main finding

As reported in the abstract

follow-up 9.2 years

CV events

24 participants

5.5 %

Observational data: associations, not effects.

Further findings

Risk classification: low risk

Risk classification: moderate risk

Risk classification: high risk

Agreement between the models

Moderate agreement between the models, κ
0.550 (95% CI 0.468-0.632)

Original publication

Cardiovascular risk stratification in an ethnically mixed population with type 1 diabetes mellitus: comparison of the Steno Type 1 Risk Engine with the Scottish-Swedish risk model. Diabetes Res Clin Pract. Published 24 July 2025. doi:10.1016/j.diabres.2025.112386

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