Type 2 & other diabetes

Determinants of serious health outcome‐free status in middle‐aged and older people with dysglycaemia: Exploratory analysis of the Outcomes Reduction with an Initial Glargine Intervention (ORIGIN) trial

Diabetes Obes MetabPublished Secondary analysis of the ORIGIN randomised trial

Authors' conclusion

A set of routinely measured clinical characteristics and seven protein biomarkers identify middle-aged and older people with prediabetes or early type 2 diabetes as least likely to experience serious outcomes during follow-up.

Study context

Population
Middle-aged and older adults with prediabetes and early T2D from 40 countriesbiomarker subset 8401
Participants
12,537 participants
Primary endpoint
Serious outcome-free status: absence of major cardiovascular outcomes, kidney or retinal outcomes, peripheral artery disease, dementia, cancer, any hospitalization, or death
Follow-up
Median 6.2 years (IQR 5.8, 6.7)
Methodological detailsexploratory analysis
  • Exploratory analysis

Primary result

As reported in the abstract

Remained free of serious outcomes

Participants who remained free of serious outcomes

3328

26.6%

Clinical determinants plus biomarkers: C-statistic

0.71

95% CI 0.70–0.73

Clinical determinants plus biomarkers: net reclassification improvement

0.55

95% CI 0.48–0.58

Original publication

Determinants of serious health outcome‐free status in middle‐aged and older people with dysglycaemia: Exploratory analysis of the ORIGIN trial. Diabetes Obes Metab. Published 15 May 2024. doi:10.1111/dom.15654

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