Type 2 & other diabetes

Distribution and determinants of coronary artery calcium score in asymptomatic patients with Type-2 diabetes: The French-CAC100 score

Diabetes Res Clin PractPublished Risk score derivation and validation study

Authors' conclusion

Regardless of the geographic area, patients with T2D share similar risk factors for high CACS. The French-CAC100 score allows the identification of those at higher risk of elevated CACS.

Study context

Population
Asymptomatic cardiovascular disease (CVD)-free patients with T2D with coronary artery calcium score (CACS) measured in three centres (two in continental France, one in Reunion Island)
Participants
796 patients3 centres
Comparison
French-CAC100 score in continental France vs Reunion Island
Outcome
Prediction of CACS ≥ 100 by a derived risk score
Methodological detailsmulticentre, derivation in continental France, validation in Reunion Island
  • Multicentre
  • Derivation in continental France, validation in Reunion Island

Performance

As reported in the abstract

AUC of French-CAC100 score for CACS ≥ 100

French-CAC100 score < 10: NPV for CACS ≥ 100

90%

French-CAC100 score < 10: NPV for CACS ≥ 400

97%

French-CAC100 score < 10: CT-scans avoided

58%

Further findings

CACS distributions similar in continental France and Reunion Island

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Distribution and determinants of coronary artery calcium score in asymptomatic patients with Type-2 diabetes: The French-CAC100 score. Diabetes Res Clin Pract. Published 11 August 2023. doi:10.1016/j.diabres.2023.110871

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