Abstract
Aims: /hypothesis. To determine the best cut-off threshold value of the Finnish Diabetes Risk Score (FIN-DRISC) for the detection of diabetes and non-diabetic hyperglycaemia in people 35 years or older at primary health care settings in Europe. Methods: Cross-sectional study in 11,444 adults from primary health care centres using community and opportunistic screening approaches. All participants completed the FIN-DRISC questionnaire and underwent a 2-hour oral glucose tolerance test (OGTT). The FIN-DRISC performance was assessed by the area under the curve (AUC) using receiver operating characteristics (ROC) analysis. The sensitivity, specificity, Youden acute accent s index, posi-tive and negative prediction values for different FINDRISC cut-offs were calculated. Results: The optimal FINDRISC value for detecting both diabetes or glucose impairment in the community -screened sample was 14 point with the associated AUC 0.75,5 (95 %CI 0.73,7-0.77,3). The optimal score in the opportunistic screening sample was 16 with the associated AUC only 0.60,4 (95% CI 0.56, 4-0.64, 4). Conclusions/interpretation: The FINDRISC is a non-invasive tool useful for detecting people with unknown diabetes and glucose impairment in people visiting primary health centres in Europe. (c) 2021 Elsevier B.V. All rights reserved.