Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (36)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by MELTON, L. J.
Right arrow Articles by CHU, C.-P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MELTON, L. J., III
Right arrow Articles by CHU, C.-P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

American Journal of Epidemiology Vol. 117, No. 5: 559-565
Copyright © 1983 by The Johns Hopkins University School of Hygiene and Public Health

research-article

IMPACT OF RECENT CHANGES IN DIAGNOSTIC CRITERIA ON THE APPARENT NATURAL HISTORY OF DIABETES MELLITUS

L. JOSEPH MELTON, III1, PASQUALE J. PALUMBO2, MARK S. DWYER3 and CHU-PIN CHU1

1Department of Medical Statistics and Epidemiology, Mayo Clinic Rochester, MN 55905. (Reprint requests to Dr. Melton.)
2Division of Endocrinology, Department of Internal Medicine Mayo Clinic
3Mayo Medical School Rochester, MN

The effect of changing from the original to the new National Diabetes Data Group diagnostic criteria for diabetes mellitus was to delete 16.5% of the original diabetes incidence cohort described among Rochester, Minnesota, residents In 1945–1969, to shift the clinical spectrum at diagnosis toward more severe disease, to reduce relative survival, and to increase the risk of developing macro- or microvascular complications. The changes in apparent natural history were unexpectedly modest in magnitude, however, and should have little practical effect on comparisons of diabetes prognosis under the two different sets of diagnostic criteria.

classification; diabetes mellitus; diagnosis; prognosis


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Diabetes CareHome page
C. L. Leibson, J. P. Burke, J. E. Ransom, J. Forsgren, J. Melton III, K. R. Bailey, and P. J. Palumbo
Relative Risk of Mortality Associated With Diabetes as a Function of Birth Weight
Diabetes Care, December 1, 2005; 28(12): 2839 - 2843.
[Abstract] [Full Text] [PDF]

Home page
 Arch Intern MedHome page
R. J. Thomas, P. J. Palumbo, L. J. Melton III, V. L. Roger, J. Ransom, P. C. O'Brien, and C. L. Leibson
Trends in the Mortality Burden Associated With Diabetes Mellitus: A Population-Based Study in Rochester, Minn, 1970-1994
Arch Intern Med, February 24, 2003; 163(4): 445 - 451.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
S. E. Greenway, F. L. Greenway III, and S. Klein
Effects of Obesity Surgery on Non-Insulin-Dependent Diabetes Mellitus
Arch Surg, October 1, 2002; 137(10): 1109 - 1117.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
T. Y. Goraya, C. L. Leibson, P. J. Palumbo, S. A. Weston, J. M. Killian, E. A. Pfeifer, S. J. Jacobsen, R. L. Frye, and V.e. L. Roger
Coronary atherosclerosis in diabetes mellitus: A population-based autopsy study
J. Am. Coll. Cardiol., September 4, 2002; 40(5): 946 - 953.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.