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Published online May 28, 2008
Diabetes Care 31:1670-1671, 2008
DOI: 10.2337/dc08-0521
© 2008 by the American Diabetes Association
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Cardiovascular and Metabolic Risk
Original Research

Validation of Prediction of Diabetes by the Archimedes Model and Comparison With Other Predicting Models

Michael Stern, MD1, Ken Williams, MS2, David Eddy, MD, PHD3 and Richard Kahn, PHD4

1 Division of Clinical Epidemiology, University of Texas Health Science Center, San Antonio, Texas
2 KenAnCo Biostatistics, San Antonio, Texas
3 Archimedes, Inc., San Francisco, California
4 American Diabetes Association, Alexandria, Virginia

Corresponding author: Richard Kahn, rkahn{at}diabetes.org

OBJECTIVE—To validate the ability of the Archimedes model to accurately predict the risk of developing diabetes in individuals.

RESEARCH DESIGN AND METHODS—Subjects were randomly selected from the San Antonio Heart Study population. The area under the receiver operating characteristic (aROC) curve derived from the Archimedes model was calculated and also compared with the aROCs from two published multiple logistic regression models designed to estimate diabetes risk.

RESULTS—The aROC for the Archimedes model was 0.818 (95% CI 0.739–0.899) compared with aROCs of 0.869 (0.801–0.936) and 0.870 (0.802–0.937) for the two logistic regression models, respectively. Risk estimates from the logistic models were highly correlated with the estimates derived from the Archimedes model.

CONCLUSIONS—The Archimedes model predicts individual diabetes risk with a high level of sensitivity and specificity, comparable with that of models designed specifically for that purpose. Unlike the latter models, Archimedes also predicts the risk of numerous other health outcomes.


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Copyright © 2008 by the American Diabetes Association.