Brown J B, Russell A, Chan W, Pedula K, Aickin M
Center for Health Research, 3800 N. Interstate Avenue, Portland, OR 97227-1110, USA.
Diabetes Res Clin Pract. 2000 Nov;50 Suppl 3:S15-46. doi: 10.1016/s0168-8227(00)00215-1.
The attributes of Release 3.0 of the user friendly version (UFV) of the global diabetes model (GDM) are described and documented in detail. The GDM is a continuous, stochastic microsimulation model of type 2 diabetes. Suitable for predicting the medical futures of both individuals with diabetes and representative diabetic populations, the GDM predicts medical events (complications of diabetes), survival, utilities, and medical care costs. Incidence rate functions for microvascular and macrovascular complications are based on a combination of published studies and analyses of data describing diabetic members of Kaiser Permanente Northwest Region, a non-profit group-model health maintenance organization. Active risk factors include average blood glucose (HbAlc), systolic blood pressure (SBP), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglycerides, smoking status, and use of prophylactic aspirin. Events predicted include diabetic eye disease, diabetic nephropathy, peripheral neuropathy amputation, myocardial infarction, stroke, peripheral artery disease, congestive heart failure, coronary artery surgery, coronary angioplasty, and death.
全球糖尿病模型(GDM)用户友好版本(UFV)3.0的属性已得到详细描述和记录。GDM是一个关于2型糖尿病的连续随机微观模拟模型。该模型适用于预测糖尿病个体和具有代表性的糖尿病群体的医疗未来,可预测医疗事件(糖尿病并发症)、生存率、效用和医疗费用。微血管和大血管并发症的发病率函数基于已发表研究以及对非营利性团体模式健康维护组织西北凯撒医疗集团糖尿病成员数据的分析。活跃风险因素包括平均血糖(糖化血红蛋白)、收缩压、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、甘油三酯、吸烟状况以及预防性阿司匹林的使用。预测的事件包括糖尿病眼病、糖尿病肾病、外周神经病变截肢、心肌梗死、中风、外周动脉疾病、充血性心力衰竭、冠状动脉手术、冠状动脉血管成形术以及死亡。