Incidence, No. (%) | |||||||
---|---|---|---|---|---|---|---|
Events | Opportunistic Targeted Screening | Clinical Diagnosis | P Value | Unadjusted HR (95% CI)a | P Value | Adjusted HR (95% CI)a | P Value |
Primary outcomes | |||||||
Major macrovascular eventb | 34 (9.5) | 21 (10.2) | .78 | 0.84 (0.49-1.44) | .52 | 0.67 (0.36-1.25) | .21 |
CVD death | 16 (4.5) | 4 (1.9) | .16 | 2.10 (0.70-6.28) | .19 | 1.88 (0.41-8.57) | .42 |
Nonfatal MI | 11 (3.1) | 11 (5.3) | .18 | 0.54 (0.23-1.25) | .15 | 0.43 (0.18-1.02) | .06 |
Nonfatal stroke | 10 (2.8) | 9 (4.4) | .32 | 0.57 (0.23-1.40) | .22 | 0.68 (0.23-2.02) | .49 |
Secondary outcomes | |||||||
Microvascular eventb | 54 (17.1) | 24 (15.2) | .59 | 1.04 (0.64-1.68) | .88 | 0.94 (0.55-1.60) | .81 |
Retinopathy | 5 (1.5) | 7 (3.9) | .08 | 0.32 (0.10-1.01) | .05 | 0.75 (0.19-3.08) | .69 |
Neuropathy | 40 (11.5) | 16 (8.3) | .25 | 1.33 (0.74-2.37 ) | .34 | 1.23 ( 0.63 -2.39) | .54 |
Nephropathy | 18 (5.5) | 10 (5.9) | .87 | 0.86 (0.39-1.85) | .69 | 0.93 (0.38-2.24) | .87 |
Any first CVDc | 68 (18.9) | 28 (13.6) | .10 | 1.33 (0.86-2.07) | .21 | 1.03 (0.63-1.67) | .92 |
All-cause death | 31 (8.6) | 22 (10.7) | .42 | 0.73 (0.42-1.26) | .26 | 0.60 (0.31-1.13) | .12 |
Non-CVD death | 15 (4.2) | 18 (8.7) | .03 | 0.43 (0.22-0.85) | .02 | 0.33 (0.15-0.71) | .01 |
CVD = cardiovascular disease; HR = hazard ratio; MI = myocardial infarction.
↵a Hazard ratios with matching P values compare hazards in type 2 diabetes detected by opportunistic targeted screening with those in clinically diagnosed type 2 diabetes, unadjusted and adjusted for age, sex, and the following baseline characteristics: CVD, systolic blood pressure, fasting plasma glucose, and plasma creatinine.
↵b Some patients had multiple events.
↵c Nonfatal MI, nonfatal stroke, heart failure, ischemic heart disease, transient cerebral ischemia, or peripheral arterial disease.