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Dermatology

July 2011

Research

AUSDRISK

Application in general practice

Volume 40, No.7, July 2011 Pages 524-526

AUSDRISKKam Cheong Wong MBBS, BE, MSc, FRACGP, is a medical educator and Director of Prevocational Education & Training, Beyond Medical Education, Clinical Senior Lecturer, University of Sydney, Conjoint Lecturer, University of Western Sydney and a general practitioner, Bathurst, New South Wales.

Anthony M Brown MBBS, MPH, FAFPHM, FAFOEM, is Associate Dean and Head, School of Rural Health, The University of Sydney, Dubbo, New South Wales

Stephen CH Li MBBS, MSc, MPH, MBA, MAACB, AFRACMA, AFAIM, FRCPA, FHKSCC, is Cluster Director, Core Pathology and Clinical Chemistry, Pathology West, New South Wales Health.

Background

The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) has been promoted since July 2008. We studied its application rate and the profile of a sample of general practice patients within Central West New South Wales from June to December 2010.

Methods

Stage one assessed the awareness and application of AUSDRISK among general practitioners and general practice registrars. In stage two, the doctors used AUSDRISK and appropriate blood tests to screen patients aged 25–74 years who had not been previously diagnosed with diabetes.

Results

Seventy-eight doctors (response rate 45.1%) completed the survey. A total of 68.2% of general practice registrars and 23.2% of GPs were aware of AUSDRISK. Among the respondents 14.1% (95% CI: 6–22%) applied AUSDRISK in their usual practice, and 39.1% (95% CI: 31–47%) of the 151 patients had high AUSDRISK scores ≥15.

Discussion

Two years after the launch of AUSDRISK, the application rate of AUSDRISK is low. In this patient population, many patients had high AUSDRISK scores.

The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) identifies patients at high risk of developing type 2 diabetes and consists of 10 items which assess risk factors: age, gender, country of birth, family history of diabetes, history of high blood glucose, hypertension, smoking status, fruit and vegetable intake, physical activity levels and waist circumference. Potential scores range from 0–38 and relate to the probability of developing diabetes within the next 5 years.1,2

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Correspondence afp@racgp.org.au

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Topics

Endocrinology Preventive medicine & risk factors

Type

Research