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Thus, we investigated the performance of FINDRISC and recalibrated it in the Hungarian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>8\u2010year follow\u2010up data for incident type 2 diabetes was ascertained from the reimbursement database of Hungary for 2059 diabetes\u2010free participants of a voluntary survey (2011\u20132013). Incident diabetes was based on repeated prescription of antidiabetic medications. Discrimination of the original and the recalibrated (multiple logistic regression) FINDRISC was compared using ROC analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      279 (13.6%) incident diabetes cases were found. Age, waist circumference, antihypertensive treatment, and history of elevated blood glucose were independent predictors of incident diabetes. Re\u2010estimating the weights improved discrimination ([AUC]: 0.68 [95% CI 0.65\u20130.71] vs. original: 0.66 [95% CI 0.63\u20130.69],\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02). Even after the omission of variables non\u2010independent predictors of diabetes, the AUC remained better than the original score and similar to the reweighted score (AUC: 0.68 [95% CI 0.65\u20130.71] vs. original\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.04 vs. reweighted model\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.83). Discrimination was worse for those\u00a0\u2265\u00a065\u00a0years versus younger people.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Validation and recalibration are important steps before using the FINDRISC in a population different from the derivation cohort. Omission of some variables (physical activity, fruit and vegetable consumption, and family history of diabetes) that are not readily available did not significantly worsen the performance of the model. FINDRISC may not be a good predictor of incident diabetes in older populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70105","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:35:01Z","timestamp":1763001301000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validation of the Finnish Diabetes Risk Score (FINDRISC) in a Central\u2010European Population for the Prediction of Cumulative Incidence of Type 2 Diabetes Over 8\u2010Years\u2014Follow\u2010Up of the Budakal\u00e1sz Health Examination Survey (BHES)"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8120-2322","authenticated-orcid":false,"given":"Zsolt","family":"Bagyura","sequence":"first","affiliation":[{"name":"Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loretta Zsuzsa","family":"Kiss","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8688-4278","authenticated-orcid":false,"given":"Istv\u00e1n","family":"Panyk\u00f3","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Oncology Semmelweis University Faculty of Medicine  Budapest Hungary"},{"name":"K\u00e1roly R\u00e1cz Conservative Medicine Division Doctoral College Semmelweis University  Budapest Hungary"},{"name":"Department of Gynaecology and Obstetrics Kom\u00e1rom\u2010Esztergom County Szent Borb\u00e1la Hospital  Tatab\u00e1nya Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrix Annam\u00e1ria","family":"Domj\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Oncology Semmelweis University Faculty of Medicine  Budapest Hungary"},{"name":"K\u00e1roly R\u00e1cz Conservative Medicine Division Doctoral College Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e1l","family":"So\u00f3s","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Szelid","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la","family":"Merkely","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1d\u00e1m Gyula","family":"Tab\u00e1k","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Oncology Semmelweis University Faculty of Medicine  Budapest Hungary"},{"name":"Institute of Preventive Medicine and Public Health Semmelweis University Faculty of Medicine  Budapest Hungary"},{"name":"UCL Brain Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2021.05.013"},{"key":"e_1_2_13_3_1","volume-title":"International Diabetes Federation I","year":"2021"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2024.111834"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(12)60283\u20109"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.122.059430"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxq019"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010010\u20101990\u20107"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269853"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2020.02.008"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/jmdh.s398455"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1556\/oh.2014.29969"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2017.05.007"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2008.07.022"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6712a2"},{"key":"e_1_2_13_16_1","volume-title":"E. 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