{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T21:35:24Z","timestamp":1768253724988,"version":"3.49.0"},"reference-count":35,"publisher":"Korean Association of Internal Medicine","issue":"1","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["kjim.org"],"crossmark-restriction":true},"short-container-title":["Korean J Intern Med"],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:p>Background\/Aims: The Korean Diabetes Association (KDA) guidelines recommend adults aged \u2265 40 years and adults aged \u2265 30 years with diabetes risk factors for diabetes screening. This study aimed to determine the age threshold for diabetes screening in Korean adults.Methods: This study was based on the analyses of Korean adults aged \u2265 20 years using the Korea National Health and Nutrition Examination Survey (KNHANES) and the National Health Insurance Service-National Sample Cohort (NHIS-NSC). To evaluate screening effectiveness, we calculated the number needed to screen (NNS).Results: NNS to detect diabetes decreased from 63 to 34 in the KNHANES and from 71 to 42 in the NHIS-NSC between the ages of 30\u201334 and 35\u201339. When universal screening was applied to adults aged \u2265 35, the NNS was similar to that of adults aged \u2265 40. Compared to the KDA guidelines, the rate of missed screening positive in adults aged \u2265 20 decreased from 4.0% to 0.2% when the newly suggested screening criteria were applied.Conclusions: Universal screening for adults aged \u2265 35 and selective screening for adults aged 20 to 34, considering diabetes risk factors, may be appropriate for detecting prediabetes and diabetes in South Korea.<\/jats:p>","DOI":"10.3904\/kjim.2022.283","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T01:55:04Z","timestamp":1669254904000},"page":"93-100","update-policy":"https:\/\/doi.org\/10.3904\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes"],"prefix":"10.3904","volume":"38","author":[{"given":"Kyoung Hwa","family":"Ha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung Ae","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung-Do","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Kyong","family":"Moon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1025-2044","authenticated-orcid":true,"given":"Dae Jung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2270","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109119"},{"key":"ref2","volume-title":"","year":"2022"},{"key":"ref3","volume-title":"","year":"2022"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2020.0254"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1517\/13543784.11.9.1205"},{"key":"ref6","first-page":"404","volume-title":"Impact of diabetes on cardiovascular disease risk and allcause mortality in older men: influence of age at onset, diabetes duration, and established and novel risk factors","author":"Wannamethee","year":"2011"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-014-3369-7"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.260.19.2864"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.15.7.815"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.7.1129"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2021.0156"},{"key":"ref12","volume-title":"","year":"2007"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2021.0236"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt228"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyv319"},{"key":"ref16","volume-title":"","year":"2021"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.7570\/jomes21022"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.12997\/jla.2021.10.2.202"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7154.307"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.05.012"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.12531"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-s002"},{"key":"ref23","first-page":"1038","volume-title":"Diabetes Screening in Canada (DIASCAN) Study: prevalence of undiagnosed diabetes and glucose intolerance in family physician offices","author":"Leiter","year":"2001"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2017.10.004"},{"key":"ref25","first-page":"137","volume-title":"Clinical characteristics of people with newly diagnosed type 2 diabetes between 2015 and 2016: difference by age and body mass index","author":"Ha","year":"2018"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2022.0106"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/s2213-8587(17)30186-9"},{"key":"ref28","volume-title":"Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: An Evidence Review for the U. 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