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Third Place: AMSA Australia: Diabetes Down Under: Using AUSDRISK to combat Obesity and Type 2 Diabetes Mellitus A Systematic Review.

Background: Globally, Type 2 Diabetes Mellitus (T2DM) represents the largest disease burden arising from chronic illness and the incidence is rapidly increasing. Complications of T2DM include ischaemic heart disease, cerebrovascular events, autonomic neuropathy, diabetic retinopathy and nephropathy. To address this, the focus of management has been shifted from treatment to prevention, mainly by addressing the modifiable lifestyle risk factors of T2DM such as obesity. The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) is a 10-item questionnaire developed by the Australian Government to stratify individuals into low, medium and high-risk of developing T2DM. This primary health prevention strategy allows subsequent targeted interventions to reduce the incidence of T2DM.

Objectives: This systematic review investigates the validity of AUSDRISK as a screening tool for T2DM, identifies its strengths and limitations, and develops recommendations for future research directions.

Methods: A comprehensive literature search for relevant articles was conducted on The Cochrane library, MEDLINE, Embase, PubMed and Scopus databases. Initial search identified 125 studies, which were screened for duplicates and subjected to our inclusion and exclusion criteria. 6 final studies were selected, comprising of 1 cohort study, 1 cost-effective analysis and 4 cross-sectional studies.

Key Findings: AUSDRISK is comparable in its ability to identify high-risk individuals when compared against traditional blood glucose tests. Different cut-off scores should be used depending on baseline demographic information of the community being screened. It is most sensitive, specific and cost-effective when high-risk individuals are followed up with blood glucose tests, especially but not limited to HbA1c.

Recommendations: Follow-up interventions should be arranged for high-risk individuals identified with AUSDRISK, focussing on lifestyle modification programs.

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Monash University: Australia

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Title Annotation:Australian Medical Students' Association, Australian Type 2 Diabetes Risk Assessment Tool
Author:Xiao, S.; Lim, H.Z.; Chong, M.Y.; Lee, I.; Xu, Y.; Ng, A.; Wong, J.
Publication:Journal of Asian Medical Student Association
Article Type:Author abstract
Geographic Code:8AUST
Date:Feb 1, 2020
Previous Article:First Place: AMSA Hong Kong: Gender-specific association between excessive daytime sleepiness and glycemic control in patients with type 2 diabetes.
Next Article:First Place: AMSA Hong Kong: Combating a rising incidence of young-onset type 2 diabetes in Hong Kong: Current picture and future directions.

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