DISH as a marker for incident diabetes mellitus in cardiovascular disease patients

Rheumatology (Oxford)Published Prospective cohort study

Main finding · Incident T2DMResult — go to the resultIncidence rate ratio 1.47 95% CI 1.03–2.06

Authors' conclusion

DISH is associated with higher rates of incident T2DM in cardiovascular disease patients, independent of accepted risk markers.

Study context

Population
CVD patients without diabetes
Participants
3,395 patients
Exposure
DISH vs no DISH
  • DISHn = 263
Outcome
Incident T2DM
Methodological detailsSecond Manifestation of ARTerial disease cohort, multivariate analyses
  • Second Manifestation of ARTerial disease cohort
  • Multivariate analyses

Main finding

As reported in the abstract

median follow-up 11.1 years (IQR: 7.1-15.2)

Incidence rate ratio

1.47

95% CI 1.03–2.06

By group

DISHvs No-DISH
IRR 1.47 (95% CI 1.03–2.06)
Patients who developed T2DM
317

Observational data: associations, not effects.

Further findings

OutcomeIRR (95% CI)
Incident T2DM, DISH with most extensive ossificationDISH (most extensive ossification)vs No-DISH2.01 (1.15–3.29)

Number needed to screen for T2DM over 11.1 years · median 11.1 years

Screen-detected DISH
7
Overweight
8
Obesity
5
Hypertension
9
Hyperlipidaemia
13

Original publication

DISH as a marker for incident diabetes mellitus in cardiovascular disease patients. Rheumatology (Oxford). Published 27 May 2025. doi:10.1093/rheumatology/keaf268

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