Table 2.
Positive detection rates by screening eligibility criteria, weighted national estimates
| %Eligible | %Positive | NNS | Cost per 1 positive test | Positive tests, n | Potentially missed cases, n | % Positive tests missed | |
|---|---|---|---|---|---|---|---|
| Age ≥18 years | |||||||
| Universal screening | 100% | 5.0% | 20 | $91.11 | 9,598,214 | ||
| ADA guideline | 80% | 6.0% | 17 | $75.47 | 9,292,119 | 306,095 | 3.2% |
| USPSTF guideline | 26% | 7.4% | 14 | $61.36 | 3,717,445 | 5,880,770 | 61.3% |
| Age ≥35 years | |||||||
| Universal screening | 100% | 6.8% | 15 | $66.37 | 9,075,042 | ||
| ADA guideline | 91% | 7.3% | 14 | $62.10 | 8,868,586 | 206,455 | 2.3% |
| USPSTF guideline | 34% | 8.0% | 12 | $56.58 | 3,566,877 | 5,508,164 | 60.7% |
| Age 18–34 years | |||||||
| Universal screening | 100% | 0.9% | 115 | $520.27 | 523,173 | ||
| ADA guideline | 55% | 1.3% | 78 | $355.42 | 423,533 | 99,640 | 19.0% |
| USPSTF guideline | 10% | 2.6% | 38 | $174.54 | 150,567 | 372,606 | 71.2% |
| Age 35–44 years | |||||||
| Universal screening | 100% | 3.6% | 28 | $127.07 | 1,374,725 | ||
| ADA guideline | 71% | 4.3% | 23 | $105.42 | 1,168,270 | 206,455 | 15.0% |
| USPSTF guideline | 25% | 6.8% | 15 | $67.13 | 662,145 | 712,580 | 51.8% |
| Age ≥45 years | |||||||
| Universal screening | 100% | 8.2% | 12 | $55.53 | 7,700,317 | ||
| ADA guideline | 100% | 8.2% | 12 | $55.53 | 7,700,317 | ||
| USPSTF guideline | 37% | 8.4% | 12 | $54.17 | 2,904,732 | 4,795,585 | 62.3% |
ADA, American Diabetes Association; NNS, number needed to screen; USPSTF, U.S. Preventive Services Task Force