Evidence map›Paper›PMID 34551816›Full record

ArticleArchives of public health = Archives belges de sante publique2021

Use of artificial intelligence for public health surveillance: a case study to develop a machine Learning-algorithm to estimate the incidence of diabetes mellitus in France.

Romana Haneef, Sofiane Kab, Rok Hrzic, Sonsoles Fuentes, Sandrine Fosse-Edorh, Emmanuel Cosson, Anne Gallay

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
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  3. Identifying diseases in claims data using a machine learning approach - a case from Switzerland.Archives of public health = Archives belges de sante publique · 2025
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  11. Unsupervised algorithms to identify potential under-coding of secondary diagnoses in hospitalisations databases in Portugal.Health information management : journal of the Health Information Management Association of Australia · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Romana HaneefDepartment of Non-Communicable Diseases and Injuries, Santé Publique France, 12 rue du Val d'Onse, 94415, Saint-Maurice, France. Romana.HANEEF@santepubliquefrance.fr.ORCID http://orcid.org/0000-0001-7741-0268
Sofiane Kab *Population-Based Epidemiological Cohorts Unit, INSERM UMS 011, Villejuif, France.
Rok Hrzic *Department of International Health, Care and Public Health Research Institute - CAPHRI, University of Maastricht University, Maastricht, The Netherlands.
Sonsoles FuentesDepartment of Non-Communicable Diseases and Injuries, Santé Publique France, 12 rue du Val d'Onse, 94415, Saint-Maurice, France.
Sandrine Fosse-EdorhDepartment of Non-Communicable Diseases and Injuries, Santé Publique France, 12 rue du Val d'Onse, 94415, Saint-Maurice, France.
Emmanuel CossonDepartment of Endocrinology-Diabetology-Nutrition, AP-HP, Avicenne Hospital, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, CINFO, Bobigny, France.
Anne GallayDepartment of Non-Communicable Diseases and Injuries, Santé Publique France, 12 rue du Val d'Onse, 94415, Saint-Maurice, France.

Funding

European Commission 801553 / InfAct
6 · The paper itself

Abstract

backgroundThe use of machine learning techniques is increasing in healthcare which allows to estimate and predict health outcomes from large administrative data sets more efficiently. The main objective of this study was to develop a generic machine learning (ML) algorithm to estimate the incidence of diabetes based on the number of reimbursements over the last 2 years.

methodsWe selected a final data set from a population-based epidemiological cohort (i.e., CONSTANCES) linked with French National Health Database (i.e., SNDS). To develop this algorithm, we adopted a supervised ML approach. Following steps were performed: i. selection of final data set, ii. target definition, iii. Coding variables for a given window of time, iv. split final data into training and test data sets, v. variables selection, vi. training model, vii. Validation of model with test data set and viii. Selection of the model. We used the area under the receiver operating characteristic curve (AUC) to select the best algorithm.

resultsThe final data set used to develop the algorithm included 44,659 participants from CONSTANCES. Out of 3468 variables from SNDS linked to CONSTANCES cohort were coded, 23 variables were selected to train different algorithms. The final algorithm to estimate the incidence of diabetes was a Linear Discriminant Analysis model based on number of reimbursements of selected variables related to biological tests, drugs, medical acts and hospitalization without a procedure over the last 2 years. This algorithm has a sensitivity of 62%, a specificity of 67% and an accuracy of 67% [95% CI: 0.66-0.68].

conclusionsSupervised ML is an innovative tool for the development of new methods to exploit large health administrative databases. In context of InfAct project, we have developed and applied the first time a generic ML-algorithm to estimate the incidence of diabetes for public health surveillance. The ML-algorithm we have developed, has a moderate performance. The next step is to apply this algorithm on SNDS to estimate the incidence of type 2 diabetes cases. More research is needed to apply various MLTs to estimate the incidence of various health conditions.

Indexed as

Artificial intelligenceDiabetes mellitusElectronic health records and public health surveillanceHealth indicatorIncidenceMachine learning techniqueSupervise learning

Identifiers

PMID34551816
PMCPMC8456679

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.