Evidence map›Paper›PMID 35655800›Full record

ArticleFrontiers in endocrinology2022

Using Machine Learning Techniques to Develop Risk Prediction Models for the Risk of Incident Diabetic Retinopathy Among Patients With Type 2 Diabetes Mellitus: A Cohort Study.

Yuedong Zhao, Xinyu Li, Shen Li, Mengxing Dong, Han Yu, Mengxian Zhang, Weidao Chen, Peihua Li, Qing Yu, Xuhan Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
6.2field-weighted citation impact, top 3% of its field
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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  19. Artificial intelligence in individualized retinal disease management.International journal of ophthalmology · 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

11 authors at 3 institutions in 2 countries.

Yuedong ZhaoDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Xinyu LiDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Shen LiDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Mengxing DongInfervision Institute of Research, Beijing, China.
Han YuGraduate School of Art and Science, Yale University, New Haven, CT, United States.
Mengxian ZhangDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Weidao ChenInfervision Institute of Research, Beijing, China.
Peihua LiDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Qing YuDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Xuhan LiuDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Zhengnan GaoDepartment of Endocrinology, Dalian Municipal Central Hospital, Dalian, China.
Dalian Municipal Central Hospital · CNInferVision (China) · CNYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To construct and validate prediction models for the risk of diabetic retinopathy (DR) in patients with type 2 diabetes mellitus. Methods: Patients with type 2 diabetes mellitus hospitalized over the period between January 2010 and September 2018 were retrospectively collected. Eighteen baseline demographic and clinical characteristics were used as predictors to train five machine-learning models. The model that showed favorable predictive efficacy was evaluated at annual follow-ups. Multi-point data of the patients in the test set were utilized to further evaluate the model's performance. We also assessed the relative prognostic importance of the selected risk factors for DR outcomes. Results: Of 7943 collected patients, 1692 (21.30%) developed DR during follow-up. Among the five models, the XGBoost model achieved the highest predictive performance with an AUC, accuracy, sensitivity, and specificity of 0.803, 88.9%, 74.0%, and 81.1%, respectively. The XGBoost model's AUCs in the different follow-up periods were 0.834 to 0.966. In addition to the classical risk factors of DR, serum uric acid (SUA), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), estimated glomerular filtration rate (eGFR), and triglyceride (TG) were also identified to be important and strong predictors for the disease. Compared with the clinical diagnosis method of DR, the XGBoost model achieved an average of 2.895 years prior to the first diagnosis. Conclusion: The proposed model achieved high performance in predicting the risk of DR among patients with type 2 diabetes mellitus at each time point. This study established the potential of the XGBoost model to facilitate clinicians in identifying high-risk patients and making type 2 diabetes management-related decisions.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyCholesterol, LDLCohort StudiesHumansMachine LearningRetrospective StudiesUric AcidCholesterol, LDLUric Acidcohort studydiabetic retinopathymachine learningtype 2 diabetes mellitusXGBoost model

Identifiers

PMID35655800
PMCPMC9152028
OpenAlexW4280491884

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.