Evidence map›Paper›PMID 36857368›Full record

ArticlePloS one2023

Predicting the development of T1D and identifying its Key Performance Indicators in children; a case-control study in Saudi Arabia.

Ahood Alazwari, Alice Johnstone, Laleh Tafakori, Mali Abdollahian, Ahmed M AlEidan, Khalid Alfuhigi, Mazen M Alghofialy, Abdulhameed A Albunyan, Hawra Al Abbad, Maryam H AlEssa and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

12 authors at 4 institutions in 2 countries.

Ahood AlazwariSchool of Science, RMIT University, Melbourne, Victoria, Australia.ORCID 0000-0002-3791-2340
Alice JohnstoneSchool of Science, RMIT University, Melbourne, Victoria, Australia.
Laleh TafakoriSchool of Science, RMIT University, Melbourne, Victoria, Australia.
Mali AbdollahianSchool of Science, RMIT University, Melbourne, Victoria, Australia.
Ahmed M AlEidanKing Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
Khalid AlfuhigiKing Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
Mazen M AlghofialyKing Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
Abdulhameed A AlbunyanMaternal and Children Hospital, Al-Ahsa, Saudi Arabia.
Hawra Al AbbadMaternal and Children Hospital, Al-Ahsa, Saudi Arabia.
Maryam H AlEssaMaternal and Children Hospital, Al-Ahsa, Saudi Arabia.
Abdulaziz K H AlareefyKing Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
Mohammad A AlshamraniKing Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
King Fahd Medical City · SAMaternity and Children's Hospital · SARMIT University · AUAl Baha University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing incidence of type 1 diabetes (T1D) in children is a growing global concern. It is known that genetic and environmental factors contribute to childhood T1D. An optimal model to predict the development of T1D in children using Key Performance Indicators (KPIs) would aid medical practitioners in developing intervention plans. This paper for the first time has built a model to predict the risk of developing T1D and identify its significant KPIs in children aged (0-14) in Saudi Arabia. Machine learning methods, namely Logistic Regression, Random Forest, Support Vector Machine, Naive Bayes, and Artificial Neural Network have been utilised and compared for their relative performance. Analyses were performed in a population-based case-control study from three Saudi Arabian regions. The dataset (n = 1,142) contained demographic and socioeconomic status, genetic and disease history, nutrition history, obstetric history, and maternal characteristics. The comparison between case and control groups showed that most children (cases = 68% and controls = 88%) are from urban areas, 69% (cases) and 66% (control) were delivered after a full-term pregnancy and 31% of cases group were delivered by caesarean, which was higher than the controls (χ2 = 4.12, P-value = 0.042). Models were built using all available environmental and family history factors. The efficacy of models was evaluated using Area Under the Curve, Sensitivity, F Score and Precision. Full logistic regression outperformed other models with Accuracy = 0.77, Sensitivity, F Score and Precision of 0.70, and AUC = 0.83. The most significant KPIs were early exposure to cow's milk (OR = 2.92, P = 0.000), birth weight >4 Kg (OR = 3.11, P = 0.007), residency(rural) (OR = 3.74, P = 0.000), family history (first and second degree), and maternal age >25 years. The results presented here can assist healthcare providers in collecting and monitoring influential KPIs and developing intervention strategies to reduce the childhood T1D incidence rate in Saudi Arabia.

Indexed as

Diabetes Mellitus, Type 1AnimalsBayes TheoremBirth WeightCase-Control StudiesCattleFemalePregnancySaudi Arabia

Identifiers

PMID36857368
PMCPMC9977054
OpenAlexW4322719639

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.