Evidence map›Paper›PMID 36977687›Full record

ArticleScientific reports2023

Development and validation of a risk prediction model for diabetic retinopathy in type 2 diabetic patients.

Chengjun Zhu, Jiaxi Zhu, Lei Wang, Shizheng Xiong, Yijian Zou, Jing Huang, Huimin Xie, Wenye Zhang, Huiqun Wu, Yun Liu

Open access · goldFull text read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

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

  1. Pooled it
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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

10 authors at 2 institutions in 1 country.

Chengjun Zhu *Department of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Jiaxi Zhu *Department of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Lei WangDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Shizheng XiongDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Yijian ZouDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Jing HuangDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Huimin XieDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Wenye ZhangDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China.
Huiqun WuDepartment of Medical Informatics, Medical School of Nantong University, Nantong, 226001, Jiangsu, China. wuhuiqun@ntu.edu.cn.
Yun LiuDepartment of Information, The First Affiliated Hospital, Nanjing Medical University, No.300 Guang Zhou Road, Nanjing, 210029, Jiangsu, China. liuyun@njmu.edu.cn.
Nantong University · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To establish a risk prediction model and make individualized assessment for the susceptible diabetic retinopathy (DR) population in type 2 diabetic mellitus (T2DM) patients. According to the retrieval strategy, inclusion and exclusion criteria, the relevant meta-analyses on DR risk factors were searched and evaluated. The pooled odds ratio (OR) or relative risk (RR) of each risk factor was obtained and calculated for β coefficients using logistic regression (LR) model. Besides, an electronic patient-reported outcome questionnaire was developed and 60 cases of DR and non-DR T2DM patients were investigated to validate the developed model. Receiver operating characteristic curve (ROC) was drawn to verify the prediction accuracy of the model. After retrieving, eight meta-analyses with a total of 15,654 cases and 12 risk factors associated with the onset of DR in T2DM, including weight loss surgery, myopia, lipid-lowing drugs, intensive glucose control, course of T2DM, glycated hemoglobin (HbA1c), fasting plasma glucose, hypertension, gender, insulin treatment, residence, and smoking were included for LR modeling. These factors, followed by the respective β coefficient was bariatric surgery (- 0.942), myopia (- 0.357), lipid-lowering drug follow-up < 3y (- 0.994), lipid-lowering drug follow-up > 3y (- 0.223), course of T2DM (0.174), HbA1c (0.372), fasting plasma glucose (0.223), insulin therapy (0.688), rural residence (0.199), smoking (- 0.083), hypertension (0.405), male (0.548), intensive glycemic control (- 0.400) with constant term α (- 0.949) in the constructed model. The area under receiver operating characteristic curve (AUC) of the model in the external validation was 0.912. An application was presented as an example of use. In conclusion, the risk prediction model of DR is developed, which makes individualized assessment for the susceptible DR population feasible and needs to be further verified with large sample size application.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyHypertensionBlood GlucoseGlycated HemoglobinHumansInsulinLipidsMaleRisk FactorsBlood GlucoseGlycated HemoglobinInsulinLipids

Identifiers

PMID36977687
PMCPMC10049996
OpenAlexW4361221403

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LicenceCC BY
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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.