Evidence map›Paper›PMID 37706530›Full record

ArticleeLife2023

Prediction of diabetic kidney disease risk using machine learning models: A population-based cohort study of Asian adults.

Charumathi Sabanayagam, Feng He, Simon Nusinovici, Jialiang Li, Cynthia Lim, Gavin Tan, Ching Yu Cheng

Open access · goldAbstract read
In one paragraph

Article in eLife, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
18.1field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 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

7 authors at 3 institutions in 1 country.

Charumathi SabanayagamSingapore Eye Research Institute, Singapore, Singapore.ORCID https://orcid.org/0000-0002-4042-4719
Feng HeSingapore Eye Research Institute, Singapore, Singapore.ORCID https://orcid.org/0000-0002-4717-2243
Simon NusinoviciSingapore Eye Research Institute, Singapore, Singapore.
Jialiang LiDepartment of Statistics and Data Science, National University of Singapore, Singapore, Singapore.
Cynthia LimDepartment of Renal Medicine, Singapore General Hospital, Singapore, Singapore.
Gavin TanSingapore Eye Research Institute, Singapore, Singapore.
Ching Yu ChengSingapore Eye Research Institute, Singapore, Singapore.
Singapore Eye Research Institute · SGNational University of Singapore · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Machine learning (ML) techniques improve disease prediction by identifying the most relevant features in multidimensional data. We compared the accuracy of ML algorithms for predicting incident diabetic kidney disease (DKD). Methods: We utilized longitudinal data from 1365 Chinese, Malay, and Indian participants aged 40-80 y with diabetes but free of DKD who participated in the baseline and 6-year follow-up visit of the Singapore Epidemiology of Eye Diseases Study (2004-2017). Incident DKD (11.9%) was defined as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m Results: ML model Elastic Net (EN) had the best AUC (95% CI) of 0.851 (0.847-0.856), which was 7.0% relatively higher than by LR 0.795 (0.790-0.801). Sensitivity and specificity of EN were 88.2 and 65.9% vs. 73.0 and 72.8% by LR. The top 15 predictors included age, ethnicity, antidiabetic medication, hypertension, diabetic retinopathy, systolic blood pressure, HbA1c, eGFR, and metabolites related to lipids, lipoproteins, fatty acids, and ketone bodies. Conclusions: Our results showed that ML, together with feature selection, improves prediction accuracy of DKD risk in an asymptomatic stable population and identifies novel risk factors, including metabolites. Funding: This study was supported by the National Medical Research Council, NMRC/OFLCG/001/2017 and NMRC/HCSAINV/MOH-001019-00. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Indexed as

Diabetes MellitusDiabetic NephropathiesAdultCohort StudiesGlycated HemoglobinHumansMachine LearningResearch DesignGlycated HemoglobinDKDelastic netepidemiologyGBDTglobal healthincidencemetabolitesnonepredictors

Identifiers

PMID37706530
PMCPMC10531395
OpenAlexW4386725636

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.