Evidence map›Paper›PMID 37969206›Full record

ArticleAmerican journal of translational research2023

Construction and clinical validation of a nomogram-based predictive model for diabetic retinopathy in type 2 diabetes.

Yonghong Liu, Zhaoling Zhou, Zhiyong Wang, Huan Yang, Feifei Zhang, Qinhu Wang

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Exploration of a Multimodal Machine Learning Model Integrating Ultrasound and Clinical Indicators for the Diagnosis of Diabetic Peripheral Neuropathy.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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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

6 authors at 2 institutions in 1 country.

Yonghong LiuDepartment of Ophthalmology, Gansu Provincial Hospital of TCM No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China.
Zhaoling ZhouDepartment of Electrocardiogram, Gansu Provincial Hospital of TCM No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China.
Zhiyong WangTrauma Disease Diagnosis and Treatment Center, Gansu Provincial Hospital of TCM No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China.
Huan YangDepartment of Endocrinology, The Third People's Hospital of Gansu Province No. 763 Duanjiatan Road, Chengguan District, Lanzhou 730020, Gansu, China.
Feifei ZhangDepartment of Endocrinology, The Third People's Hospital of Gansu Province No. 763 Duanjiatan Road, Chengguan District, Lanzhou 730020, Gansu, China.
Qinhu WangDepartment of Endocrinology, The Third People's Hospital of Gansu Province No. 763 Duanjiatan Road, Chengguan District, Lanzhou 730020, Gansu, China.
Gansu Provincial Hospital · CNGansu Provincial Hospital of TCM · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to identify risk factors for diabetic retinopathy (DR) in patients with type 2 diabetes mellitus (T2DM) and construct a nomogram prediction model for DR.

methodsT2DM patients (n = 520) who underwent funduscopic examinations from June 2020 to June 2022 were included. Of these patients, 220 had DR, yielding a disease rate of 40.38%. Patients were divided into a training set (n = 364) and a validation set (n = 156) at a 7:3 ratio. Feature variables were selected using LASSO regression, random forests, and decision trees. Venn diagrams identified common DR feature variables. The prediction model's validity was assessed using the C-index, decision curve analysis (DCA), receiver operating characteristic (ROC) curves, and calibration curves.

resultsFactors influencing DR were age, Diabetic Peripheral Neuropathy (DPN), Hemoglobin A1C (HbA1C) levels, High-Density Lipoprotein (HDL) cholesterol, Low-Density Lipoprotein (LDL) cholesterol, Neutrophil-to-Lymphocyte Ratio (NLR), Triglycerides (TG), Blood Urea Nitrogen (BUN), and disease duration. Univariate analysis excluded LDL as being unrelated to DR. The DR prediction model, constructed using the remaining eight variables, showed internal validation metrics with a C-index of 0.937, area under the ROC curve (AUC) of 0.773, and DCA net benefit of 11%-95%. The external validation metrics demonstrated a C-index of 0.916, AUC of 0.735, and DCA net benefit of 17%-93%. Calibration curves indicated high consistency.

conclusionThis study developed a nomogram prediction model to assess the risk of DR in patients with T2DM. The model demonstrated high precision through internal validation.

Indexed as

diabetic retinopathyLASSOnomogrampredictive modelrisk factorsType 2 diabetes mellitus

Identifiers

PMID37969206
PMCPMC10641351
OpenAlexW4388737317

What OpenQuestion holds

Textmetadata
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.