Evidence map›Paper›PMID 38374450›Full record

ArticleDiabetologia2024

An omics-based machine learning approach to predict diabetes progression: a RHAPSODY study.

Roderick C Slieker, Magnus Münch, Louise A Donnelly, Gerard A Bouland, Iulian Dragan, Dmitry Kuznetsov, Petra J M Elders, Guy A Rutter, Mark Ibberson, Ewan R Pearson and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2024. 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
4.4field-weighted citation impact, top 6% 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, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
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

13 authors at 7 institutions in 5 countries.

Roderick C SliekerDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-0961-9152
Magnus MünchDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-9659-2044
Louise A DonnellyPopulation Health & Genomics, School of Medicine, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0003-4902-1040
Gerard A BoulandDepartment of Cell and Chemical Biology, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0002-4311-8725
Iulian DraganVital-IT Group, SIB Swiss Institute of Bioinformatics, Lausanne, Switzerland.
Dmitry KuznetsovVital-IT Group, SIB Swiss Institute of Bioinformatics, Lausanne, Switzerland.
Petra J M EldersAmsterdam Public Health, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-5907-7219
Guy A RutterCRCHUM, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.ORCID http://orcid.org/0000-0001-6360-0343
Mark IbbersonVital-IT Group, SIB Swiss Institute of Bioinformatics, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-3152-5670
Ewan R PearsonPopulation Health & Genomics, School of Medicine, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0001-9237-8585
Leen M 't HartDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-4401-2938
Mark A van de WielDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-4780-8472
Joline W J BeulensDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands. j.beulens@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-4181-0937
Leiden University Medical Center · NLSIB Swiss Institute of Bioinformatics · CHGGD Amsterdam · NLUniversity of Dundee · GBAmsterdam University Medical Centers · NLNanyang Technological University · SGUniversity Medical Center Utrecht · NL

Funding

IMI-RHAPSODY 115881Medical Research Council MR/R022259/1
6 · The paper itself

Abstract

aims/hypothesisPeople with type 2 diabetes are heterogeneous in their disease trajectory, with some progressing more quickly to insulin initiation than others. Although classical biomarkers such as age, HbA

methodsIn two prospective cohort studies as part of IMI-RHAPSODY, we investigated whether clinical variables and three types of molecular markers (metabolites, lipids, proteins) can predict time to insulin requirement using different machine learning approaches (lasso, ridge, GRridge, random forest). Clinical variables included age, sex, HbA

resultsOf the 585 individuals from the Hoorn Diabetes Care System (DCS) cohort, 69 required insulin during follow-up (1.0-11.4 years); of the 571 individuals in the Genetics of Diabetes Audit and Research in Tayside Scotland (GoDARTS) cohort, 175 required insulin during follow-up (0.3-11.8 years). Overall, the clinical variables and proteins were selected in the different models most often, followed by the metabolites. The most frequently selected clinical variables were HbA CONCLUSIONS/

interpretationUsing machine learning approaches, we show that insulin requirement risk can be modestly well predicted by predominantly clinical variables. Inclusion of molecular markers improves the prognostic performance beyond that of clinical variables by up to 5%. Such prognostic models could be useful for identifying people with diabetes at high risk of progressing quickly to treatment intensification. DATA AVAILABILITY: Summary statistics of lipidomic, proteomic and metabolomic data are available from a Shiny dashboard at https://rhapdata-app.vital-it.ch .

Indexed as

Diabetes Mellitus, Type 2BiomarkersCholesterolC-PeptideHumansInsulinMachine LearningProspective StudiesProteomicsBiomarkersCholesterolC-PeptideInsulinMachine learningPrediction modelProgressionType 2 diabetes

Identifiers

PMID38374450
PMCPMC10954972
OpenAlexW4391924905

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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.