Evidence map›Paper›PMID 39289474›Full record

ArticleNPJ digital medicine2024

A drug mix and dose decision algorithm for individualized type 2 diabetes management.

Mila Nambiar, Yong Mong Bee, Yu En Chan, Ivan Ho Mien, Feri Guretno, David Carmody, Phong Ching Lee, Sing Yi Chia, Nur Nasyitah Mohamed Salim, Pavitra Krishnaswamy

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Review
  3. Article
  4. Review
  5. Article
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.

Mila NambiarInstitute for Infocomm Research, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0001-9445-6516
Yong Mong BeeDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore. bee.yong.mong@singhealth.com.sg.ORCID http://orcid.org/0000-0002-5482-2646
Yu En ChanInstitute for Infocomm Research, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Ivan Ho MienInstitute for Infocomm Research, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Feri GuretnoInstitute for Infocomm Research, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
David CarmodyDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore.
Phong Ching LeeDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore.
Sing Yi ChiaHealth Services Research Unit, Singapore General Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0002-7591-3141
Nur Nasyitah Mohamed SalimHealth Services Research Unit, Singapore General Hospital, Singapore, Singapore.
Pavitra KrishnaswamyInstitute for Infocomm Research, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore. pavitrak@i2r.a-star.edu.sg.ORCID http://orcid.org/0000-0001-5893-4306

Funding

Agency for Science, Technology and Research (A*STAR) H19/01/a0/023 - Diabetes Clinic of the Future
6 · The paper itself

Abstract

Pharmacotherapy guidelines for type 2 diabetes (T2D) emphasize patient-centered care, but applying this approach effectively in outpatient practice remains challenging. Data-driven treatment optimization approaches could enhance individualized T2D management, but current approaches cannot account for drug-specific and dose-dependent variations in safety and efficacy. We developed and evaluated an AI Drug mix and dose Advisor (AIDA) for glycemic management, using electronic medical records from 107,854 T2D patients in the SingHealth Diabetes Registry. Given a patient's medical profile, AIDA leverages a predict-then-optimize approach to identify the minimal drug mix and dose changes required to optimize glycemic control, subject to clinical knowledge-based guidelines. On unseen data from large internal, external, and temporal validation sets, AIDA recommendations were estimated to improve post-visit glycated hemoglobin (HbA

Identifiers

PMID39289474
PMCPMC11408718

What OpenQuestion holds

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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.