Evidence map›Paper›PMID 41821021›Full record

ArticleBMC endocrine disorders2026

Development and validation of a multidimensional indicator-based risk prediction model for gestational diabetes mellitus: a nested case-control study.

Jiajia Chen, Shanshan Yin, Shuling Wang, Shu Li, Ru Feng, Xianqi Wang, Xiao Hao, Xia Zhang, Qing Zhang, Guijuan Zhang and 1 more

Abstract readValidation Study
In one paragraph

Article in BMC endocrine disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Jiajia Chen *Obstetrics and Gynecology, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, 450014, China.
Shanshan Yin *Research Department, Henan Academy of Innovations in Medical Science, Zhengzhou, 451162, China.
Shuling WangObstetrics and Gynecology, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, 450014, China.
Shu LiObstetrics and Gynecology, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, 450014, China.
Ru FengObstetrics and Gynecology, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, 450014, China.
Xianqi WangObstetrics and Gynecology, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, 450014, China.
Xiao HaoObstetrics, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China.
Xia ZhangObstetrics, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China.
Qing ZhangObstetrics and Gynecology, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. 15303711023@163.com.
Guijuan ZhangObstetrics, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China. 524263094@qq.com.
Linlin HuaClinical Nutrition, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China. hualinlin@zzu.edu.cn.

Funding

Henan Medical Science and Technology Research and Development Program LHGJ20220451Henan Medical Science and Technology Research and Development Program LHGJ20220515Henan Medical Science and Technology Research and Development Program LHGJ20240319Henan Province Youth Health Science and Technology Innovation Talent Training Project YXKC2022051National Natural Science Foundation of China 82404282
6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) could contribute to significant health risks in both mothers and their offspring. Therefore, this study aims to construct a prediction model to identify women at elevated risk for GDM in early pregnancy.

methodsMethods: This study was a nested case-control study. 346 participants were randomly allocated to the training set (n = 242) and the validation set (n = 104) at a ratio of 7:3. The least absolute shrinkage and selection operator (LASSO) regression was applied to select the most significant factors among candidate variables. A GDM risk prediction model was further established based on the risk factors chosen by the LASSO. The model’s calibration, discrimination, and clinical use were assessed using the calibration analysis, area under the receiver operating characteristic (ROC) curve and decision curve analysis (DCA). Finally, the model was presented with a nomogram.

resultsIn the training set, a simple GDM risk prediction model was developed by using family history of diabetes, pre-pregnancy body mass index (BMI), progesterone, aspartate transaminase (AST), activated partial thromboplastin time (APTT), and triglyceride to high-density lipoprotein cholesterol (TG/HDL-C). Among them, family history of diabetes, higher pre-pregnancy BMI, progesterone, AST, and TG/HDL-C levels were associated with increased GDM risk, while higher APTT level was associated with decreased GDM risk. The calibration curve indicated satisfactory accuracy. The ROC curve demonstrated excellent discrimination, with the area under the curve (AUC) of 0.85 (95% confidence interval [CI], 0.80–0.91) and 0.73 (95%CI, 0.62–0.83) for the training and validation set, respectively. The DCA curve demonstrated high net benefit. Furthermore, internal validation with excellent performance demonstrated the generalizability of the model.

conclusionsThe present study developed a model with excellent performance for predicting GDM. Furthermore, a nomogram was constructed to visualize the model. Therefore, this model can serve as an effective GDM prediction tool.

Indexed as

BiomarkersDiabetes, GestationalNomogramsAdultBody Mass IndexCase-Control StudiesFemaleFollow-Up StudiesHumansPrediction AlgorithmsPregnancyPrognosisRisk AssessmentRisk FactorsROC CurveBiomarkersAUCDCAGDMLASSONomogramPrediction model

Identifiers

PMID41821021
PMCPMC13094065

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.