Evidence map›Paper›PMID 42095182›Full record

ArticleFrontiers in endocrinology2026

Machine learning screening of risk factors for diabetic microvascular complications and construction of a gradient boosting decision tree predictive model.

Min Xiao, Yuhao Fu, Yan Li, Qian Liu, Xianyi Qiao, Hongjin Zhang, Xingxing Zhu, Jiajia Wang

Abstract read
In one paragraph

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Min Xiao *Department of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Yuhao Fu *College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yan Li *Department of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Qian LiuDepartment of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Xianyi QiaoDepartment of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Hongjin ZhangDepartment of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Xingxing ZhuDepartment of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.
Jiajia WangDepartment of Laboratory Medicine, Sichuan Provincial People's Hospital Chuandong Hospital and Dazhou First People's Hospital, Dazhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To develop a machine learning-based classification model to aid in the early diagnosis of diabetic microvascular complications. Methods: This study analyzed clinical and laboratory data from 1,498 patients, categorized into two groups: diabetes alone and diabetes with microvascular complications. Independent risk factors for complications were identified through intergroup comparison, collinearity analysis, and logistic regression. Nine machine learning models were subsequently developed and compared. A comprehensive evaluation of the binary classification performance of the Gradient Boosting Decision Tree (GBDT) model was performed. Results: Urea, fibrinogen (FIB), prothrombin time (PT), D-dimer (DD), creatine kinase MB isoenzyme (CKMB), lipoprotein(a) (Lpa), activated partial thromboplastin time (APTT), triglycerides (TG), and cholinesterase (CHE) were identified as independent risk factors for diabetic microvascular complications. Among the nine predictive models constructed, the GBDT model demonstrated superior performance across multiple metrics, including the area under the receiver operating characteristic curve (AUC) and sensitivity, indicating strong generalization ability on the validation set. Further evaluation confirmed its consistent and robust predictive performance across training, validation, and test datasets. Calibration curve analysis showed good agreement between predicted probabilities and actual outcomes. Decision curve analysis demonstrated the model's clinical utility, and the Kolmogorov-Smirnov (KS) curve indicated excellent discriminatory power. Conclusion: The GBDT model, constructed based on the identified risk factors, exhibits outstanding predictive performance and promising application potential. It provides important theoretical support and a practical tool for the early identification and targeted intervention of diabetic microvascular complications.

Indexed as

Decision TreesDiabetic AngiopathiesMachine LearningBoosting Machine Learning AlgorithmsClassification AlgorithmsFemaleHumansMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsRisk Factorsdiabetic microvascular complicationsgradient boosting decision treemachine learningpredictive modelrisk factors

Identifiers

PMID42095182
PMCPMC13139028

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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.