Evidence map›Paper›PMID 42216430›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2026

Application of construction and validation of logistic regression model in risk prediction of non-proliferative diabetic retinopathy in type 2 diabetes mellitus.

Jiaoyan Zhang, Xiaodong Cao, Xin Yu, Minfeng Jiang, Tianhua Xie, Yangningzhi Wang, Zhengyuan Tang

Abstract readValidation Study
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jiaoyan ZhangWuxi Medical Center, Ophthalmology Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Xiaodong CaoWuxi Medical Center, Nursing Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Xin YuWuxi Medical Center, Surgical Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Minfeng JiangWuxi Medical Center, Ophthalmology Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Tianhua XieWuxi Medical Center, Ophthalmology Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Yangningzhi WangWuxi Medical Center, Ophthalmology Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Zhengyuan TangWuxi Medical Center, Deanery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.ORCID https://orcid.org/0009-0002-4161-9187

Funding

Youth Project of Wuxi Nursing Association Q202301
6 · The paper itself

Abstract

aimsDiabetic retinopathy (DR) is a leading cause of vision impairment in type 2 diabetes mellitus (T2DM), with non-proliferative DR (NPDR) representing its most prevalent form. Early identification of high-risk individuals remains challenging due to the complexity and poor interpretability of existing machine learning models. This study aims to develop a clinically interpretable Logistic regression model for NPDR risk prediction using routinely available clinical indicators.

methodsA retrospective cohort of 421 T2DM patients from a single centre was divided into training (n = 295) and validation (n = 126) sets. Demographic, glycemic (fasting glucose, HbA1c), renal (UACR) and ophthalmologic (macular oedema) data were collected. Univariate and multivariate Logistic regression with stepwise selection identified independent predictors. Model performance was evaluated using area under the ROC curve (AUC), sensitivity, specificity and Hosmer-Lemeshow goodness-of-fit. Internal validation was performed via bootstrapping (1000 replicates), and external validation used an independent cohort.

resultsFour independent predictors were identified: macular oedema (OR = 3.247), fasting glucose (OR = 2.194), HbA1c (OR = 2.799) and UACR (OR = 1.153). The model demonstrated excellent discrimination in the training set (AUC = 0.949, sensitivity = 86.4%, specificity = 95.5%) and good calibration (H-L test, p = 0.358). Bootstrap validation confirmed stability of HbA1c and UACR. External validation yielded an AUC of 0.918, with a positive predictive value of 91.1% and maintained calibration (p = 0.282).

conclusionsThe constructed Logistic regression model accurately predicts NPDR risk using four readily available clinical variables, offering high discriminative power, interpretability and clinical utility for stratifying high-risk T2DM patients in primary care settings.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyAgedBlood GlucoseFemaleGlycated HemoglobinHumansLogistic ModelsMacular EdemaMaleMiddle AgedPrediction AlgorithmsRetrospective StudiesRisk AssessmentRisk FactorsROC CurveBlood GlucoseGlycated HemoglobinHosmer–Lemeshow fittinglogistic regression modelnon‐proliferative diabetic retinopathyROC curvetype 2 diabetes mellitus

Identifiers

PMID42216430
PMCPMC13380384

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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.