Gestational diabetes & diabetes in pregnancy

Development and validation of a multivariable genotype-informed gestational diabetes prediction algorithm for clinical use in the Mexican population: insights into susceptibility mechanisms

BMJ Open Diabetes Res CarePublished Prediction model development and validation study

Authors' conclusion

We developed a predictive model using both genetic and clinical factors to identify Mexican women at risk of developing GDM. These findings may contribute to a greater understanding of metabolic functions that underlie elevated GDM risk and support personalized patient recommendations.

Study context

Population
Pregnant Mexican women; Gestational diabetes mellitus (GDM) diagnosed by 2-hour 75 g oral glucose tolerance test (OGTT) at 24–28 gestational weeks
Outcome
Discrimination of GDM prediction model combining SNPs and clinical variables
Methodological detailsgenotype-informed, external validation, 10-fold cross-validation, 114 single-nucleotide polymorphisms (SNPs) with reported predictive power evaluated, Cuido mi Embarazo (CME) cohort split 70% training, 30% testing
  • Genotype-informed
  • External validation
  • 10-fold cross-validation
  • 114 SNPs with reported predictive power evaluated
  • CME cohort split 70% training, 30% testing

Performance

As reported in the abstract

GDM prediction model (11 SNPs + 4 clinical variables) performance
Test or modelAUC (further validation)
HMPMPS0.8001

HMPMPS

AUC (further validation)0.8001
AUC of training dataset on further validation
0.8256

Further findings

OutcomeCMEHMPMPS
Further validation AUC
AUC (training dataset)0.8256— not stated in the abstract
AUC— not stated in the abstract0.8001

— not stated in the abstract

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Development and validation of a multivariable genotype-informed gestational diabetes prediction algorithm for clinical use in the Mexican population: insights into susceptibility mechanisms. BMJ Open Diabetes Res Care. Published 21 April 2023. doi:10.1136/bmjdrc-2022-003046

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