Diabetes complications

Machine Learning Models for Prediction of Diabetic Microvascular Complications

J Diabetes Sci TechnolPublished Systematic review

Authors' conclusion

There is growing global interest in using ML for predicting diabetic microvascular complications. Research on DKD is the most advanced in terms of publication volume and overall prediction performance. Both DR and DN require more research. External validation and adherence to recommended guidelines are crucial.

Study context

Population
Studies of ML/AI models predicting diabetic retinopathy (DR), diabetic kidney disease (DKD) and diabetic neuropathy (DN), PubMed 1990–202374 studies
Outcome
Discrimination (c-statistic) of ML prediction models, all microvascular complications

Pooled result

As reported in the abstract

Internal validation, mean (SD) c-statistic

0.79

0.09

External validation, mean (SD) c-statistic

0.72

0.12

Internally validated ML models

256

Externally validated models

124

Further pooled results

Discrimination of DKD models (c-statistic)

Internal validation
0.81 (0.09)
External validation
0.74 (0.13)
DKD models had the highest discrimination

Determinants of performance and research trends

Rise in ML use since 2010, mainly DKD research, countries
27
Prediction horizon, outcome definitions, number and type of predictors, and ML technique significantly influenced model performance
Few studies externally validated prediction of DN

Original publication

Machine Learning Models for Prediction of Diabetic Microvascular Complications. J Diabetes Sci Technol. Published 8 January 2024. doi:10.1177/19322968231223726

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