Type 1 diabetes

Polygenic Scores Help Reduce Racial Disparities in Predictive Accuracy of Automated Type 1 Diabetes Classification Algorithms

Diabetes CarePublished Diagnostic accuracy study

Performance · Misclassification (incorrect T1D diagnosis) by automated algorithm, self-reported non-White vs WhiteResult — go to the resultOdds ratio 3.45 95% CI 1.54–7.69

Authors' conclusion

Automated phenotyping algorithms may exacerbate health disparities because of an increased risk of misclassification of individuals from underrepresented populations. Polygenic scores may be used to improve the performance of phenotyping algorithms and potentially reduce this disparity.

Study context

Population
Individuals identified with T1D by an automated algorithm in two hospital-based biobanks (Mass General Brigham [MGB] and BioMe)
Comparison
Automated T1D classification algorithm before vs after incorporating polygenic scores
Outcome
Misclassification (incorrect T1D diagnosis) by automated algorithm, self-reported non-White vs White
Methodological detailstwo hospital-based biobanks, medical record review validation
  • Two hospital-based biobanks
  • Medical record review validation

Performance

As reported in the abstract

Odds ratio

3.45

95% CI 1.54–7.69

P = 0.0026

Self-reported non-Whitevs Self-reported White
OR 3.45 (95% CI 1.54–7.69); P = 0.0026

Further findings

OutcomeAlgorithmAlgorithm + polygenic scores
PPV of T1D algorithm, self-reported White, MGB Biobank
PPV7097%
PPV of T1D algorithm, self-reported non-White, MGB Biobank
PPV53100%

PPV in BioMe

Similar results were found in BioMe

Original publication

Polygenic Scores Help Reduce Racial Disparities in Predictive Accuracy of Automated Type 1 Diabetes Classification Algorithms. Diabetes Care. Published 6 February 2023. doi:10.2337/dc22-1833

Composed by AI from the published abstract and checked against it. How Briefs are made →

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