Type 2 & other diabetes

Updating and calibrating the Real‐World Progression In Diabetes (RAPIDS) model in a non‐Veterans Affairs population

Diabetes Obes MetabPublished Model development and validation study

Authors' conclusion

The RAPIDS 2.0 model demonstrated valid long-term predictions of outcomes in individuals with T2DM in the United States as a function of dynamic sequences of treatment use patterns. This highlights its potential to project long-term comparative effectiveness between alternative sequences of glucose-lowering treatment uses in the United States.

Study context

Population
Individuals with T2D, electronic medical records (EMR) data 2008–2021 from a national network of US healthcare organizations; mean age 61 years, 50% women
Outcome
Prediction of long-term trajectories in hold-out validation sample
Follow-up
Followed for 17.5 quarters (range: 3-50)
Methodological detailsprobabilistic simulation model, Least Absolute Shrinkage and Selection Operator (LASSO)-based regularization, EMR-based calibration and hold-out validation
  • Probabilistic simulation model
  • LASSO-based regularization
  • EMR-based calibration and hold-out validation

Performance

As reported in the abstract

  • RAPIDS 2.0 accurately predicted long-term trajectories of all nine biomarkers and nine outcomes

Further findings

Prediction accuracy in subgroups

Similar accuracies in each of the 14 subgroups studied

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

Original publication

Updating and calibrating the Real‐World Progression In Diabetes (RAPIDS) model in a non‐Veterans Affairs population. Diabetes Obes Metab. Published 2 September 2024. doi:10.1111/dom.15878

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