Evidence map›Paper›PMID 33580109›Full record

ArticleNPJ digital medicine2021

Predicting adverse outcomes due to diabetes complications with machine learning using administrative health data.

Mathieu Ravaut, Hamed Sadeghi, Kin Kwan Leung, Maksims Volkovs, Kathy Kornas, Vinyas Harish, Tristan Watson, Gary F Lewis, Alanna Weisman, Tomi Poutanen and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05144672 (Irisin Level in Patients With Diabetic Nephropathy), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05144672 unknown statusnot on this mapstarted 2022, after this paper: background citation

Irisin Level in Patients With Diabetic Nephropathy

TypeobservationalSponsorAssiut UniversityRan2022 to 2023Enrolled90ConditionsIrisinArmsLaboratory tests, Anthropometric measurements, Electrocardiogram and Fundus examination, Estimated glomerular filtration rate (eGFR), Brachial index
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Review
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  6. Identification of Patient Clusters with Distinct Disease Progression Patterns Utilizing a Nationwide Finnish Population with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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  11. Comorbidities, Utilization, and Quality of Care as Predictors of Diabetes Complications.Journal of the American Board of Family Medicine : JABFM · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mathieu RavautLayer 6 AI, Toronto, ON, Canada.
Hamed SadeghiLayer 6 AI, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-9715-1635
Kin Kwan LeungLayer 6 AI, Toronto, ON, Canada.
Maksims VolkovsLayer 6 AI, Toronto, ON, Canada.
Kathy KornasDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Vinyas HarishDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-6364-2439
Tristan WatsonDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-8257-4216
Gary F LewisDepartment of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Alanna WeismanLunenfeld-Tanenbaum Research Institute, Mt. Sinai Hospital, Toronto, ON, Canada.
Tomi PoutanenLayer 6 AI, Toronto, ON, Canada.
Laura RosellaDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. laura.rosella@utoronto.ca.ORCID http://orcid.org/0000-0003-4867-869X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Across jurisdictions, government and health insurance providers hold a large amount of data from patient interactions with the healthcare system. We aimed to develop a machine learning-based model for predicting adverse outcomes due to diabetes complications using administrative health data from the single-payer health system in Ontario, Canada. A Gradient Boosting Decision Tree model was trained on data from 1,029,366 patients, validated on 272,864 patients, and tested on 265,406 patients. Discrimination was assessed using the AUC statistic and calibration was assessed visually using calibration plots overall and across population subgroups. Our model predicting three-year risk of adverse outcomes due to diabetes complications (hyper/hypoglycemia, tissue infection, retinopathy, cardiovascular events, amputation) included 700 features from multiple diverse data sources and had strong discrimination (average test AUC = 77.7, range 77.7-77.9). Through the design and validation of a high-performance model to predict diabetes complications adverse outcomes at the population level, we demonstrate the potential of machine learning and administrative health data to inform health planning and healthcare resource allocation for diabetes management.

Identifiers

PMID33580109
PMCPMC7881135

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.