Evidence mapPaperPMID 36314086Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Data Mining Framework for Discovering and Clustering Phenotypes of Atypical Diabetes.

Hemang M Parikh, Cassandra L Remedios, Christiane S Hampe, Ashok Balasubramanyam, Susan P Fisher-Hoch, Ye Ji Choi, Sanjeet Patel, Joseph B McCormick, Maria J Redondo, Jeffrey P Krischer

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. TACCO: Task-guided Co-clustering of Clinical Concepts and Patient Visits for Disease Subtyping based on EHR Data.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Data Mining Framework for Discovering and Clustering Phenotypes of Atypical Diabetes.The Journal of clinical endocrinology and metabolism · 2023
    Article
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

10 authors.

Hemang M ParikhHealth Informatics Institute, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.ORCID 0000-0002-9076-6709
Cassandra L RemediosHealth Informatics Institute, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.ORCID 0000-0002-3915-5339
Christiane S HampeDepartment of Medicine, University of Washington, Seattle, WA 98195, USA.
Ashok BalasubramanyamDivision of Diabetes, Endocrinology and Metabolism, Baylor College of Medicine, Houston, TX 77030, USA.ORCID 0000-0003-2093-5201
Susan P Fisher-HochThe University of Texas Health Science Center at Houston School of Public Health, Brownsville Regional Campus, Brownsville, TX 78520, USA.
Ye Ji ChoiThe University of Texas Rio Grande Valley School of Medicine, Edinburg Campus, Edinburg, TX 78539, USA.
Sanjeet PatelThe Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA.ORCID 0000-0002-3303-4253
Joseph B McCormickThe University of Texas Health Science Center at Houston School of Public Health, Brownsville Regional Campus, Brownsville, TX 78520, USA.
Maria J RedondoSection of Diabetes and Endocrinology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX 77030, USA.
Jeffrey P KrischerHealth Informatics Institute, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.ORCID 0000-0003-4526-888X

Funding

RARE and Atypical Diabetes Network(RADIANT)U54DK118638 · NIDDK · BAYLOR COLLEGE OF MEDICINE · 2022 to 2025
$8.8M
RADIANT Clinic and Data Coordinating CenterU54DK118612 · NIDDK · UNIVERSITY OF CHICAGO · 2022 to 2025
$8.2M
DHHS Centers for Disease Control and Prevention RO1 DP000210-01NCATS NIH HHS 1U54RR023417-01NCATS NIH HHS UL1 TR000371NIDDK NIH HHS MD000170 P20NIDDK NIH HHS U54 DK118612NIDDK NIH HHS U54 DK118638
6 · The paper itself

Abstract

contextSome individuals present with forms of diabetes that are "atypical" (AD), which do not conform to typical features of either type 1 diabetes (T1D) or type 2 diabetes (T2D). These forms of AD display a range of phenotypic characteristics that likely reflect different endotypes based on unique etiologies or pathogenic processes.

objectiveTo develop an analytical approach to identify and cluster phenotypes of AD.

methodsWe developed Discover Atypical Diabetes (DiscoverAD), a data mining framework, to identify and cluster phenotypes of AD. DiscoverAD was trained against characteristics of manually classified patients with AD among 278 adults with diabetes within the Cameron County Hispanic Cohort (CCHC) (Study A). We then tested DiscoverAD in a separate population of 758 multiethnic children with T1D within the Texas Children's Hospital Registry for New-Onset Type 1 Diabetes (TCHRNO-1) (Study B).

resultsWe identified an AD frequency of 11.5% in the CCHC (Study A) and 5.3% in the pediatric TCHRNO-1 (Study B). Cluster analysis identified 4 distinct groups of AD in Study A: cluster 1, positive for the 65 kDa glutamate decarboxylase autoantibody (GAD65Ab), adult-onset, long disease duration, preserved beta-cell function, no insulin treatment; cluster 2, GAD65Ab negative, diagnosed at age ≤21 years; cluster 3, GAD65Ab negative, adult-onset, poor beta-cell function, lacking central obesity; cluster 4, diabetic ketoacidosis (DKA)-prone participants lacking a typical T1D phenotype. Applying DiscoverAD to the pediatric patients with T1D in Study B revealed 2 distinct groups of AD: cluster 1, autoantibody negative, poor beta-cell function, lower body mass index (BMI); cluster 2, autoantibody positive, higher BMI, higher incidence of DKA.

conclusionDiscoverAD can be adapted to different datasets to identify and define phenotypes of participants with AD based on available clinical variables.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic KetoacidosisAutoantibodiesHumansPhenotypeAutoantibodiesatypical diabetesbioinformaticsclustersketosis-prone diabetestype 1 diabetestype 2 diabetes

Identifiers

PMID36314086
PMCPMC10211492

What Socratic holds

Textmetadata
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Registered trials

None linked

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.