Evidence map›Paper›PMID 39024008›Full record

ArticleJMIR AI2024

Enhancing Type 2 Diabetes Treatment Decisions With Interpretable Machine Learning Models for Predicting Hemoglobin A1c Changes: Machine Learning Model Development.

Hisashi Kurasawa, Kayo Waki, Tomohisa Seki, Akihiro Chiba, Akinori Fujino, Katsuyoshi Hayashi, Eri Nakahara, Tsuneyuki Haga, Takashi Noguchi, Kazuhiko Ohe

Abstract read
In one paragraph

Article in JMIR AI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Hisashi Kurasawa *Nippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7599-6277
Kayo Waki *The University of Tokyo Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0046-2523
Tomohisa SekiThe University of Tokyo Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4281-135X
Akihiro ChibaNippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3110-2048
Akinori FujinoNippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3377-3539
Katsuyoshi HayashiNippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5332-9729
Eri NakaharaNippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0199-3249
Tsuneyuki HagaNippon Telegraph and Telephone Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0002-1137-0547
Takashi NoguchiNational Center for Child Health and Development, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8895-5327
Kazuhiko OheThe University of Tokyo Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4296-9536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes (T2D) is a significant global health challenge. Physicians need to assess whether future glycemic control will be poor on the current trajectory of usual care and usual-care treatment intensifications so that they can consider taking extra treatment measures to prevent poor outcomes. Predicting poor glycemic control from trends in hemoglobin A

objectiveWe sought to develop a model that accurately predicts poor glycemic control among patients with T2D receiving usual care.

methodsOur machine learning model predicts poor glycemic control (HbA

resultsThe area under the receiver operating characteristic curve, the area under the precision-recall curve, and the accuracy rate (95% confidence limits) of the proposed model were 0.925 (95% CI 0.923-0.928), 0.864 (95% CI 0.852-0.875), and 0.864 (95% CI 0.86-0.869), respectively. The proposed model achieved high prediction accuracy comparable to or surpassing LightGBM's performance. The model prioritized the most recent HbA

conclusionsThe proposed model accurately predicts poor glycemic control for patients with T2D receiving usual care, including patients receiving usual-care treatment intensifications, allowing physicians to identify cases warranting extraordinary treatment intensifications. If used by a nonspecialist, the model's indication of likely future poor glycemic control may warrant a referral to a specialist. Future efforts could incorporate diverse and large-scale clinical data for improved accuracy.

Indexed as

AIartificial intelligenceattention weightblood glucose controlmachine learningtransformertype 2 diabetes

Identifiers

PMID39024008
PMCPMC11294778

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.