Evidence map›Paper›PMID 39434474›Full record

ArticleJournal of medical Internet research2024

Early Detection of Dementia in Populations With Type 2 Diabetes: Predictive Analytics Using Machine Learning Approach.

Phan Thanh Phuc, Phung-Anh Nguyen, Nam Nhat Nguyen, Min-Huei Hsu, Nguyen Quoc Khanh Le, Quoc-Viet Tran, Chih-Wei Huang, Hsuan-Chia Yang, Cheng-Yu Chen, Thi Anh Hoa Le and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

14 authors.

Phan Thanh PhucCollege of Management, Taipei Medical University, New Taipei, Taiwan.ORCID 0000-0001-9132-1456
Phung-Anh NguyenGraduate Institute of Data Science, College of Management, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-7436-9041
Nam Nhat NguyenCollege of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-3161-2352
Min-Huei HsuGraduate Institute of Data Science, College of Management, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-0383-4302
Nguyen Quoc Khanh LeResearch Center for Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-4896-7926
Quoc-Viet TranGraduate Institute of Data Science, College of Management, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-5074-0635
Chih-Wei HuangClinical Big Data Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-2551-6199
Hsuan-Chia YangClinical Big Data Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0001-9198-0697
Cheng-Yu ChenDepartment of Radiology, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-0428-4373
Thi Anh Hoa LeUniversity Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.ORCID 0009-0007-4764-0645
Minh Khoi LeUniversity Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.ORCID 0000-0003-2250-0818
Hoang Bac NguyenUniversity Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.ORCID 0000-0002-2973-7909
Christine Y LuSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-7550-6837
Jason C HsuCollege of Management, Taipei Medical University, New Taipei, Taiwan.ORCID 0000-0003-2997-2404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe possible association between diabetes mellitus and dementia has raised concerns, given the observed coincidental occurrences.

objectiveThis study aimed to develop a personalized predictive model, using artificial intelligence, to assess the 5-year and 10-year dementia risk among patients with type 2 diabetes mellitus (T2DM) who are prescribed antidiabetic medications.

methodsThis retrospective multicenter study used data from the Taipei Medical University Clinical Research Database, which comprises electronic medical records from 3 hospitals in Taiwan. This study applied 8 machine learning algorithms to develop prediction models, including logistic regression, linear discriminant analysis, gradient boosting machine, light gradient boosting machine, AdaBoost, random forest, extreme gradient boosting, and artificial neural network (ANN). These models incorporated a range of variables, encompassing patient characteristics, comorbidities, medication usage, laboratory results, and examination data.

resultsThis study involved a cohort of 43,068 patients diagnosed with type 2 diabetes mellitus, which accounted for a total of 1,937,692 visits. For model development and validation, 1,300,829 visits were used, while an additional 636,863 visits were reserved for external testing. The area under the curve of the prediction models range from 0.67 for the logistic regression to 0.98 for the ANNs. Based on the external test results, the model built using the ANN algorithm had the best area under the curve (0.97 for 5-year follow-up period and 0.98 for 10-year follow-up period). Based on the best model (ANN), age, gender, triglyceride, hemoglobin A

conclusionsWe have successfully developed a novel, computer-aided, dementia risk prediction model that can facilitate the clinical diagnosis and management of patients prescribed with antidiabetic medications. However, further investigation is required to assess the model's feasibility and external validity.

Indexed as

DementiaDiabetes Mellitus, Type 2Early DiagnosisMachine LearningAgedAged, 80 and overFemaleHumansHypoglycemic AgentsMaleMiddle AgedNeural Networks, ComputerRetrospective StudiesTaiwanHypoglycemic Agentsdementiadiabetesmachine learningprediction modelTaipei Medical University Clinical Research DatabaseTMUCRD

Identifiers

PMID39434474
PMCPMC11669872

What Socratic holds

Textmetadata
LicenceCC BY
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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.