Evidence map›Paper›PMID 40102923›Full record

ArticleEuropean journal of medical research2025

Predicting diabetic retinopathy based on routine laboratory tests by machine learning algorithms.

Xiaohua Wan, Ruihuan Zhang, Yanan Wang, Wei Wei, Biao Song, Lin Zhang, Yanwei Hu

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

7 authors.

Xiaohua WanDepartment of Clinical Laboratory, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.
Ruihuan ZhangThe Inner Mongolia Medical Intelligent Diagnostics Big Data Research Institute, Inner Mongolia, People's Republic of China.
Yanan WangThe Inner Mongolia Medical Intelligent Diagnostics Big Data Research Institute, Inner Mongolia, People's Republic of China.
Wei WeiDepartment of Medical Record, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Biao SongThe Inner Mongolia Medical Intelligent Diagnostics Big Data Research Institute, Inner Mongolia, People's Republic of China. songbiao_511@163.com.
Lin ZhangDepartment of Medical Record, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China. 13661181680@163.com.
Yanwei HuDepartment of Clinical Laboratory, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China. ywhu@mail.ccmu.edu.cn.

Funding

Capital Health Development Research Project 2024-3-1181National Natural Science Foundation of China 82372304
6 · The paper itself

Abstract

objectivesThis study aimed to identify risk factors for diabetic retinopathy (DR) and develop machine learning (ML)-based predictive models using routine laboratory data in patients with type 2 diabetes mellitus (T2DM).

methodsClinical data from 4259 T2DM inpatients at Beijing Tongren Hospital were analyzed, divided into a model construction data set (N = 3936) and an external validation data set (N = 323). Using 39 optimal variables, a prediction model was constructed using the eXtreme Gradient Boosting (XGBoost) algorithm and compared with four other algorithms: support vector machine (SVM), gradient boosting decision tree (GBDT), neural network (NN), and logistic regression (LR). The Shapley Additive exPlanation (SHAP) method was employed to interpret the XGBoost model. External validation was performed to assess model performance.

resultsDR was present in 47.69% (N = 1877) of T2DM patients in the model construction data set. Among the models tested, the XGBoost model performed best with an AUC of 0.831, accuracy of 0.757, sensitivity of 0.754, specificity of 0.759, and F1-score of 0.752. SHAP explained feature importance for XGBoost model and identified key risk factors for DR. External validation yielded an accuracy of 0.650 for the XGBoost model.

conclusionsThe XGBoost-based prediction model effectively assesses DR risk in T2DM patients using routine laboratory data, aiding clinicians in identifying high-risk individuals and guiding personalized management strategies, especially in medically underserved areas.

Indexed as

AlgorithmsDiabetes Mellitus, Type 2Diabetic RetinopathyMachine LearningAdultAgedFemaleHumansMaleMiddle AgedNeural Networks, ComputerRisk FactorsSupport Vector MachineDiabetic retinopathyMachine learningPredictive modelRoutine laboratory testsType 2 diabetes mellitusXGBoost

Identifiers

PMID40102923
PMCPMC11921716

What Socratic holds

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LicenceCC BY-NC-ND
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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.