Huang Chih-Wei, Syed-Abdul Shabbir, Jian Wen-Shan, Iqbal Usman, Nguyen Phung-Anh Alex, Lee Peisan, Lin Shen-Hsien, Hsu Wen-Ding, Wu Mai-Szu, Wang Chun-Fu, Ma Kwan-Liu, Li Yu-Chuan Jack
Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan.
School of Health Care Administration, Taipei Medical University, Taipei, Taiwan Faculty of Health Sciences, Macau University of Science and Technology, Macau.
J Am Med Inform Assoc. 2015 Mar;22(2):290-8. doi: 10.1093/jamia/ocu044.
OBJECTIVE: The aim of this study is to analyze and visualize the polymorbidity associated with chronic kidney disease (CKD). The study shows diseases associated with CKD before and after CKD diagnosis in a time-evolutionary type visualization. MATERIALS AND METHODS: Our sample data came from a population of one million individuals randomly selected from the Taiwan National Health Insurance Database, 1998 to 2011. From this group, those patients diagnosed with CKD were included in the analysis. We selected 11 of the most common diseases associated with CKD before its diagnosis and followed them until their death or up to 2011. We used a Sankey-style diagram, which quantifies and visualizes the transition between pre- and post-CKD states with various lines and widths. The line represents groups and the width of a line represents the number of patients transferred from one state to another. RESULTS: The patients were grouped according to their states: that is, diagnoses, hemodialysis/transplantation procedures, and events such as death. A Sankey diagram with basic zooming and planning functions was developed that temporally and qualitatively depicts they had amid change of comorbidities occurred in pre- and post-CKD states. DISCUSSION: This represents a novel visualization approach for temporal patterns of polymorbidities associated with any complex disease and its outcomes. The Sankey diagram is a promising method for visualizing complex diseases and exploring the effect of comorbidities on outcomes in a time-evolution style. CONCLUSIONS: This type of visualization may help clinicians foresee possible outcomes of complex diseases by considering comorbidities that the patients have developed.
目的:本研究旨在分析和可视化与慢性肾脏病(CKD)相关的多种疾病并存情况。该研究以时间演变类型的可视化方式展示了CKD诊断前后与CKD相关的疾病。 材料与方法:我们的样本数据来自1998年至2011年从台湾国民健康保险数据库中随机选取的100万人群。从该组中,将那些被诊断为CKD的患者纳入分析。我们选取了CKD诊断前11种最常见的相关疾病,并对其进行追踪直至患者死亡或截至2011年。我们使用了桑基图,它通过各种线条和宽度对CKD前后状态之间的转变进行量化和可视化。线条代表组,线条的宽度代表从一种状态转移到另一种状态的患者数量。 结果:患者根据其状态进行分组,即诊断、血液透析/移植手术以及死亡等事件。开发了一个具有基本缩放和规划功能的桑基图,它在时间上和质量上描绘了CKD前后状态下共病变化的情况。 讨论:这代表了一种用于可视化与任何复杂疾病及其结果相关的多种疾病并存时间模式的新颖方法。桑基图是一种很有前景的方法,可用于以时间演变的方式可视化复杂疾病并探索共病对结果的影响。 结论:这种类型的可视化可能有助于临床医生通过考虑患者已出现的共病来预见复杂疾病的可能结果。
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