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糖尿病建模及其临床影响

Modeling of Diabetes and Its Clinical Impact.

作者信息

Fritzen Katharina, Heinemann Lutz, Schnell Oliver

机构信息

1 Sciarc Institute, Baierbrunn, Germany.

2 Science & Co GmbH, Duesseldorf, Germany.

出版信息

J Diabetes Sci Technol. 2018 Sep;12(5):976-984. doi: 10.1177/1932296818785642. Epub 2018 Jul 13.

DOI:10.1177/1932296818785642
PMID:30003801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6134612/
Abstract

Understanding all aspects of diabetes treatment is hindered by the complexity of this chronic disease and its multifaceted complications and comorbidities, including social and financial impacts. In vivo studies as well as clinical trials provided invaluable information for unraveling not only metabolic processes but also risk estimations of, for example, complications. These approaches are often time- and cost-consuming and have frequently been supported by simulation models. Simulation models provide the opportunity to investigate diabetes treatment from additional viewpoints and with alternative objectives. This review presents selected models focusing either on metabolic processes or risk estimations and financial outcomes to provide a basic insight into this complex subject. It also discusses opportunities and challenges of modeling diabetes.

摘要

糖尿病治疗的复杂性以及其多方面的并发症和合并症,包括社会和经济影响,阻碍了人们对糖尿病治疗各个方面的理解。体内研究以及临床试验不仅为揭示代谢过程,也为例如并发症的风险评估提供了宝贵信息。这些方法往往耗时且成本高昂,并且常常得到模拟模型的支持。模拟模型提供了从其他视角和以不同目标研究糖尿病治疗的机会。本综述介绍了一些侧重于代谢过程、风险评估和经济结果的选定模型,以提供对这一复杂主题的基本认识。它还讨论了糖尿病建模的机遇和挑战。

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本文引用的文献

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The UVA/Padova Type 1 Diabetes Simulator Goes From Single Meal to Single Day.UVA/帕多瓦1型糖尿病模拟器从单餐模拟发展到单日模拟。
J Diabetes Sci Technol. 2018 Mar;12(2):273-281. doi: 10.1177/1932296818757747. Epub 2018 Feb 16.
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The Financial Impact of Inaccurate Blood Glucose Monitoring Systems.血糖监测系统不准确所产生的财务影响。
J Diabetes Sci Technol. 2018 Mar;12(2):318-324. doi: 10.1177/1932296817731423. Epub 2017 Sep 26.
3
Type-1 Diabetes Patient Decision Simulator for In Silico Testing Safety and Effectiveness of Insulin Treatments.1 型糖尿病患者决策模拟器,用于模拟胰岛素治疗的安全性和有效性。
IEEE Trans Biomed Eng. 2018 Jun;65(6):1281-1290. doi: 10.1109/TBME.2017.2746340. Epub 2017 Aug 29.
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The Prime Diabetes Model: Novel Methods for Estimating Long-Term Clinical and Cost Outcomes in Type 1 Diabetes Mellitus.主要糖尿病模型:1型糖尿病长期临床和成本结局评估的新方法。
Value Health. 2017 Jul-Aug;20(7):985-991. doi: 10.1016/j.jval.2016.12.001. Epub 2017 May 4.
5
In silico assessment of biomedical products: The conundrum of rare but not so rare events in two case studies.生物医学产品的计算机模拟评估:两个案例研究中罕见但并非极其罕见事件的难题
Proc Inst Mech Eng H. 2017 May;231(5):455-466. doi: 10.1177/0954411917702931.
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PLoS One. 2017 Apr 3;12(4):e0174640. doi: 10.1371/journal.pone.0174640. eCollection 2017.
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