Department of Computer Science and Information Technology, Sol Plaatje University, Kimberley 8300, South Africa.
Biostatistics Unit, Discipline of Public Health Medicine, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa.
Int J Environ Res Public Health. 2022 Nov 1;19(21):14280. doi: 10.3390/ijerph192114280.
Soft-computing and statistical learning models have gained substantial momentum in predicting type 2 diabetes mellitus (T2DM) disease. This paper reviews recent soft-computing and statistical learning models in T2DM using a meta-analysis approach. We searched for papers using soft-computing and statistical learning models focused on T2DM published between 2010 and 2021 on three different search engines. Of 1215 studies identified, 34 with 136952 patients met our inclusion criteria. The pooled algorithm's performance was able to predict T2DM with an overall accuracy of 0.86 (95% confidence interval [CI] of [0.82, 0.89]). The classification of diabetes prediction was significantly greater in models with a screening and diagnosis (pooled proportion [95% CI] = 0.91 [0.74, 0.97]) when compared to models with nephropathy (pooled proportion = 0.48 [0.76, 0.89] to 0.88 [0.83, 0.91]). For the prediction of T2DM, the decision trees (DT) models had a pooled accuracy of 0.88 [95% CI: 0.82, 0.92], and the neural network (NN) models had a pooled accuracy of 0.85 [95% CI: 0.79, 0.89]. Meta-regression did not provide any statistically significant findings for the heterogeneous accuracy in studies with different diabetes predictions, sample sizes, and impact factors. Additionally, ML models showed high accuracy for the prediction of T2DM. The predictive accuracy of ML algorithms in T2DM is promising, mainly through DT and NN models. However, there is heterogeneity among ML models. We compared the results and models and concluded that this evidence might help clinicians interpret data and implement optimum models for their dataset for T2DM prediction.
软计算和统计学习模型在预测 2 型糖尿病(T2DM)疾病方面取得了很大进展。本文采用荟萃分析方法综述了近年来 T2DM 软计算和统计学习模型的研究进展。我们在三个不同的搜索引擎上搜索了 2010 年至 2021 年间使用软计算和统计学习模型关注 T2DM 的论文。在确定的 1215 项研究中,有 34 项研究共纳入 136952 例患者符合纳入标准。汇总算法的性能能够预测 T2DM,总体准确率为 0.86(95%置信区间[0.82,0.89])。与肾病模型相比,具有筛查和诊断功能的模型对糖尿病预测的分类明显更高(汇总比例[95%CI]=0.91[0.74,0.97]),而具有肾病模型的汇总比例为 0.48[0.76,0.89]至 0.88[0.83,0.91])。对于 T2DM 的预测,决策树(DT)模型的汇总准确率为 0.88[95%CI:0.82,0.92],神经网络(NN)模型的汇总准确率为 0.85[95%CI:0.79,0.89]。元回归分析未发现不同糖尿病预测、样本量和影响因素的研究中汇总准确率存在统计学差异。此外,机器学习模型在 T2DM 的预测中具有很高的准确率。机器学习算法在 T2DM 中的预测准确性很有前景,主要通过 DT 和 NN 模型。然而,机器学习模型之间存在异质性。我们比较了结果和模型,得出的结论是,这些证据可能有助于临床医生解释数据并为其数据集选择最佳的 T2DM 预测模型。
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