Mesquita F, Bernardino J, Henriques J, Raposo J F, Ribeiro R T, Paredes S
Polytechnic Institute of Coimbra, Coimbra Institute of Engineering, Rua Pedro Nunes - Quinta da Nora, 3030-199 Coimbra, Portugal.
Center for Informatics and Systems of University of Coimbra, University of Coimbra, Pólo II, 3030-290 Coimbra, Portugal.
J Diabetes Metab Disord. 2023 Dec 5;23(1):825-839. doi: 10.1007/s40200-023-01357-4. eCollection 2024 Jun.
Diabetes is a major public health challenge with widespread prevalence, often leading to complications such as Diabetic Nephropathy (DN)-a chronic condition that progressively impairs kidney function. In this context, it is important to evaluate if Machine learning models can exploit the inherent temporal factor in clinical data to predict the risk of developing DN faster and more accurately than current clinical models.
Three different databases were used for this literature review: Scopus, Web of Science, and PubMed. Only articles written in English and published between January 2015 and December 2022 were included.
We included 11 studies, from which we discuss a number of algorithms capable of extracting knowledge from clinical data, incorporating dynamic aspects in patient assessment, and exploring their evolution over time. We also present a comparison of the different approaches, their performance, advantages, disadvantages, interpretation, and the value that the time factor can bring to a more successful prediction of diabetic nephropathy.
Our analysis showed that some studies ignored the temporal factor, while others partially exploited it. Greater use of the temporal aspect inherent in Electronic Health Records (EHR) data, together with the integration of omics data, could lead to the development of more reliable and powerful predictive models.
糖尿病是一项重大的公共卫生挑战,患病率极高,常引发诸如糖尿病肾病(DN)等并发症,糖尿病肾病是一种会逐渐损害肾功能的慢性疾病。在此背景下,评估机器学习模型是否能够利用临床数据中固有的时间因素,比当前临床模型更快、更准确地预测糖尿病肾病的发病风险,具有重要意义。
本文献综述使用了三个不同的数据库:Scopus、科学网和PubMed。仅纳入2015年1月至2022年12月期间发表的英文文章。
我们纳入了11项研究,从中讨论了一些能够从临床数据中提取知识、在患者评估中纳入动态因素并探究其随时间演变的算法。我们还对不同方法、它们的性能、优点、缺点、解释以及时间因素对更成功预测糖尿病肾病所能带来的价值进行了比较。
我们的分析表明,一些研究忽略了时间因素,而另一些研究只是部分利用了该因素。更多地利用电子健康记录(EHR)数据中固有的时间因素,再结合组学数据,可能会促使开发出更可靠、更强大的预测模型。