Use of a K-nearest neighbors model to predict the development of type 2 diabetes within 2 years in an obese, hypertensive population

Autor:	Oscar Barquero-Perez, Inmaculada Mora-Jiménez, Cristina Soguero-Ruiz, Luis Vigil-Medina, Javier Ramos-Lopez, Rafael Garcia-Carretero
Rok vydání:	2020
Předmět:	Adult Male Pediatrics medicine.medical_specialty 0206 medical engineering Population Biomedical Engineering 02 engineering and technology Type 2 diabetes Sensitivity and Specificity 030218 nuclear medicine & medical imaging Machine Learning 03 medical and health sciences 0302 clinical medicine Insulin resistance Linear regression Humans Medicine Obesity Prediabetes education Aged education.field_of_study Models Statistical business.industry Type 2 Diabetes Mellitus Middle Aged medicine.disease 020601 biomedical engineering Computer Science Applications Random forest Diabetes Mellitus Type 2 Hypertension Female business Body mass index Algorithms
Zdroj:	Medical & Biological Engineering & Computing. 58:991-1002
ISSN:	1741-0444 0140-0118
Popis:	Prediabetes is a type of hyperglycemia in which patients have blood glucose levels above normal but below the threshold for type 2 diabetes mellitus (T2DM). Prediabetic patients are considered to be at high risk for developing T2DM, but not all will eventually do so. Because it is difficult to identify which patients have an increased risk of developing T2DM, we developed a model of several clinical and laboratory features to predict the development of T2DM within a 2-year period. We used a supervised machine learning algorithm to identify at-risk patients from among 1647 obese, hypertensive patients. The study period began in 2005 and ended in 2018. We constrained data up to 2 years before the development of T2DM. Then, using a time series analysis with the features of every patient, we calculated one linear regression line and one slope per feature. Features were then included in a K-nearest neighbors classification model. Feature importance was assessed using the random forest algorithm. The K-nearest neighbors model accurately classified patients in 96% of cases, with a sensitivity of 99%, specificity of 78%, positive predictive value of 96%, and negative predictive value of 94%. The random forest algorithm selected the homeostatic model assessment-estimated insulin resistance, insulin levels, and body mass index as the most important factors, which in combination with KNN had an accuracy of 99% with a sensitivity of 99% and specificity of 97%. We built a prognostic model that accurately identified obese, hypertensive patients at risk for developing T2DM within a 2-year period. Clinicians may use machine learning approaches to better assess risk for T2DM and better manage hypertensive patients. Machine learning algorithms may help health care providers make more informed decisions.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::abc23b8c5f2feea4cd22f3837cddaf90 https://doi.org/10.1007/s11517-020-02132-w Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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