{"id":499,"date":"2019-11-08T11:09:15","date_gmt":"2019-11-08T11:09:15","guid":{"rendered":"http:\/\/guires.uk\/newsroom\/?p=499"},"modified":"2019-11-27T12:14:24","modified_gmt":"2019-11-27T12:14:24","slug":"application-of-predictive-modeling-using-machine-learning-algorithm-to-predict-diabetic-nephropathy-among-patients-with-type-2-diabetes-in-the-uk","status":"publish","type":"post","link":"https:\/\/guires.uk\/newsroom\/blog\/application-of-predictive-modeling-using-machine-learning-algorithm-to-predict-diabetic-nephropathy-among-patients-with-type-2-diabetes-in-the-uk\/","title":{"rendered":"Application of Predictive Modeling using Machine Learning Algorithm to Predict Diabetic Nephropathy among Patients with Type 2 Diabetes in the UK"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The\nprevalence of diabetes is increasing worldwide, and its associated long-term\ncomplications involving tissue damage and organ failure places an additional on\nthe healthcare system [1]. In the UK, the number of people\nliving with diabetes doubles in twenty years, according to the recent report by\nthe British Diabetic Association. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b2-1024x576.jpg\" alt=\"\" class=\"wp-image-500\" srcset=\"https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b2-1024x576.jpg 1024w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b2-300x169.jpg 300w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b2-768x432.jpg 768w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b2.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nDiabetes therapy is complex. Timely diagnosis,\nself-management and continuous medical care are required to prevent both\nchronic (e.g. retinopathy, nephropathy) and acute complications (e.g.\nketoacidosis). Therefore, therapeutic decisions need to take into account diverse\nlifestyles and medical-related factors that must be optimised to enhance the quality\nof life. Amongst microvascular complications, diabetic neuropathy is the\nleading cause of end-stage renal disease and has a high cardiovascular risk. People\nwith diabetes are five times more likely to need either kidney dialysis or a\nkidney transplant. Identification of these risk factors as well as a timely diagnosis\nis of paramount importance for effective treatment\n\n\n\n<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the past algorithms have been developed to predict the diabetes complications. Huang et al. developed a gender-based rule in a decision tree-based model integrating genetic and clinical features to distinguish diabetic nephropathy with non-DN among 345 Taiwanese T2D. Using a five-fold cross-validation approach with a decision tree, random forest, libsvm, and na\u00efve Bayes approach, found to generate the best performance.&nbsp; Makino et al.  used AI constructed prediction for diabetic kidney disease (DKD) using time series and logistic regression. The new model able to detect the progression of DKD with 74% accuracy. Dagliati et al. used logistic regression along with NB, SVM, RF with stepwise feature selection to predict the onset of retinopathy, neuropathy or nephropathy at 3, 5 and 7 years among 1000 T2DM patients. Data were imputed by using statistical method and RF and compared its performance using RMSE, RMSEN while validation carried with a leave-one-out (LOO). Sensitivity, specificity, PPV, NPV and AUC and MCC were measured and approach found 86% accuracy.&nbsp; Still, the accuracy and validity of these algorithms need further improvisation. Both diabetes and DM are caused by multiple risk factors that include the interaction between specific genes and environmental factors. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the UK around 40% of people with diabetes develop nephropathy and the total annual costs to the National Health Service (NHS) of managing DN were US $231 million US$231 million (\u00a3152 million) for Type 1 diabetes (range: US$190\u2013350 million [\u00a3125\u2013230 million]), US$933 million (\u00a3614 million) for Type 2 diabetes (range: US$809 million\u2013US$1.4 billion [\u00a3532\u2013927 million]), and US$1.2 billion (\u00a3765 million) for all diabetes (range: US$999 Million\u2013US$1.8 billion [\u00a3657 million\u2013\u00a31.2 billion]). <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b3-1024x576.jpg\" alt=\"\" class=\"wp-image-501\" srcset=\"https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b3-1024x576.jpg 1024w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b3-300x169.jpg 300w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b3-768x432.jpg 768w, https:\/\/guires.uk\/newsroom\/wp-content\/uploads\/2019\/11\/b3.jpg 1380w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">But it is possible to prevent or delay diabetes related complications if high-risk groups are identified at the right time and treated with the right approach. A machine learning algorithm does wonders where it helps to identify high risk population.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Contact us for more information about how we can\nhelp you to use your EHR data or sensor data to identify high risks patients\nusing ML.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The prevalence of diabetes is increasing worldwide, and its associated long-term complications involving tissue damage and organ failure places an additional on the healthcare system [1]. In the UK, the number of people living with diabetes doubles in twenty years, according to the recent report by the British Diabetic Association. Diabetes therapy is complex. Timely [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":929,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-499","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/posts\/499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/comments?post=499"}],"version-history":[{"count":5,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/posts\/499\/revisions"}],"predecessor-version":[{"id":930,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/posts\/499\/revisions\/930"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/media\/929"}],"wp:attachment":[{"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/media?parent=499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/categories?post=499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/guires.uk\/newsroom\/wp-json\/wp\/v2\/tags?post=499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}