Machine Learning for the Prediction of New-Onset Diabetes Mellitus during 5-Year Follow-up in Non-Diabetic Patients with Cardiovascular Risks
10.3349/ymj.2019.60.2.191
- Author:
Byoung Geol CHOI
1
;
Seung Woon RHA
;
Suhng Wook KIM
;
Jun Hyuk KANG
;
Ji Young PARK
;
Yung Kyun NOH
Author Information
1. Research Institute of Health Sciences, Korea University College of Health Science, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Type 2 diabetes mellitus;
diabetes;
machine learning;
prediction;
big data
- MeSH:
Area Under Curve;
Diabetes Mellitus;
Diabetes Mellitus, Type 2;
Electronic Health Records;
Follow-Up Studies;
Humans;
Korea;
Learning;
Logistic Models;
Machine Learning;
Methods;
Prevalence
- From:Yonsei Medical Journal
2019;60(2):191-199
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Many studies have proposed predictive models for type 2 diabetes mellitus (T2DM). However, these predictive models have several limitations, such as user convenience and reproducibility. The purpose of this study was to develop a T2DM predictive model using electronic medical records (EMRs) and machine learning and to compare the performance of this model with traditional statistical methods. MATERIALS AND METHODS: In this study, a total of available 8454 patients who had no history of diabetes and were treated at the cardiovascular center of Korea University Guro Hospital were enrolled. All subjects completed 5 years of follow up. The prevalence of T2DM during follow up was 4.78% (404/8454). A total of 28 variables were extracted from the EMRs. In order to verify the cross-validation test according to the prediction model, logistic regression (LR), linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), and K-nearest neighbor (KNN) algorithm models were generated. The LR model was considered as the existing statistical analysis method. RESULTS: All predictive models maintained a change within the standard deviation of area under the curve (AUC) < 0.01 in the analysis after a 10-fold cross-validation test. Among all predictive models, the LR learning model showed the highest prediction performance, with an AUC of 0.78. However, compared to the LR model, the LDA, QDA, and KNN models did not show a statistically significant difference. CONCLUSION: We successfully developed and verified a T2DM prediction system using machine learning and an EMR database, and it predicted the 5-year occurrence of T2DM similarly to with a traditional prediction model. In further study, it is necessary to apply and verify the prediction model through clinical research.
