Enhancing gestational diabetes mellitus risk assessment and treatment through GDMPredictor: a machine learning approach.

IF 5.4 2区 医学 Q1 Medicine Journal of Endocrinological Investigation Pub Date : 2024-09-01 Epub Date: 2024-03-09 DOI:10.1007/s40618-024-02328-z
J Xing, K Dong, X Liu, J Ma, E Yuan, L Zhang, Y Fang
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Abstract

Background: Gestational diabetes mellitus (GDM) is a serious health concern that affects pregnant women worldwide and can lead to adverse pregnancy outcomes. Early detection of high-risk individuals and the implementation of appropriate treatment can enhance these outcomes.

Methods: We conducted a study on a cohort of 3467 pregnant women during their pregnancy, with a total of 5649 clinical and biochemical records collected. We utilized this dataset as our training dataset to develop a web server called GDMPredictor. The GDMPredictor utilizes advanced machine learning techniques to predict the risk of GDM in pregnant women. We also personalize treatment recommendations based on essential biochemical indicators, such as A1MG, BMG, CysC, CO2, TBA, FPG, and CREA. Our assessment of GDMPredictor's effectiveness involved training it on the dataset of 3467 pregnant women and measuring its ability to predict GDM risk using an AUC and auPRC.

Results: GDMPredictor demonstrated an impressive level of precision by achieving an AUC score of 0.967. To tailor our treatment recommendations, we use the GDM risk level to identify higher risk candidates who require more intensive care. The GDMPredictor can accept biochemical indicators for predicting the risk of GDM at any period from 1 to 24 weeks, providing healthcare professionals with an intuitive interface to identify high-risk patients and give optimal treatment recommendations.

Conclusions: The GDMPredictor presents a valuable asset for clinical practice, with the potential to change the management of GDM in pregnant women. Its high accuracy and efficiency make it a reliable tool for doctors to improve patient outcomes. Early identification of high-risk individuals and tailored treatment can improve maternal and fetal health outcomes http://www.bioinfogenetics.info/GDM/ .

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通过 GDMPredictor:一种机器学习方法,加强妊娠糖尿病风险评估和治疗。
背景:妊娠糖尿病(GDM)是影响全球孕妇健康的一个严重问题,可导致不良的妊娠结局。及早发现高危人群并实施适当的治疗可改善妊娠结局:我们对 3467 名怀孕期间的孕妇进行了研究,共收集了 5649 份临床和生化记录。我们利用这个数据集作为训练数据集,开发了一个名为 GDMPredictor 的网络服务器。GDMPredictor 利用先进的机器学习技术预测孕妇患 GDM 的风险。我们还根据基本生化指标(如 A1MG、BMG、CysC、CO2、TBA、FPG 和 CREA)提供个性化治疗建议。我们对 GDMPredictor 的有效性进行了评估,包括在 3467 名孕妇的数据集上对其进行训练,并使用 AUC 和 auPRC 测量其预测 GDM 风险的能力:结果:GDMPredictor 的 AUC 得分为 0.967,显示出令人印象深刻的精确度。为了调整我们的治疗建议,我们使用 GDM 风险水平来识别需要更多强化护理的高风险候选者。GDMPredictor可接受生化指标,用于预测1至24周内任何时期的GDM风险,为医护人员提供了一个直观的界面来识别高风险患者并给出最佳治疗建议:GDMPredictor 为临床实践提供了宝贵的资产,有可能改变对孕妇 GDM 的管理。它的高准确性和高效性使其成为医生改善患者预后的可靠工具。早期识别高危人群并进行有针对性的治疗可改善孕产妇和胎儿的健康状况 http://www.bioinfogenetics.info/GDM/ 。
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来源期刊
Journal of Endocrinological Investigation
Journal of Endocrinological Investigation ENDOCRINOLOGY & METABOLISM-
CiteScore
8.10
自引率
7.40%
发文量
242
期刊介绍: The Journal of Endocrinological Investigation is a well-established, e-only endocrine journal founded 36 years ago in 1978. It is the official journal of the Italian Society of Endocrinology (SIE), established in 1964. Other Italian societies in the endocrinology and metabolism field are affiliated to the journal: Italian Society of Andrology and Sexual Medicine, Italian Society of Obesity, Italian Society of Pediatric Endocrinology and Diabetology, Clinical Endocrinologists’ Association, Thyroid Association, Endocrine Surgical Units Association, Italian Society of Pharmacology.
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