Articles producció científica> Enginyeria Informàtica i Matemàtiques

Real-world outcomes of a clinical decision support system for diabetic retinopathy in Spain

  • Datos identificativos

    Identificador: imarina:9261219
    Autores:
    Romero-Aroca, PedroVerges, RaquelMaarof, NajlaaVallas-Mateu, AidaLatorre, AlexMoreno-Ribas, AntonioSagarra-Alamo, RamonBasora-Gallisa, JosepCristiano, JulianBaget-Bernaldiz, Marc
    Resumen:
    Objective The aim of present study was to evaluate our clinical decision support system (CDSS) for predicting risk of diabetic retinopathy (DR). We selected randomly a real population of patients with type 2 diabetes (T2DM) who were attending our screening programme.Methods and analysis The sample size was 602 patients with T2DM randomly selected from those who attended the DR screening programme. The algorithm developed uses nine risk factors: current age, sex, body mass index (BMI), duration and treatment of diabetes mellitus (DM), arterial hypertension, Glicated hemoglobine (HbA1c), urine-albumin ratio and glomerular filtration.Results The mean current age of 67.03 +/- 10.91, and 272 were male (53.2%), and DM duration was 10.12 +/- 6.4 years, 222 had DR (35.8%). The CDSS was employed for 1 year. The prediction algorithm that the CDSS uses included nine risk factors: current age, sex, BMI, DM duration and treatment, arterial hypertension, HbA1c, urine-albumin ratio and glomerular filtration. The area under the curve (AUC) for predicting the presence of any DR achieved a value of 0.9884, the sensitivity of 98.21%, specificity of 99.21%, positive predictive value of 98.65%, negative predictive value of 98.95%, alpha error of 0.0079 and beta error of 0.0179.Conclusion Our CDSS for predicting DR was successful when applied to a real population.
  • Otros:

    Autor según el artículo: Romero-Aroca, Pedro; Verges, Raquel; Maarof, Najlaa; Vallas-Mateu, Aida; Latorre, Alex; Moreno-Ribas, Antonio; Sagarra-Alamo, Ramon; Basora-Gallisa, Josep; Cristiano, Julian; Baget-Bernaldiz, Marc
    Departamento: Enginyeria Informàtica i Matemàtiques
    Autor/es de la URV: CRISTIANO RODRÍGUEZ, JULIÁN EFRÉN / Moreno Ribas, Antonio / Romero Aroca, Pedro
    Palabras clave: Validation Telemedicine Screening intervals Risk-assessment Retina Optimization Model Frequency Epidemiology Diagnostic tests/investigation
    Resumen: Objective The aim of present study was to evaluate our clinical decision support system (CDSS) for predicting risk of diabetic retinopathy (DR). We selected randomly a real population of patients with type 2 diabetes (T2DM) who were attending our screening programme.Methods and analysis The sample size was 602 patients with T2DM randomly selected from those who attended the DR screening programme. The algorithm developed uses nine risk factors: current age, sex, body mass index (BMI), duration and treatment of diabetes mellitus (DM), arterial hypertension, Glicated hemoglobine (HbA1c), urine-albumin ratio and glomerular filtration.Results The mean current age of 67.03 +/- 10.91, and 272 were male (53.2%), and DM duration was 10.12 +/- 6.4 years, 222 had DR (35.8%). The CDSS was employed for 1 year. The prediction algorithm that the CDSS uses included nine risk factors: current age, sex, BMI, DM duration and treatment, arterial hypertension, HbA1c, urine-albumin ratio and glomerular filtration. The area under the curve (AUC) for predicting the presence of any DR achieved a value of 0.9884, the sensitivity of 98.21%, specificity of 99.21%, positive predictive value of 98.65%, negative predictive value of 98.95%, alpha error of 0.0079 and beta error of 0.0179.Conclusion Our CDSS for predicting DR was successful when applied to a real population.
    Áreas temáticas: Ophthalmology
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: antonio.moreno@urv.cat pedro.romero@urv.cat
    Identificador del autor: 0000-0003-3945-2314 0000-0002-7061-8987
    Fecha de alta del registro: 2024-10-12
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://bmjophth.bmj.com/content/7/1/e000974-0
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Bmj Open Ophthalmol. 7 (1): e000974-
    Referencia de l'ítem segons les normes APA: Romero-Aroca, Pedro; Verges, Raquel; Maarof, Najlaa; Vallas-Mateu, Aida; Latorre, Alex; Moreno-Ribas, Antonio; Sagarra-Alamo, Ramon; Basora-Gallisa, J (2022). Real-world outcomes of a clinical decision support system for diabetic retinopathy in Spain. Bmj Open Ophthalmol, 7(1), e000974-. DOI: 10.1136/bmjophth-2022-000974
    DOI del artículo: 10.1136/bmjophth-2022-000974
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2022
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Ophthalmology
    Validation
    Telemedicine
    Screening intervals
    Risk-assessment
    Retina
    Optimization
    Model
    Frequency
    Epidemiology
    Diagnostic tests/investigation
    Ophthalmology
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