用无监督方法分析患病者隐含模式,预测未确诊人群糖尿病风险。
Unsupervised Latent Pattern Analysis for Estimating Type 2 Diabetes Risk in Undiagnosed Populations
- 通过非负矩阵分解挖掘已确诊患者中的共病与用药模式
- 在无标签数据中识别高风险个体,实现早期预警
- 适合医疗筛查系统和公共卫生决策者使用
全球糖尿病(尤其是2型糖尿病,T2DM)患病率迅速上升,带来重大健康与经济负担。T2DM不仅破坏血糖调节,还损害心、肾、眼、神经和血管等重要器官,导致高发病率与死亡率。仅在美国,2022年确诊糖尿病的经济负担就超过4000亿美元。早期识别高风险人群对减轻影响至关重要。尽管机器学习在T2DM预测中应用日益广泛,但多数依赖有标签数据,受限于缺乏明确的阴性样本。为此,我们提出一种新型无监督框架,结合非负矩阵分解(NMF)与统计技术,识别确诊T2DM患者中的潜在共病与多药使用模式,并将这些模式应用于未确诊人群的风险估计。该方法基于共病与用药数据驱动的洞察,提供可解释且可扩展的解决方案,有助于临床医生及时干预,改善患者预后,并可能降低未来T2DM带来的健康与经济负担。
原文摘要 · Abstract (English)
The global prevalence of diabetes, particularly type 2 diabetes mellitus (T2DM), is rapidly increasing, posing significant health and economic challenges. T2DM not only disrupts blood glucose regulation but also damages vital organs such as the heart, kidneys, eyes, nerves, and blood vessels, leading to substantial morbidity and mortality. In the US alone, the economic burden of diagnosed diabetes exceeded \$400 billion in 2022. Early detection of individuals at risk is critical to mitigating these impacts. While machine learning approaches for T2DM prediction are increasingly adopted, many rely on supervised learning, which is often limited by the lack of confirmed negative cases. To address this limitation, we propose a novel unsupervised framework that integrates Non-negative Matrix Factorization (NMF) with statistical techniques to identify individuals at risk of developing T2DM. Our method identifies latent patterns of multimorbidity and polypharmacy among diagnosed T2DM patients and applies these patterns to estimate the T2DM risk in undiagnosed individuals. By leveraging data-driven insights from comorbidity and medication usage, our approach provides an interpretable and scalable solution that can assist healthcare providers in implementing timely interventions, ultimately improving patient outcomes and potentially reducing the future health and economic burden of T2DM.
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