Volume 45 Issue 3
Mar.  2024
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Huijuan ZENG, Bo TIAN, Hongling YUAN, Jie HE, Guanxi LI, Guojia RU, Min XU, Dong ZHAN. Predictive Modeling of Chronic Kidney Disease with Hypertension or Diabetes Based on Machine Learning Algorithms[J]. Journal of Kunming Medical University, 2024, 45(3): 99-105. doi: 10.12259/j.issn.2095-610X.S20240315
Citation: Huijuan ZENG, Bo TIAN, Hongling YUAN, Jie HE, Guanxi LI, Guojia RU, Min XU, Dong ZHAN. Predictive Modeling of Chronic Kidney Disease with Hypertension or Diabetes Based on Machine Learning Algorithms[J]. Journal of Kunming Medical University, 2024, 45(3): 99-105. doi: 10.12259/j.issn.2095-610X.S20240315

Predictive Modeling of Chronic Kidney Disease with Hypertension or Diabetes Based on Machine Learning Algorithms

doi: 10.12259/j.issn.2095-610X.S20240315
  • Received Date: 2023-12-13
    Available Online: 2024-03-11
  • Publish Date: 2024-03-30
  •   Objective  To build the early predictive model for chronic kidney disease (CKD) in hypertension and diabetes patients in the community.   Methods  The CKD patients were recruited from 4 health care centers in 4 urban areas in Kunming. The control group was residents without hypertension and diabetes (n = 1267). The disease group was residents with hypertension and/or diabetes (n = 566). The questionnaire survey, physical examination, laboratory testing, and 5 SNPs gene types in the PVT1 gene. The risk factors, which were filtered with logistics regression, were used to build predictive models. Four machine learning algorithms were built: support vector machine (SVM), random forest (RF), Naïve Bayes (NB), and artificial neural network (ANN) models.   Results  Thirteen indicators included in the final diagnostic model: age, disease type, ethnicity, blood urea nitrogen, creatinine, eGFR from MDRD, ACR, eGFR from EPI2009, PAM13 score, sleep quality survey, staying-up late, PVT1 SNP rs11993333 and rs2720659. The accuracy, specificity, Kappa value, AUC of ROC, and PRC of ANN are greater than those of the other 3 models. The sensitivity of RF is the highest among 4 types of machine learning.   Conclusions  The ANN predictive model has a good ability of efficiency and classification to predict CKD with hypertension and/or diabetes patients in the community.
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