Diabetes, Metabolic Syndrome and Obesity (Jul 2023)
Prediction of Diabetic Kidney Disease in Newly Diagnosed Type 2 Diabetes Mellitus
Abstract
Xiaodie Mu, Aihua Wu, Huiyue Hu, Hua Zhou,* Min Yang* Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Hua Zhou; Min Yang, Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China, Tel +86 0519 68872082, Email [email protected]; [email protected]: Diabetic kidney disease (DKD), a common microvascular complication of diabetes mellitus (DM), is always asymptomatic until it develops to the advanced stage. Thus, we aim to develop a nomogram prediction model for progression to DKD in newly diagnosed type 2 diabetes mellitus (T2DM).Methods: This was a single-center analysis of prospective data collected from 521 newly diagnosed patients with T2DM. All related clinical records were incorporated, including the triglyceride-glucose index (TyG index). The least absolute shrinkage and selection operator (LASSO) was used to build a prediction model. In addition, discrimination, calibration, and clinical practicality of the nomogram were evaluated.Results: In this study, 156 participants were incorporated as the validation set, while the remaining 365 were incorporated into the training set. The predictive factors included in the individualized nomogram prediction model included 5 variables. The area under the curve (AUC) for the prediction model was 0.826 (95% CI 0.775 to 0.876), indicating excellent discrimination performance. The model performed exceptionally well in terms of predictive accuracy and clinical applicability, according to calibration curves and decision curve analysis.Conclusion: The predictive nomogram for the risk of DKD in newly diagnosed T2DM patients had outstanding discrimination and calibration, which could help in clinical practice.Keywords: diabetic kidney disease, type 2 diabetes mellitus, nomogram, prediction model, risk assessment
