Development of risk models for early detection and prediction of chronic kidney disease in clinical settings
Abstract Chronic kidney disease (CKD) imposes a high burden with high mortality and morbidity rates. Early detection of CKD is imperative in preventing the adverse outcomes attributed to the later stages. Therefore, this study aims to utilize machine learning techniques to predict CKD at early stage...
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Nature Portfolio
2024-12-01
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| Online Access: | https://doi.org/10.1038/s41598-024-83973-5 |
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| author | Pegah Bahrami Davoud Tanbakuchi Monavar Afzalaghaee Majid Ghayour-Mobarhan Habibollah Esmaily |
| author_facet | Pegah Bahrami Davoud Tanbakuchi Monavar Afzalaghaee Majid Ghayour-Mobarhan Habibollah Esmaily |
| author_sort | Pegah Bahrami |
| collection | DOAJ |
| description | Abstract Chronic kidney disease (CKD) imposes a high burden with high mortality and morbidity rates. Early detection of CKD is imperative in preventing the adverse outcomes attributed to the later stages. Therefore, this study aims to utilize machine learning techniques to predict CKD at early stages. This study uses data obtained from a large longitudinal cohort study. The features include patients’ sociodemographic, anthropometric, and laboratory tests that are mostly associated with CKD based on national and international studies. Missing data and outliers were deleted using listwise and interquartile range techniques, respectively. Data initially remained imbalanced to investigate the ability of models to work on imbalanced datasets. Stratified K-folds cross-validation, a robust approach that performs well on imbalanced data, was further performed to enhance the splitting. Interestingly, an interaction was found between age and gender where contrasting data was generated, therefore, to avoid this interaction gender-specific algorithms were developed. Four main algorithms and four algorithms using the stratified K-folds cross-validation technique, consisting of gender-specific Random Forest and feedforward Neural Networks were developed using the preprocessed data of 6855 participants. The RF model in women exhibited the highest AUC of 0.90 followed closely by 0.89 in their NN model. Both models constructed for men yielded an AUC of 0.88. Sensitivity scores were higher in men compared to women. Models demonstrated subpar results regarding specificity, however, the high precision and F1 scores, make the models extremely valuable in a clinical setting to accurately identify CKD cases while minimizing false positive diagnoses. Moreover, the results from stratified K-fold cross-validation indicated that the NN models were more sensitive to the imbalanced dataset and demonstrated a marked increase in performance, particularly specificity, after this approach. These data offer valuable insights for the development of future risk stratification models for CKD. |
| format | Article |
| id | doaj-art-1764a68cff85497a904806d86417dfa6 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-1764a68cff85497a904806d86417dfa62025-01-05T12:25:04ZengNature PortfolioScientific Reports2045-23222024-12-0114111010.1038/s41598-024-83973-5Development of risk models for early detection and prediction of chronic kidney disease in clinical settingsPegah Bahrami0Davoud Tanbakuchi1Monavar Afzalaghaee2Majid Ghayour-Mobarhan3Habibollah Esmaily4School of Medicine, Mashhad University of Medical SciencesSchool of Medicine, Mashhad University of Medical SciencesDepartment of Statistics and Epidemiology, Faculty of Health, Mashhad University of Medical SciencesInternational UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical SciencesDepartment of Biostatistics, School of Health, Mashhad University of Medical SciencesAbstract Chronic kidney disease (CKD) imposes a high burden with high mortality and morbidity rates. Early detection of CKD is imperative in preventing the adverse outcomes attributed to the later stages. Therefore, this study aims to utilize machine learning techniques to predict CKD at early stages. This study uses data obtained from a large longitudinal cohort study. The features include patients’ sociodemographic, anthropometric, and laboratory tests that are mostly associated with CKD based on national and international studies. Missing data and outliers were deleted using listwise and interquartile range techniques, respectively. Data initially remained imbalanced to investigate the ability of models to work on imbalanced datasets. Stratified K-folds cross-validation, a robust approach that performs well on imbalanced data, was further performed to enhance the splitting. Interestingly, an interaction was found between age and gender where contrasting data was generated, therefore, to avoid this interaction gender-specific algorithms were developed. Four main algorithms and four algorithms using the stratified K-folds cross-validation technique, consisting of gender-specific Random Forest and feedforward Neural Networks were developed using the preprocessed data of 6855 participants. The RF model in women exhibited the highest AUC of 0.90 followed closely by 0.89 in their NN model. Both models constructed for men yielded an AUC of 0.88. Sensitivity scores were higher in men compared to women. Models demonstrated subpar results regarding specificity, however, the high precision and F1 scores, make the models extremely valuable in a clinical setting to accurately identify CKD cases while minimizing false positive diagnoses. Moreover, the results from stratified K-fold cross-validation indicated that the NN models were more sensitive to the imbalanced dataset and demonstrated a marked increase in performance, particularly specificity, after this approach. These data offer valuable insights for the development of future risk stratification models for CKD.https://doi.org/10.1038/s41598-024-83973-5Chronic kidney diseaseRisk factorsEarly diagnosis |
| spellingShingle | Pegah Bahrami Davoud Tanbakuchi Monavar Afzalaghaee Majid Ghayour-Mobarhan Habibollah Esmaily Development of risk models for early detection and prediction of chronic kidney disease in clinical settings Scientific Reports Chronic kidney disease Risk factors Early diagnosis |
| title | Development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| title_full | Development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| title_fullStr | Development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| title_full_unstemmed | Development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| title_short | Development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| title_sort | development of risk models for early detection and prediction of chronic kidney disease in clinical settings |
| topic | Chronic kidney disease Risk factors Early diagnosis |
| url | https://doi.org/10.1038/s41598-024-83973-5 |
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