Development of a risk stratification tool for rapidly progressive diabetic retinopathy in type 2 diabetes - Takeaways - MDSpire

Development of a risk stratification tool for rapidly progressive diabetic retinopathy in type 2 diabetes

  • By

  • Aiping Gu

  • Zhichao Yan

  • Yi Wu

  • Yanying Li

  • Renlong Liang

  • Xiaodi Tang

  • Mengke Li

  • June 19, 2026

  • 0 min

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  • 1

    A nomogram was developed to predict rapidly progressive diabetic retinopathy (PDR) in type 2 diabetes mellitus (T2DM) using multiple clinical factors.

  • 2

    Key predictors included diabetes duration, HbA1c, urinary protein, GDF15, DRSS grade, and foveal avascular zone area.

  • 3

    The study involved 342 T2DM patients, divided into training (240) and validation (102) sets for model development and assessment.

  • 4

    Random Forest achieved the highest validation AUC of 0.780, outperforming Gradient Boosting Machine and multivariable logistic regression.

  • 5

    The nomogram demonstrated good calibration and clinical utility, aiding in the early identification of high-risk individuals for PDR.

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