Your browser doesn't support javascript.
loading
Classification of the severity of diabetic neuropathy: a new approach taking uncertainties into account using fuzzy logic
Picon, Andreja P; Ortega, Neli R. S; Watari, Ricky; Sartor, Cristina; Sacco, Isabel C. N.
  • Picon, Andreja P; Universidade de São Paulo, Physical Therapy. Faculdade de Medicina. Speech and Occupational Therapy Department. São Paulo. BR
  • Ortega, Neli R. S; Universidade de São Paulo. Faculdade de Medicina. São Paulo. BR
  • Watari, Ricky; Universidade de São Paulo, Physical Therapy. Faculdade de Medicina. Speech and Occupational Therapy Department. São Paulo. BR
  • Sartor, Cristina; Universidade de São Paulo, Physical Therapy. Faculdade de Medicina. Speech and Occupational Therapy Department. São Paulo. BR
  • Sacco, Isabel C. N; Universidade de São Paulo, Physical Therapy. Faculdade de Medicina. Speech and Occupational Therapy Department. São Paulo. BR
Clinics ; 67(2): 151-156, 2012. graf, tab
Article Dans Anglais | LILACS | ID: lil-614639
ABSTRACT

OBJECTIVE:

This study proposes a new approach that considers uncertainty in predicting and quantifying the presence and severity of diabetic peripheral neuropathy.

METHODS:

A rule-based fuzzy expert system was designed by four experts in diabetic neuropathy. The model variables were used to classify neuropathy in diabetic patients, defining it as mild, moderate, or severe. System performance was evaluated by means of the Kappa agreement measure, comparing the results of the model with those generated by the experts in an assessment of 50 patients. Accuracy was evaluated by an ROC curve analysis obtained based on 50 other cases; the results of those clinical assessments were considered to be the gold standard.

RESULTS:

According to the Kappa analysis, the model was in moderate agreement with expert opinions. The ROC analysis (evaluation of accuracy) determined an area under the curve equal to 0.91, demonstrating very good consistency in classifying patients with diabetic neuropathy.

CONCLUSION:

The model efficiently classified diabetic patients with different degrees of neuropathy severity. In addition, the model provides a way to quantify diabetic neuropathy severity and allows a more accurate patient condition assessment.
Sujets)


Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Indice de gravité de la maladie / Systèmes experts / Logique floue / Incertitude / Neuropathies diabétiques Type d'étude: Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Clinics Thème du journal: Médicament Année: 2012 Type: Article / descriptif de projet Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de São Paulo/BR / Universidade de São Paulo, Physical Therapy/BR

Documents relatifs à ce sujet

MEDLINE

...
LILACS

LIS


Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Indice de gravité de la maladie / Systèmes experts / Logique floue / Incertitude / Neuropathies diabétiques Type d'étude: Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Clinics Thème du journal: Médicament Année: 2012 Type: Article / descriptif de projet Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de São Paulo/BR / Universidade de São Paulo, Physical Therapy/BR