Model-based estimates of the progression of complications of diabetes and relevant influencing factors

Home Research/Institutes Institute for Health Services Research and Health Economics Patient-relevant outcomes Model-based estimates of the progression of complications of diabetes and relevant influencing factors

Progression of diabetes complications are usually long-term and complex. Model-based analyses can help to identify longer-term clinical development and its influencing factors.

Aim

Development of models for the analysis of the progression of diabetes-related complications

Project Lead and Contact Person


Cooperations

  • Dialyse-Zentrum Mettmann
  • Diabetes-Fußzentrum; Marienkrankenhaus Soest

Funding

  • Own funds
  • Bundesministerium für Bildung und Forschung (BMBF)
  • Deutsches Zentrum für Diabetesforschung (DZD)

Methods

Models for complications are being developed that can be used to analyze clinical data sets. In addition to regression models, Markov chains are used to analyze datasets in which care processes are incompletely mapped and are therefore only partially observable.
Models for diabetic nephropathy and diabetic foot syndrome have been developed and are currently used.

Duration

2013-2020

Selected Publications

  1. Begun A, Icks A, Waldeyer R, Landwehr S, Koch M, Giani G. Identification of a Multistate Continuous Time Non-homogeneous Markov Chain Model for Patients with Decreased Renal Function. Medical Decision Making 2013; 33(2):298-306.
  2. Begun A, Morbach S, Rümenapf G, Icks A. Study of Disease Progression and Relevant Risk Factors in Diabetic Foot Patients Using a Multistate Continuous-Time Markov Chain Model. PLos ONE 2016; 11(1):e0147533.
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