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非酒精性脂肪性肝病发病的预测研究——基于前瞻性队列

巫元琴 龙现珍 丁姣 史典 任晓宇 张德生 白亚娜 程宁 刘艳艳 程治远 尹春 张蔚 李娜 华宏昊 吴喜江 王玉峰

兰州大学学报(医学版)2024,Vol.50Issue(1):16-20,5.
兰州大学学报(医学版)2024,Vol.50Issue(1):16-20,5.DOI:10.13885/j.issn.1000-2812.2024.01.003

非酒精性脂肪性肝病发病的预测研究——基于前瞻性队列

Prediction of the incidence of nonalcoholic fatty liver disease:A prospective cohort study

巫元琴 1龙现珍 1丁姣 2史典 3任晓宇 3张德生 2白亚娜 1程宁 3刘艳艳 1程治远 4尹春 2张蔚 3李娜 2华宏昊 1吴喜江 2王玉峰2

作者信息

  • 1. 兰州大学公共卫生学院 流行病学与统计研究所,甘肃 兰州 730000
  • 2. 金川集团有限公司职工医院,甘肃 金昌 737100
  • 3. 兰州大学 基础医学院,甘肃 兰州 730000
  • 4. 南方科技大学公共卫生与应急管理学院,广东 深圳 518055
  • 折叠

摘要

Abstract

Objective To identify risk factors with the onset of nonalcoholic fatty liver disease and develop a prediction model for its incidence.Methods 22 702 participants were randomly assigned to the training and the validation set at 70%(n =15 892)and 30%(n = 6 810).A nomogram model for nonalcoholic fatty liver disease was constructed using Lasso-Cox regression.The area under the receiver operator characteristic curve(AUC)was used to assess model discriminability.Results body mass index,hypertension,diabetes mellitus,hyperuricemia,alanine aminotransferase and triglycerides were statistically significant for the onset of nonal-coholic fatty liver disease and were used to construct the nomogram.In the training set,AUC was 0.72,0.73 and 0.73 at 2,3,4 years,respectively.In the validation set,AUC was 0.72,0.74 and 0.76 at 2,3,4 years,re-spectively.Conclusions The nomogram had a good predictive value for the incidence of nonalcoholic fatty liv-er disease within 4 years.

关键词

非酒精性脂肪性肝病/发病率/预测模型/列线图/前瞻性队列

Key words

nonalcoholic fatty liver disease/incidence/predictive model/nomogram/prospective cohort

分类

医药卫生

引用本文复制引用

巫元琴,龙现珍,丁姣,史典,任晓宇,张德生,白亚娜,程宁,刘艳艳,程治远,尹春,张蔚,李娜,华宏昊,吴喜江,王玉峰..非酒精性脂肪性肝病发病的预测研究——基于前瞻性队列[J].兰州大学学报(医学版),2024,50(1):16-20,5.

基金项目

金川集团公司职工代谢性疾病全程管理体系建设资助项目(金科综2020-02) (金科综2020-02)

兰州大学学报(医学版)

OACSTPCD

2097-681X

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