Data Mining Approach for Early Identification of Diabetic Retinopathy Using Electronic Health Records
DOI:
https://doi.org/10.55927/fjst.v5i8.146Keywords:
Data Mining, Diabetic Retinopathy, Electronic Health Records, Early Identification, Diabetes Mellitus.Abstract
Diabetic retinopathy is a complication of diabetes that is at risk of causing visual impairment so it requires early identification based on clinical data. This study aims to identify patterns of association between patient characteristics, glucose levels, diabetes duration, blood pressure, and retinopathy conditions through electronic health records. The study used an exploratory descriptive design based on EHR secondary data with purposive sampling of 30 medical records of diabetic patients who met the study criteria. Data were collected through electronic medical record documentation and analyzed using data mining techniques to find meaningful patterns between clinical variables. Results showed that longer duration of diabetes, higher glucose levels, and high blood pressure were the dominant patterns in patients with indications of retinopathy. These findings suggest that data mining on electronic medical records has the potential to support early screening and clinical decision-making
References
Aisy S. Day, S. R., Yanti, A. K. E., & Darkutni, D. T. (2024). Karakteristik klinis pasien retinopati diabetik: Literature review. Jurnal Ilmu Kedokteran dan Kesehatan, 11(8). https://doi.org/10.33024/jikk.v11i8.15359
Breeyear, J. H., Mitchell, S. L., Nealon, C. L., Hellwege, J. N., Charest, B., Khakharia, A., Halladay, C. W., Yang, J., Garriga, G. A., Wilson, O. D., Basnet, T. B., Hung, A. M., Reaven, P. D., Meigs, J. B., Rhee, M. K., Sun, Y., Lynch, M. G., Sobrin, L., Brantley, M. A., Jr., & Giri, A. (2024). Development of electronic health record-based algorithms to identify individuals with diabetic retinopathy. Journal of the American Medical Informatics Association, 31(11), 2560–2570. https://doi.org/10.1093/jamia/ocae213
Effendy, V. G., Rini, M., Ratnaningsih, N., Irfani, I., & Natalya, S. (2023). Karakteristik pasien diabetes mellitus yang mengikuti program skrining retinopati diabetik berbasis komunitas di Kota Bandung oleh Rumah Sakit Mata Cicendo pada tahun 2022. Oftalmologi: Jurnal Kesehatan Mata Indonesia, 5(3). https://doi.org/10.11594/ojkmi.v5i3.59
Gandhi, M., Daskivich, L. P., & Ogunyemi, O. I. (2022). DRRisk: A web-based tool to assess the risk of diabetic retinopathy through machine learning on electronic health records. AMIA Annual Symposium Proceedings, 2022, 452–460.
Harrigian, K., Tran, D., Tang, T., Gonzales, A., Nagy, P., Kharrazi, H., Dredze, M., & Cai, C. X. (2024). Improving the identification of diabetic retinopathy and related conditions in the electronic health record using natural language processing methods. Ophthalmology Science, 4(6), 100578. https://doi.org/10.1016/j.xops.2024.100578
Honeyford, K., Expert, P., Mendelsohn, E. E., Post, B., Faisal, A. A., Glampson, B., Mayer, E. K., & Costelloe, C. E. (2022). Challenges and recommendations for high quality research using electronic health records. Frontiers in Digital Health, 4, 940330. https://doi.org/10.3389/fdgth.2022.940330
Kim, S., Park, J., Son, Y., Lee, H., Woo, S., Lee, M., Lee, H., Sang, H., Yon, D. K., & Rhee, S. Y. (2025). Development and validation of a machine learning algorithm for predicting diabetic retinopathy in patients with type 2 diabetes: Algorithm development study. JMIR Medical Informatics, 13, e58107. https://doi.org/10.2196/58107
Li, X., Wen, X., Shang, X., Liu, J., Zhang, L., Cui, Y., Luo, X., Zhang, G., Xie, J., Huang, T., Chen, Z., Lyu, Z., Wu, X., Lan, Y., & Meng, Q. (2024). Identification of diabetic retinopathy classification using machine learning algorithms on clinical data and optical coherence tomography angiography. Eye, 38, 2813–2821. https://doi.org/10.1038/s41433-024-03173-3
Liang, Y., Wang, R., Wang, Y., & Liu, T. (2024). Estimating the prevalence of diabetic retinopathy in electronic health records with massive missing labels. Intelligence-Based Medicine, 10, 100154. https://doi.org/10.1016/j.ibmed.2024.100154
Maulidzar, R., Meylani, N. R., Alex, Asroruddin, M., Elida, S. Y., & Fitrianingrum, I. (2025). Hubungan status kontrol gula darah dan kejadian retinopati diabetik. Oftalmologi: Jurnal Kesehatan Mata Indonesia, 7(2), 75–83. https://doi.org/10.11594/ojkmi.v7i2.89
Naqiya, W., Virgana, R., & Kartasasmita, A. S. (2023). Gambaran kepatuhan berobat pasien retinopati diabetik di PMN RS Mata Cicendo 2021–2022. Oftalmologi: Jurnal Kesehatan Mata Indonesia, 5(2), 1. https://doi.org/10.11594/ojkmi.v5i2.54
Ogunyemi, O. I., Gandhi, M., Lee, M., et al. (2021). Detecting diabetic retinopathy through machine learning on electronic health record data from an urban, safety net healthcare system. JAMIA Open, 4(3), ooab066. https://doi.org/10.1093/jamiaopen/ooab066
Pan, H., Sun, J., Luo, X., Ai, H., Zeng, J., Shi, R., & Zhang, A. (2023). A risk prediction model for type 2 diabetes mellitus complicated with retinopathy based on machine learning and its application in health management. Frontiers in Medicine, 10, 1136653. https://doi.org/10.3389/fmed.2023.1136653
Purnama, R. F. N. (2023). Retinopati diabetik: Manifestasi klinis, diagnosis, tatalaksana dan pencegahan. Lombok Medical Journal, 2(2). https://doi.org/10.29303/lmj.v2i1.2410
Sasongko, M. B., Febryanto, G. A., Haryanto, S., Wardhana, F. S., Lestari, Y. D., Puspita, A., & Widyaputri, F. (2025). Incidence and progression of diabetic retinopathy and blindness in Indonesian adults with type 2 diabetes. PLOS ONE, 20(8), e0322093. https://doi.org/10.1371/journal.pone.0322093
Syahrul, F. H., & Sasongko, P. S. (2022). Penerapan convolutional neural network untuk klasifikasi tingkat keparahan retinopati diabetik pada penderita diabetes melitus. Jurnal Masyarakat Informatika, 13(1), 1–14. https://doi.org/10.14710/jmasif.13.1.42354
Syaqila, N. H., & Hakim, A. W. (2023). Retinopati diabetik proliferatif: Faktor risiko dan penatalaksanaan. Jurnal Pandu Husada, 4(1).
Teo, Z. L., Tham, Y.-C., Yu, M., Chee, M. L., Rim, T. H., Cheung, N., Bikbov, M. M., Wang, Y. X., Tang, Y., Lu, Y., Wong, I. Y., Ting, D. S. W., Tan, G. S. W., Jonas, J. B., Sabanayagam, C., Wong, T. Y., & Cheng, C.-Y. (2021). Global prevalence of diabetic retinopathy and projection of burden through 2045: Systematic review and meta-analysis. Ophthalmology, 128(11), 1580–1591. https://doi.org/10.1016/j.ophtha.2021.04.027
Usman, T. M., Saheed, Y. K., Nsang, A., Ajibesin, A., & Rakshit, S. (2023). A systematic literature review of machine learning based risk prediction models for diabetic retinopathy progression. Artificial Intelligence in Medicine, 144, 102617. https://doi.org/10.1016/j.artmed.2023.102617
Wang, X., Wang, W., Ren, H., Li, X., et al. (2024). Prediction and analysis of risk factors for diabetic retinopathy based on machine learning and interpretable models. Heliyon, 10(9), e29497. https://doi.org/10.1016/j.heliyon.2024.e29497
Wu, J.-H., Liu, T. Y. A., Hsu, W.-T., Ho, J. H.-C., & Lee, C.-C. (2021). Performance and limitation of machine learning algorithms for diabetic retinopathy screening: Meta-analysis. Journal of Medical Internet Research, 23(7), e23863. https://doi.org/10.2196/23863
Yang, C., Liu, Q., Guo, H., Zhang, M., Zhang, L., Zhang, G., Zeng, J., Huang, Z., Meng, Q., & Cui, Y. (2021). Usefulness of machine learning for identification of referable diabetic retinopathy in a large-scale population-based study. Frontiers in Medicine, 8, 773881. https://doi.org/10.3389/fmed.2021.773881
Zhao, Y., Li, X., Li, S., Dong, M., Yu, H., Zhang, M., Chen, W., Li, P., Yu, Q., Liu, X., & Gao, Z. (2022). Using machine learning techniques to develop risk prediction models for the risk of incident diabetic retinopathy among patients with type 2 diabetes mellitus: A cohort study. Frontiers in Endocrinology, 13, 876559. https://doi.org/10.3389/fendo.2022.87655
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