Probabilistic Modelling of Multiple Long-Term Condition Onset Times

Fuente: arXiv
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Autores principales: Richards, Kieran, Fleetwood, Kelly, Prigge, Regina, Missier, Paolo, Barnes, Michael, Reynolds, Nick J., Guthrie, Bruce, Seth, Sohan
Formato: Preprint
Publicado: 2024
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author Richards, Kieran
Fleetwood, Kelly
Prigge, Regina
Missier, Paolo
Barnes, Michael
Reynolds, Nick J.
Guthrie, Bruce
Seth, Sohan
author_facet Richards, Kieran
Fleetwood, Kelly
Prigge, Regina
Missier, Paolo
Barnes, Michael
Reynolds, Nick J.
Guthrie, Bruce
Seth, Sohan
contents The co-occurrence of multiple long-term conditions (MLTC), or multimorbidity, in an individual can reduce their lifespan and severely impact their quality of life. Exploring the longitudinal patterns, e.g. clusters, of disease accrual can help better understand the genetic and environmental drivers of multimorbidity, and potentially identify individuals who may benefit from early targeted intervention. We introduce $\textit{probabilistic modelling of onset times}$, or $\texttt{ProMOTe}$, for clustering and forecasting MLTC trajectories. $\texttt{ProMOTe}$ seamlessly learns from incomplete and unreliable disease trajectories that is commonplace in Electronic Health Records but often ignored in existing longitudinal clustering methods. We analyse data from 150,000 individuals in the UK Biobank and identify 50 clusters showing patterns of disease accrual that have also been reported by some recent studies. We further discuss the forecasting capabilities of the model given the history of disease accrual.
format Preprint
id arxiv_https___arxiv_org_abs_2412_07657
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Probabilistic Modelling of Multiple Long-Term Condition Onset Times
Richards, Kieran
Fleetwood, Kelly
Prigge, Regina
Missier, Paolo
Barnes, Michael
Reynolds, Nick J.
Guthrie, Bruce
Seth, Sohan
Applications
Methodology
The co-occurrence of multiple long-term conditions (MLTC), or multimorbidity, in an individual can reduce their lifespan and severely impact their quality of life. Exploring the longitudinal patterns, e.g. clusters, of disease accrual can help better understand the genetic and environmental drivers of multimorbidity, and potentially identify individuals who may benefit from early targeted intervention. We introduce $\textit{probabilistic modelling of onset times}$, or $\texttt{ProMOTe}$, for clustering and forecasting MLTC trajectories. $\texttt{ProMOTe}$ seamlessly learns from incomplete and unreliable disease trajectories that is commonplace in Electronic Health Records but often ignored in existing longitudinal clustering methods. We analyse data from 150,000 individuals in the UK Biobank and identify 50 clusters showing patterns of disease accrual that have also been reported by some recent studies. We further discuss the forecasting capabilities of the model given the history of disease accrual.
title Probabilistic Modelling of Multiple Long-Term Condition Onset Times
topic Applications
Methodology
url https://arxiv.org/abs/2412.07657