Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.

Abstract Background We recently introduced a system of partial differential equations (PDEs) to model the prevalence of chronic diseases with a possibly prolonged state of asymptomatic, undiagnosed disease preceding a diagnosis. Common examples for such diseases include coronary heart disease, type...

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Main Authors: Ralph Brinks, Sophie Kaufmann, Annika Hoyer, Edward W Gregg, Jürgen Saal
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12874-019-0845-2
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author Ralph Brinks
Sophie Kaufmann
Annika Hoyer
Edward W Gregg
Jürgen Saal
author_facet Ralph Brinks
Sophie Kaufmann
Annika Hoyer
Edward W Gregg
Jürgen Saal
author_sort Ralph Brinks
collection DOAJ
description Abstract Background We recently introduced a system of partial differential equations (PDEs) to model the prevalence of chronic diseases with a possibly prolonged state of asymptomatic, undiagnosed disease preceding a diagnosis. Common examples for such diseases include coronary heart disease, type 2 diabetes or cancer. Widespread application of the new method depends upon mathematical treatment of the system of PDEs. Methods In this article, we study the existence and the uniqueness of the solution of the system of PDEs. To demonstrate the usefulness and importance of the system, we model the age-specific prevalence of hypertension in the US 1999–2010. Results The examinations of mathematical properties provide a way to solve the systems of PDEs by the method of characteristics. In the application to hypertension, we obtain a good agreement between modeled and surveyed age-specific prevalences. Conclusions The described system of PDEs provides a practical way to examine the epidemiology of chronic diseases with a state of undiagnosed disease preceding a diagnosis.
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spelling doaj.art-dec0357e3ce84c87a044bc798a0ed5172022-12-22T01:24:16ZengBMCBMC Medical Research Methodology1471-22882019-11-011911810.1186/s12874-019-0845-2Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.Ralph Brinks0Sophie Kaufmann1Annika Hoyer2Edward W Gregg3Jürgen Saal4University Hospital, Department and Hiller research unit for RheumatologyGerman Diabetes Center, Institute for Biometry and EpidemiologyGerman Diabetes Center, Institute for Biometry and EpidemiologyCenters for Disease Control and Prevention, Division of Diabetes TranslationHeinrich-Heine-University Düsseldorf, Mathematical InstituteAbstract Background We recently introduced a system of partial differential equations (PDEs) to model the prevalence of chronic diseases with a possibly prolonged state of asymptomatic, undiagnosed disease preceding a diagnosis. Common examples for such diseases include coronary heart disease, type 2 diabetes or cancer. Widespread application of the new method depends upon mathematical treatment of the system of PDEs. Methods In this article, we study the existence and the uniqueness of the solution of the system of PDEs. To demonstrate the usefulness and importance of the system, we model the age-specific prevalence of hypertension in the US 1999–2010. Results The examinations of mathematical properties provide a way to solve the systems of PDEs by the method of characteristics. In the application to hypertension, we obtain a good agreement between modeled and surveyed age-specific prevalences. Conclusions The described system of PDEs provides a practical way to examine the epidemiology of chronic diseases with a state of undiagnosed disease preceding a diagnosis.http://link.springer.com/article/10.1186/s12874-019-0845-2Compartment modelIncidencePrevalenceNHANES
spellingShingle Ralph Brinks
Sophie Kaufmann
Annika Hoyer
Edward W Gregg
Jürgen Saal
Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
BMC Medical Research Methodology
Compartment model
Incidence
Prevalence
NHANES
title Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
title_full Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
title_fullStr Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
title_full_unstemmed Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
title_short Analysing detection of chronic diseases with prolonged sub-clinical periods: modelling and application to hypertension in the U.S.
title_sort analysing detection of chronic diseases with prolonged sub clinical periods modelling and application to hypertension in the u s
topic Compartment model
Incidence
Prevalence
NHANES
url http://link.springer.com/article/10.1186/s12874-019-0845-2
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