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Literature Review

Prior Research

This project builds on a foundation of peer-reviewed research in machine learning, explainable AI, and diabetes prediction. Below are the key studies that informed our methodology and design decisions.

Rajkomar, A., Dean, J., & Kohane, I. · 2019

Machine Learning in Medicine

New England Journal of Medicine, 380(14), 1347–1358

Key Finding

ML models can match or exceed clinician accuracy in risk stratification tasks when trained on structured clinical data.

Relevance to our work

Justifies our choice of supervised classification over rule-based clinical screening approaches.

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ML in HealthcareClinical AI
Lundberg, S. M., & Lee, S. I. · 2017

A Unified Approach to Interpreting Model Predictions

Advances in Neural Information Processing Systems, 30, 4765–4774

Key Finding

SHAP values provide theoretically grounded, consistent feature attribution that is superior to prior interpretability methods.

Relevance to our work

SHAP is our primary explainability method — this is the foundational paper we implement directly.

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Explainable AISHAP
Ribeiro, M. T., Singh, S., & Guestrin, C. · 2016

"Why Should I Trust You?": Explaining the Predictions of Any Classifier

Proceedings of the 22nd ACM SIGKDD, 1135–1144

Key Finding

LIME generates locally faithful, interpretable explanations for individual predictions of any black-box model.

Relevance to our work

LIME is our secondary explainability method used for patient-level decision interpretation.

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Explainable AILIME
Obermeyer, Z., & Emanuel, E. J. · 2016

Predicting the Future — Big Data, Machine Learning, and Clinical Medicine

New England Journal of Medicine, 375(13), 1216–1219

Key Finding

Big data and ML have the potential to transform clinical medicine by improving prediction, diagnosis, and personalised treatment.

Relevance to our work

Provides the foundational motivation for applying ML to population-level diabetes risk stratification.

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Big DataClinical Medicine
Carvalho, D. V., Pereira, E. M., & Cardoso, J. S. · 2019

Machine Learning Interpretability: A Survey on Methods and Metrics

Electronics, 8(8), 832

Key Finding

A comprehensive survey of XAI methods showing that SHAP and LIME are the most widely adopted for tabular healthcare data.

Relevance to our work

Informed our choice of SHAP and LIME over alternative XAI approaches.

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SurveyExplainable AI
Kavakiotis, I., Tsave, O., Salifoglou, A., et al. · 2017

Machine Learning and Data Mining Methods in Diabetes Research

Computational and Structural Biotechnology Journal, 15, 104–116

Key Finding

XGBoost and Random Forest consistently outperform other classifiers for diabetes prediction across multiple datasets.

Relevance to our work

Directly supports our selection of XGBoost as the final model for diabetes risk prediction.

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Diabetes MLDomain Research
International Diabetes Federation · 2021

IDF Diabetes Atlas, 10th Edition

International Diabetes Federation, Brussels, Belgium

Key Finding

Over 537 million adults live with diabetes globally, with Type 2 accounting for over 90% of cases. Prevalence is highest in low- and middle-income countries.

Relevance to our work

Provides the epidemiological scale and public health urgency that motivates this project.

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EpidemiologyPublic Health
Zou, Q., Qu, K., Luo, Y., et al. · 2018

Predicting Diabetes Mellitus with Machine Learning Techniques

Frontiers in Genetics, 9, 515

Key Finding

Ensemble methods achieve AUC > 0.85 for diabetes prediction using BRFSS-derived clinical features.

Relevance to our work

Closest prior work to our exact approach — same feature set, same problem framing, validates our methodology.

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Diabetes PredictionBRFSS