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Collaborative working manuscript · Not peer reviewed

Oralbiome

A retrospective audit of cross-study transfer

A retrospective audit of oral-microbiome diabetes-status models, focused on cohort eligibility, leakage, calibration and cross-study transfer.

Research question

How does apparent within-source performance change across study populations, and what does the available evaluation establish about transfer?

Work and approach

I contributed study design, baseline and CatBoost analyses, interpretation, transfer investigations and manuscript preparation. My collaborator contributed preprocessing, exploratory analysis, feature engineering and a gradient-boosting comparison. We both contributed to methods and experiments, using AI tools throughout the workflow.

  • Audit specimen eligibility and related-study overlap before interpreting predictive performance.
  • Use nested model selection, disjoint calibration and out-of-fold subgroup reconstruction.
  • Report cohort-specific uncertainty and distinguish exploratory transfer from untouched validation.

How to evaluate the work

The retrospective reconstruction excludes mislabeled fecal specimens and related-study overlap. All four displayed external performance intervals include chance, and all external cohorts informed development. Those facts limit what the apparent source-cohort performance establishes.

Evidence and limitations

The corrected public working manuscript is Oral Microbiome Models of Diabetes Status: A Retrospective Audit of Cross-Study Transfer. NHANES labels describe self-reported diabetes, without verified Type 2 subtype. The manuscript is not peer reviewed.

This is exploratory retrospective research, with small heterogeneous external cohorts and unresolved source/linkage limits. It does not establish an untouched confirmatory evaluation, a clinically useful tool or a causal biological mechanism.