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Table 3 Handling of treatment in the analyses of prognostic model studies

From: Treatment use in prognostic model research: a systematic review of cardiovascular prognostic studies

Approach taken to account for treatment use

Development studies n = 124 (%)

Incremental value studies n = 135 (%)

Validation studies n = 146 (%)

Treated patients excluded from the analysis

20 (15)

53 (39)

38 (26)

 Antihypertensive medication users

4 (3)

6 (4)

6 (4)

 Lipid-lowering medication users

6 (5)

10 (7)

16 (11)

 Other medication users

1 (1)

2 (1)

1 (1)

 Lifestyle interventions

0

0

0

 Patients who received surgery

14 (10)

39 (29)

22 (15)

Untreated patients-only sensitivity analysis

9 (7)

5 (4)

4 (3)

Stratification by treatment use

1 (1)

0

0

Treatment included in the outcome

23 (19)

58 (43)

35 (24)

Treatment modelled as a predictor

54 (44)

48 (59)a

 Antihypertensive medication use

49 (40)

44 (54)a

 Lipid-lowering medication use

12 (10)

15 (11)a

 Other medication use

2 (2)

5 (4)a

 Lifestyle interventions

1 (1)

0a

 Surgical interventions

0

0a

Type of treatment information modelled

 Modelled directly (not a composite predictorb)

37 (30)

44 (54)a

 Baseline treatment

41 (33)

36 (44)a

 Changes in treatment during follow-up

0

0a

 Treatment at the end of follow-up

0

1 (1)a

 Not clearly reported

12 (10)

11 (8)

Statistical interactions with treatment considered

21 (17)

7 (5)a

  1. aOnly studies that assessed incremental value over a core set of individual predictors (n = 81) and thus had the opportunity to include treatment variables within the core set of predictors; studies that assessed incremental value over an existing prognostic model or risk score did not derive a new prediction model and are not included in the calculation
  2. bComposite predictors are here defined as the combination of two or more variables (including treatment use) into a single predictor