Across rheumatic diseases

Clinical prediction models for medication adverse events in patients with rheumatic and musculoskeletal conditions: A systematic literature review

Semin Arthritis RheumPublished Systematic literature review

Authors' conclusion

It highlights that existing CPMs are affected by methodological pitfalls, including inappropriate variable selection and lack of clear sample size justification.

Study context

Population
Studies developing multivariable clinical prediction models (CPMs) predicting adverse events (AEs) in adult patients using RMD medications; PubMed, Embase and Medline up to March 2024
Participants
12 participants17 CPMs
Outcome
Existing CPMs for AEs of RMD medications
Methodological detailsCHARMS data extraction, PROBAST risk of bias assessment
  • CHARMS data extraction
  • PROBAST risk of bias assessment

Main finding

As reported in the abstract

Studies identified
2406
Titles/abstracts screened
1734
Reviewed in full
38
Studies meeting eligibility criteria
12
CPMs reported
17
CPMs focused on RA
76.4 %
CPMs on disease modifying anti-rheumatic drugs (DMARDs): MTX
69.2 %
CPMs on DMARDs: biologic drugs
15.3 %
Models with high overall risk of bias (ROB) (inappropriate variable selection and sample size)
12 (70.5 %)

Original publication

Clinical prediction models for medication adverse events in patients with rheumatic and musculoskeletal conditions: A systematic literature review. Semin Arthritis Rheum. Published 11 April 2025. doi:10.1016/j.semarthrit.2025.152728

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