Table 1.
Characteristics | Model development studies | Internal validation studies | External validation studies |
---|---|---|---|
Number of studies | 54 studies | 42 studies | 49 studies |
Number of models | 58 models | 42 models | 17 models |
Year of publication | 1982–2016 | 1982–2016 | 1987–2016 |
Study design | |||
Prospective | 2 studies | 2 studies | 0 study |
Retrospective | 32 studies | 23 studies | 30 studies |
Unknown | 20 studies | 18 studies | 19 studies |
Source of data | |||
Population-based | 14 studies | 11 studies | 12 studies |
Hospital-based | 31 studies | 29 studies | 33 studies |
RCT-based | 6 studies | 1 study | 4 studies |
Unknown | 3 studies | 2 studies | 0 study |
Sample size | 75–433,272 | 30–433,272 | 48–387,262 |
Number of events | |||
Deaths | 27–24,610 | 27–24,610 | 11–3902 |
Recurrences | 5–1030 | 5–950 | 9–1188 |
Country of participants | |||
Europe | 24 studies | 22 studies | 29 studies |
North America | 13 studies | 8 studies | 7 studies |
Asia | 11 studies | 10 studies | 11 studies |
Others | 2 studies (Australia) | 0 study | 3 studies (1 Australia. 1 New Zealand, 1 Brazil) |
Strengths concluded by the authors of the selected studies | |||
Adhere to good practice | 1 study | 1 study | 0 study |
Large sample size | 2 studies | 2 studies | 4 studies |
Patients diagnosed recently | 1 study | 1 study | 0 study |
Homogeneous source of data | 2 studies | 2 studies | 1 study |
Low proportion of missing data | 0 study | 0 study | 1 study |
Weaknesses concluded by the authors of the selected studies | |||
Missing data | 11 studies | 11 studies | 8 studies |
Small sample size | 3 studies | 3 studies | 9 studies |
Patients treated with obsolete methods | 4 studies | 4 studies | 3 studies |
Heterogeneous source of data | 3 studies | 3 studies | 0 study |
Selection bias | 2 studies | 2 studies | 0 study |
Short-time follow-up | 1 study | 1 study | 0 study |