Table 1.

Systematic review characteristics

PopulationOutcomeStudy typesQuality assessment and gradingStatistical analysisRAMs identified
Huang et al (2013)18      
 Hospitalized nonsurgical patients (studies that focused primarily on children, pregnant women, psychiatric patients, surgical patients, or outpatients were excluded) VTE (DVT/PE); studies that only included patients with upper-extremity DVT were excluded Prognostic model studies where the model was developed either by analyzing individual patient data or by expert consensus • Studies that developed RAMs based on individual patient data: modified Downs and Black checklist
• Studies that developed RAMs based on expert consensus: modified AGREE instrument
• The quality score was expressed as a percentage of the total assigned score divided by the total maximum score of applicable items 
• Narrative synthesis
• No meta-analysis was done due to heterogeneous studies
• Reported ORs or HRs of risk factors included in category I RAMs
• C-statistics reported (model discrimination on derivation and/or validation data sets) 
RAMs based on individual patient data:
 • Woller 2011 (Intermountain/4 element)
 • Spyropoulos 2011 (IMPROVE)
 • Rothberg 2011 (Multivariable model)
 • Alikhan 2004 (MEDENOX)
 • Weil-Engerer 2004
 • Yale 2005
RAMs based on expert consensus:
 • Rocha 2007
 • McCaffrey 2007
 • Samama 2006
 • Cohen 2005
 • Caprini 2001 (Caprini) 
Stuck et al (2017)19      
 Acutely ill medical patients (studies in non-medical, pediatric, pregnant, or psychiatric patients were excluded) VTE (DVT/PE) Prognostic model studies developed based on individual patient data or consensus Not conducted • Narrative synthesis
• No meta-analysis was done 
RAMs developed by derivation by identifying factors with predictive power:
 • 4-Element RAM
 • IMPROVE-RAM (multicenter external validation)
 • Multivariable model
 • Full logistic model
RAMs generated empirically based on consensus approaches, published data, and clinical expertise:
 • Kucher RAM (multicenter external validation)
 • Geneva RAM (multicenter external validation)
 • Padua RAM (multicenter external validation)
 • Caprini RAM 
PopulationOutcomeStudy typesQuality assessment and gradingStatistical analysisRAMs identified
Huang et al (2013)18      
 Hospitalized nonsurgical patients (studies that focused primarily on children, pregnant women, psychiatric patients, surgical patients, or outpatients were excluded) VTE (DVT/PE); studies that only included patients with upper-extremity DVT were excluded Prognostic model studies where the model was developed either by analyzing individual patient data or by expert consensus • Studies that developed RAMs based on individual patient data: modified Downs and Black checklist
• Studies that developed RAMs based on expert consensus: modified AGREE instrument
• The quality score was expressed as a percentage of the total assigned score divided by the total maximum score of applicable items 
• Narrative synthesis
• No meta-analysis was done due to heterogeneous studies
• Reported ORs or HRs of risk factors included in category I RAMs
• C-statistics reported (model discrimination on derivation and/or validation data sets) 
RAMs based on individual patient data:
 • Woller 2011 (Intermountain/4 element)
 • Spyropoulos 2011 (IMPROVE)
 • Rothberg 2011 (Multivariable model)
 • Alikhan 2004 (MEDENOX)
 • Weil-Engerer 2004
 • Yale 2005
RAMs based on expert consensus:
 • Rocha 2007
 • McCaffrey 2007
 • Samama 2006
 • Cohen 2005
 • Caprini 2001 (Caprini) 
Stuck et al (2017)19      
 Acutely ill medical patients (studies in non-medical, pediatric, pregnant, or psychiatric patients were excluded) VTE (DVT/PE) Prognostic model studies developed based on individual patient data or consensus Not conducted • Narrative synthesis
• No meta-analysis was done 
RAMs developed by derivation by identifying factors with predictive power:
 • 4-Element RAM
 • IMPROVE-RAM (multicenter external validation)
 • Multivariable model
 • Full logistic model
RAMs generated empirically based on consensus approaches, published data, and clinical expertise:
 • Kucher RAM (multicenter external validation)
 • Geneva RAM (multicenter external validation)
 • Padua RAM (multicenter external validation)
 • Caprini RAM 

AGREE, Appraisal of Guidelines for Research and Evaluation; HR, hazard ratio; OR, odds ratio.

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