Reproductive endocrinology

Development and External Validation of a Home-based Risk Prediction Model of Natural Onset of Menopause—Teuta

J Clin Endocrinol MetabPublished Population-based prospective cohort study

Authors' conclusion

We present the first internally and externally validated prediction model of natural menopause onset using readily available predictors. Validation of our model to other populations is needed.

Study context

Population
Community-dwelling premenopausal women aged 28 years and older, Swiss (CoLaus) and Dutch (PREVEND) studies
Participants
750 vs 1,032
Exposure
CoLaus vs PREVEND
  • CoLausn = 750
  • PREVENDn = 1,032
Outcome
Incidence of self-reported natural menopause
Methodological detailsrisk prediction model development and external validation, backward elimination and Bayesian Model Averaging, bootstrapping internal validation
  • Risk prediction model development and external validation
  • Backward elimination and Bayesian Model Averaging
  • Bootstrapping internal validation

Main finding

As reported in the abstract

External validation performance in PREVEND (after recalibration)
GroupC-statisticExpected/observed probability
PREVEND0.8880.82

PREVEND

C-statistic0.888
Expected/observed probability0.82

Observational data: associations, not effects.

Further findings

Natural menopause during follow-up · median follow-up 10.7 (CoLaus) and 9 (PREVEND) years

Original publication

Development and External Validation of a Home-based Risk Prediction Model of Natural Onset of Menopause—Teuta. J Clin Endocrinol Metab. Published 5 March 2024. doi:10.1210/clinem/dgae125

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