Thyroid disease

Prediction models of intravenous glucocorticoids therapy response in thyroid eye disease

Eur Thyroid JPublished Systematic review and meta-analysis of prediction model studies

Authors' conclusion

This meta-analysis comprehensively reviews the predictive models for IVGC therapy response in TED. It underscores that integrating clinical characteristics with laboratory or imaging indicators and employing advanced techniques like multivariate regression or radiomics analysis significantly enhance the efficacy of prediction. Our research findings offer valuable insights that can guide future studies on prediction models for IVGC therapy in TED.

Study context

Population
Patients with thyroid eye disease (TED) receiving intravenous glucocorticoid (IVGC) therapy; studies from PubMed, Embase and Web of Science12 studies · 47 models
Outcome
Performance (AUC, sensitivity, specificity) of prediction models of IVGC therapy response
Methodological detailsmeta-regression, subgroup analysis, sensitivity analysis
  • Meta-regression
  • Subgroup analysis
  • Sensitivity analysis

Pooled result

As reported in the abstract

Pooled prediction model performance

Pooled AUC

0.81

Combined sensitivity

0.75

Combined specificity

0.79

Further pooled results

Sources of heterogeneity and AUC by marker and modeling type

Marker and modeling types may be possible causes of heterogeneity
P < 0.001
Imaging metrics alone, AUC
0.81
Clinical characteristics combined with other markers, AUC
0.87
Multivariate regression, AUC
0.84
Radiomics analysis, AUC
0.91
  • Multiple meta-regression and subgroup analysis

Original publication

Prediction models of intravenous glucocorticoids therapy response in thyroid eye disease. Eur Thyroid J. Published 26 August 2024. doi:10.1530/etj-24-0122

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