Question · asked by 1 review

Multivariable caries prediction model vs Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test): Predictive performance for root caries increment (negative likelihood ratio, LR-)

Population
Older adults (aged 52-95; mean 52-73) at risk of root caries increment
Intervention
Multivariable caries prediction model
Comparison
Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test)
Outcome
Predictive performance for root caries increment (negative likelihood ratio, LR-)

The single root-caries validation study (Hayes 2017) showed LR- of 0.34-0.41, above the useful rule-out threshold; no pooled estimate; ungraded.

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 2 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Multivariable prediction model of caries increment (>=3 predictors), e.g. logistic-regression or algorithm-based caries-risk models vs Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test)
Predictive performance for root caries increment (negative likelihood ratio, LR-) · Older adults (aged 52-95; mean 52-73) at risk of root caries increment · Follow-up >=1 year (included studies 1-5 years), Oral health care; older adults; no geographical restriction, Model validation studies
The single root-caries validation study (Hayes 2017) showed LR- of 0.34-0.41, above the useful rule-out threshold; no pooled estimate; ungraded.
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) All outcomes
No meta-analysis. Hayes 2017 [33] (5 Cariogram root-caries models): per-model LR- (Table 2) ranged 0.34-0.41; none reached the useful rule-out threshold of <=0.20.1 studyGRADE not reported
Multivariable prediction model of caries increment (>=3 predictors), e.g. logistic-regression or algorithm-based caries-risk models vs Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test)
Predictive performance for root caries increment (negative likelihood ratio, LR-) · Older adults (aged 52-95; mean 52-73) at risk of root caries increment · Follow-up >=1 year (included studies 1-5 years), Oral health care; older adults; no geographical restriction, Model development studies
Developmental root-caries models showed modest negative likelihood ratios; only Powell 1991 reached the useful rule-out threshold; no pooled estimate; ungraded.
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) All outcomes
No meta-analysis. Per-model LR- (Table 2): Ritter 0.36-0.48 (5 models), Powell 0.20 (0.04-0.90), Sanchez-Garcia 0.86 (0.80-0.93). Powell reached the useful rule-out threshold (LR- 0.20).2 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Multivariable prediction models of caries increment: a systematic review and critical appraisal.
2023 All outcomes
23 April 202122Not applicable

Studies behind the findings

The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.