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March 28, 2026European Journal of Endocrinology0 citations

Pitfalls in prediction modelling research

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RGRolf H. H. GroenwoldODOlaf M. Dekkers

Key Points

  • The aim is to identify and discuss key pitfalls in medical prediction modelling research that affect results.
  • Discussed eleven specific pitfalls in research design and analysis.
  • Analyzed common errors in timing, quality of measurements, modelling approaches, and reporting.
  • Evaluated implications of focusing on novel model development.
  • Noted critical issues with timing and measurement quality that affect predictions.
  • Identified problems like overfitting and unclear model interpretation that compromise data reliability.
  • Highlighted the confusion between prediction and causal research, impacting model clarity.

Abstract

This paper discusses eleven pitfalls in the design, analysis, and reporting of medical prediction modelling research. These concern pitfalls related to timing and quality of measurements (i.e., incorporating future predictors, differences in the precision of measurements between development and implementation, outcome misclassification, and predictors with missing values), pitfalls related to modelling (i.e., univariate pre-selection of potential predictors, overfitting the data, and simplifying the model too much), pitfalls related to reporting and model interpretation (i.e., being unclear about the prediction time-horizon, ignoring treatments after time-zero, and conflating prediction and causal research), and pitfalls related to the focus on something new (i.e., developing a new model).

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Cite This Study

Groenwold et al. (2026) studied this question.

synapsesocial.com/papers/69c772158bbfbc51511e2444https://doi.org/10.1093/ejendo/lvag055
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