Coronary disease & ACS

Predictive modelling of medication adherence in post-myocardial infarction patients: a Bayesian approach using beta-regression

Eur J Prev CardiolPublished Prediction model development study

Authors' conclusion

In addition, simplified models, with 90-days adherence as single predictor, had similar performance compared with full complex models.

Study context

Population
Adult post-MI patients followed for 1 year; adherence to statins, P2Y12 inhibitors and aspirin
Participants
3,692 patients
Comparison
Simplified model vs full multi-variable model
Outcome
Proportion of days covered (PDC) from pharmacy records, modelled as a proportion
Follow-up
1 year
Methodological detailsBayesian beta-regression, multi-level models, cross validation
  • Bayesian beta-regression
  • Multi-level models
  • Cross validation

Performance

As reported in the abstract

Model performance

Bayesian R2, statins model

61.4%

Bayesian R2, P2Y12 inhibitors model

71.2%

Bayesian R2, aspirin model

55.2%

Further findings

Median

OutcomeStatinsP2Y12 inhibitorsAspirin
1-year PDC by medication0.8 (IQR 0.33–1.00)0.79 (IQR 0.23–0.99)0.79 (IQR 0.23–0.99)

Original publication

Predictive modelling of medication adherence in post-myocardial infarction patients: a Bayesian approach using beta-regression. Eur J Prev Cardiol. Published 4 October 2024. doi:10.1093/eurjpc/zwae327

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