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Comment & Response
February 2015

Risk Model for Renal ScarringValidation and Implications Still Needed for Primary Care Practice

Author Affiliations
  • 1Outcomes Positive Inc, Newark, Delaware
  • 2Division of Urology, Alfred I. duPont Hospital for Children, Wilmington, Delaware
JAMA Pediatr. 2015;169(2):189. doi:10.1001/jamapediatrics.2014.2895

To the Editor We read the article by Shaikh et al1 recently published in JAMA Pediatrics with interest and were captivated by the concept of a model that could be used to determine the risk for renal scarring based on 3 noninvasive components (temperature, causal organism, and ultrasonography). However, based on limitations inherent in the methods, we caution against unreserved acceptance of these results. As the authors point out (and we agree), their findings require validation and further discussion as to implications for primary care practice.

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