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May 24, 2019

The Proliferation of Reports on Clinical Scoring Systems: Issues About Uptake and Clinical Utility

Author Affiliations
  • 1Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota
  • 2Mayo Clinic Libraries, Rochester, Minnesota
JAMA. 2019;321(24):2405-2406. doi:10.1001/jama.2019.5284

An ongoing trend in medicine toward evidence-based practice emphasizes efficiency and algorithmic approaches toward diagnosis and treatment. This approach has a number of potential benefits including cost-savings, standardization of practice, and improvement in quality of care.1 A proliferation of clinical scoring systems has in part been a consequence of this movement. These scoring systems are designed to inform clinical decision-making and may involve tools for diagnosis (eg, Wells Criteria), prognosis of disease (eg, the Model for End-Stage Liver Disease score), and future risk of developing a disease (eg, Atherosclerotic Cardiovascular Disease risk score).

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