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Comment & Response |

Risk Model for Renal Scarring Validation and Implications Still Needed for Primary Care Practice

Tracy Bunting-Early, PhD1; T. Ernesto Figueroa, MD2
[+] 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.
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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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February 1, 2015
Nader Shaikh, MD, MPH; Jonathan C. Craig, MD, MBChB, PhD; Timothy R. Shope, MD, MPH
1Division of General Academic Pediatrics, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
2School of Public Health, University of Sydney, Sydney, New South Wales, Australia
JAMA Pediatr. 2015;169(2):189-190. doi:10.1001/jamapediatrics.2014.2902.
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