Andrew M. Fine

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OBJECTIVE Broadly, to create a bidirectional communication link between public health surveillance and clinical practice. Specifically, to measure the impact of integrating public health surveillance data into an existing clinical prediction rule. We incorporate data about recent local trends in meningitis epidemiology into a prediction model(More)
BACKGROUND Consensus guidelines recommend against testing or treating adults at low risk for group A streptococcal (GAS) pharyngitis. OBJECTIVE To help patients decide when to visit a clinician for the evaluation of sore throat. DESIGN Retrospective cohort study. SETTING A national chain of retail health clinics. PATIENTS 71 776 patients aged 15(More)
BACKGROUND Clinical prediction rules do not incorporate real-time incidence data to adjust estimates of disease risk in symptomatic patients. OBJECTIVE To measure the value of integrating local incidence data into a clinical decision rule for diagnosing group A streptococcal (GAS) pharyngitis in patients aged 15 years or older. DESIGN Retrospective(More)
OBJECTIVE To improve identification of pertussis cases by developing a decision model that incorporates recent, local, population-level disease incidence. DESIGN Retrospective cohort analysis of 443 infants tested for pertussis (2003-7). MEASUREMENTS Three models (based on clinical data only, local disease incidence only, and a combination of clinical(More)
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