Related Experiment Video
Updated: Mar 8, 2026

An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
External validation of a clinical decision rule: we need events in a population in order to rule them out!
Yonathan Freund1,2, Anne-Laure Philippon3
1Emergency Department, hôpital Pitié-Salpêtrière, Paris, France. yonathanfreund@gmail.com.
Abstract:
We respond to the Lorton et al. article on external validation of the PECARN study. With an event rate of only 0.6%, we believe that their study failed to confirm the safety of this rule. Such a low number of events should call for caution when interpreting the results of diagnostic tests.
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