@article{Fine_Nizet_Mandl_2013, title={A Biosurveillance-driven Home Score to Guide Strep Pharyngitis Treatment}, volume={5}, url={https://ojphi.org/ojs/index.php/ojphi/article/view/4561}, DOI={10.5210/ojphi.v5i1.4561}, abstractNote={Adults at low risk for Group A streptococcal (GAS) pharyngitis should neither be tested nor treated, yet millions annually seek care. We derive and validate a ’home score’ to estimate a patient’s GAS risk based on history and real-time local biosurveillance, and compare its accuracy to traditional models. Data included 110,208 patients seen at a national retail health chain. Using a 0.10 home score cutoff extrapolates to 230,000 saved visits annually and 8500 additional missed cases (0.20: 2.9M visits saved, 320,000 additional missed). A patient-centric approach could save millions of visits annually by identifying low-risk patients in the pre-visit setting.}, number={1}, journal={Online Journal of Public Health Informatics}, author={Fine, Andrew and Nizet, Victor and Mandl, Kenneth}, year={2013}, month={Mar.} }