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Cosma's avatar

Relevant to the theme: https://first10em.com/clinical-decision-rules/

Of course I lack the medical knowledge to say whether or not it's accurate, fair, etc.

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Angela Zhou's avatar

I totally agree that these simple scorecards have a lot of richness re: data-driven decision-making in the wild. (I'm partial to nomograms myself https://en.wikipedia.org/wiki/Nomogram, visual calculators). There's so much richness in understanding how these seemingly pragmatic issues are actually first-order important in real-world decision-making.

Just as one example, recent work from Liu-Shahn-Robins-Rotnitzky specifically model the statistical restrictions imposed by assuming that screening has no direct effect on treatment: https://projects.iq.harvard.edu/files/applied.stats.workshop-gov3009/files/efficient_estimation_of_optimal_regimes_under_a_no_direct_effect_assumption.pdf

As a different on-the-ground example, the Sepsis Watch project and deployment is a huge implementation effort involving organizational change and a (pre-post) clinical trial. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391165/

It's still not clear how to appropriately evaluate these kinds of operational interventions -- I'd love to learn more about regulatory discussions and other examples on these fronts -- but I think there's interest converging from multiple points of view (stat/ml, biostats, HCI/AI) given the importance of these real-world systems.

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