Table 1a.
Comparison of different DILI causality scoring systems
| RUCAM/CIOMS | DDW-J | CDS | ||||
|---|---|---|---|---|---|---|
| Variables | Score | % of total score | Score | % of total score | Score | % of total score |
| Chronological criteria : 1a From drug start to onset* |
+1 to +2 |
+7.1 to +14,3% | +1 to +2 | +5.9 – +11.8% |
+1 to +3*,** |
+5.9 –+17.6 |
| 1b From drug stop to onset* | Incompatible *** to +1 | 0 to +7.1% | 0 to +1 | 0 – +5.9% |
−3 to +3*,** | −17.6 – +17.6 |
| 2 Dechallenge | −2 to +3 | −14.2 to +21.4% | −2 to +3$ | −11.8 to +17.6% | 0 to +3 | 0 – +17.6 |
| 4 Competing causes | −3 to +2 | −21.3 to +14.3% | −3 to +2 | −17.6 to 11.8% | −3 to +3 | −17.6 – +17.6 |
| 5 Rechallenge | −2 to +3 | −14.3% to +21.4% | −2 to +3 | −11.8 – +17.6% | +3 | 0 – +17.6 |
| 6 Known Hepatotoxicity | 0 to +2 | 0 to +14.3% | 0 to +2 | 0 – +5.9% | −3 to +2 | −17.6 – +11.8 |
| 3 Risk Factors | 0 to +2 | 0 to +14.3% | 0 to +2 | 0 – +12.5% | - | - |
| 7 Concomitant medication | −3 to 0 | −21.4 to 0% | - | - | - | - |
| Extrahepatic manifestations | - | - | 0 to +1 | 0 – +5.9% | 0 to +3 | 0 – +17.6 |
| Drug lymphocyte stimulation test |
- |
- |
0 to +2 |
0 – +11.8% |
- |
- |
| Total score | −10 to 14 | −5 to 17 | −6 to 17** | |||
| Assessment in each score | ||||||
| Definite | >8 | >8 | >17 | |||
| Probable | 6–8 | 5–8 | 14–17 | |||
| Possible | 3–5 | 3–4$ | 10–13 | |||
| Unlikely | 1–2 | 1–2$ | 6–9 | |||
| Excluded | ≤ 0 | ≤ 0 | ≤ 6 | |||
only either of these two categories 1a or 1b is to be counted;
the paper states a maximal of 20 points, but as you can only either be on a drug or have stopped it you would only the points of 1a or 1b would be counted resulting in a maximum total of 17 points;
in a “updated RUCAM” the incompatible scoring for onset after stop of drug has been eliminated.