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. Author manuscript; available in PMC: 2020 May 1.
Published in final edited form as: Curr Opin Gastroenterol. 2019 May;35(3):183–190. doi: 10.1097/MOG.0000000000000526

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.