RT Journal A1 Cook NR, Moons KM, Harrell FE T1 ASsessing predictive performance beyond the framingham risk score JF JAMA JO JAMA YR 2010 FD April 14 VO 303 IS 14 SP 1368 OP 1369 DO 10.1001/jama.2010.389 UL http://dx.doi.org/10.1001/jama.2010.389 AB To the Editor: The article by Dr Tzoulaki and colleagues1 provided a systematic overview of studies aiming to improve the FRS for cardiovascular disease. The authors appropriately pointed out several areas for improvement and provided an assessment of adherence to proposed criteria for such studies. We have additional considerations for consistency with recent recommendations in the field of prediction research, including a scientific statement by the American Heart Association.2