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Can you use the Piotroski F-Score to improve Growth Investment Returns?

As a growth investor can you use the Piotroski F-Score to increase your returns? 

That is what a friend of mine set out to test in an interesting research paper called Utility of Piotroski F-Score for Predicting Growth Stock Returns.

Over the 12 year period High Piotroski F-Score companies (high quality companies) generated an average return of 10.74% whereas low Piotroski F-Score companies (low quality companies) generated a return of -13.82%.

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