{"id":"W2030111859","doi":"10.1097/acm.0000000000000542","title":"When Guidelines Don’t Guide","year":2014,"lang":"en","type":"article","venue":"Academic Medicine","topic":"Clinical practice guidelines implementation","field":"Medicine","cited_by":70,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Hamilton Health Sciences; Royal College of Physicians and Surgeons of Canada; McMaster University Medical Centre; Western University","funders":"","keywords":"Context (archaeology); Medicine; Odds ratio; Confidence interval; Odds; Family medicine; Clinical Practice; Internal medicine; Logistic regression","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":["metaresearch"],"consensus_categories":[],"category_scores_codex":[0.03341092,0.0007208672,0.001129205,0.001901491,0.003139441,0.007170354,0.002503405,0.01089646,0.01893439],"category_scores_gemma":[0.2357426,0.000793108,0.00127171,0.001622822,0.005084063,0.01137641,0.005531887,0.01280118,0.009940712],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004718078,"about_ca_system_score_gemma":0.0164752,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0155769,"about_ca_topic_score_gemma":0.02152651,"domain_scores_codex":[0.9308382,0.03136063,0.006279407,0.004513277,0.02300261,0.004005868],"domain_scores_gemma":[0.881464,0.04011367,0.01692591,0.01063003,0.03662954,0.01423686],"domain_codex":null,"domain_gemma":"methods","domain_candidate":"methods","domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.0001401941,0.000240742,0.0335315,0.001449852,0.0004076304,0.001458867,0.006630483,0.0004089399,0.0004961531,0.01780701,0.6629099,0.2745187],"study_design_scores_gemma":[0.0001729837,0.0002689035,0.01385646,0.006868218,0.0002862376,0.001678464,0.01073941,0.000608383,0.0009832884,0.0385667,0.9257668,0.0002040405],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0174554,0.01274634,0.007108646,0.8790877,0.01407759,0.0003184222,0.0008407224,0.0008110046,0.06755428],"genre_scores_gemma":[0.25899,0.01231084,0.02429808,0.6655563,0.006693043,0.0006278939,0.001274091,0.0009091597,0.02934048],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.9665891,"threshold_uncertainty_score":0.1766959,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3299151414063709,"score_gpt":0.5388270543179718,"score_spread":0.2089119129116009,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}