{"id":"W4321504079","doi":"10.46747/cfp.690297","title":"Beware of overdiagnosis harms from screening, lower diagnostic thresholds, and incidentalomas","year":2023,"lang":"en","type":"article","venue":"Canadian Family Physician","topic":"Healthcare cost, quality, practices","field":"Health Professions","cited_by":3,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Alberta Hospital; University of Alberta; University of Toronto; CancerCare Manitoba; University of Calgary; McGill University; Research Institute in Oncology and Hematology; Université du Québec; McGill University Health Centre","funders":"McGill University","keywords":"Overdiagnosis; Medicine; Clinical Practice; Intensive care medicine; Data science; Medical physics; Family medicine; Computer science; Pathology","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.02058049,0.0003682335,0.0008097741,0.002550444,0.003526546,0.003934972,0.001397948,0.005071024,0.007562196],"category_scores_gemma":[0.252033,0.0003894652,0.0006641979,0.001935487,0.004074379,0.00307439,0.00183203,0.007024476,0.001128745],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01039344,"about_ca_system_score_gemma":0.02554757,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.2228035,"about_ca_topic_score_gemma":0.3312048,"domain_scores_codex":[0.9724691,0.007430159,0.002756764,0.001102622,0.01468684,0.001554578],"domain_scores_gemma":[0.8026578,0.1047123,0.0285202,0.007977888,0.04704151,0.00909023],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.000246992,0.0002840248,0.2458043,0.001286062,0.0002399508,0.002089118,0.004627464,0.0006826851,0.0005611075,0.02197061,0.3353586,0.386849],"study_design_scores_gemma":[0.0003150903,0.0003897271,0.3622393,0.01462023,0.000749875,0.01362179,0.01348731,0.003007612,0.002913496,0.1484564,0.4396447,0.0005542822],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.03585469,0.01656163,0.005456293,0.8725803,0.003976202,0.0001606732,0.0008119373,0.00017665,0.06442155],"genre_scores_gemma":[0.6782591,0.01640035,0.02104377,0.2671398,0.006795286,0.0002246562,0.000850615,0.0001741701,0.009112174],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.2228035,"threshold_uncertainty_score":0.4430133,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3518004063794616,"score_gpt":0.4476069700235847,"score_spread":0.09580656364412315,"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."}}