{"id":"W4386019553","doi":"10.1007/s40266-023-01055-z","title":"Theoretical Underpinnings of a Model to Reduce Polypharmacy and Its Negative Health Effects: Introducing the Team Approach to Polypharmacy Evaluation and Reduction (TAPER)","year":2023,"lang":"en","type":"article","venue":"Drugs & Aging","topic":"Pharmaceutical Practices and Patient Outcomes","field":"Medicine","cited_by":21,"is_retracted":false,"has_abstract":true,"ca_institutions":"Impact; York University; McMaster University","funders":"Canadian Institutes of Health Research","keywords":"Polypharmacy; Deprescribing; Psychological intervention; Medicine; Multimorbidity; Health care; Intensive care medicine; Intervention (counseling); Risk analysis (engineering); Chronic disease; Psychiatry","routes":{"ca_aff":true,"ca_fund":true,"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":[],"consensus_categories":[],"category_scores_codex":[0.01240001,0.0009647916,0.0005203754,0.002196266,0.003267628,0.004142904,0.002810512,0.003722752,0.003678865],"category_scores_gemma":[0.01315369,0.0006106872,0.001597323,0.001008271,0.01966528,0.004438626,0.004089778,0.004244859,0.0004875271],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01289471,"about_ca_system_score_gemma":0.01826395,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01117007,"about_ca_topic_score_gemma":0.009337584,"domain_scores_codex":[0.9880834,0.008312445,0.000389902,0.00091409,0.001654536,0.0006455798],"domain_scores_gemma":[0.9859706,0.009453796,0.00126226,0.0007089765,0.001350019,0.001254361],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.0000582055,0.0003952215,0.003805913,0.0004410982,0.00004471142,0.0002318701,0.01398628,0.006003749,0.0003904077,0.9566204,0.002077494,0.01594475],"study_design_scores_gemma":[0.0003498282,0.0006585506,0.004030576,0.001179087,0.0001196637,0.0004920193,0.007558454,0.04489696,0.0007546868,0.9040249,0.03583271,0.0001025175],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"methods","genre_gemma":"methods","genre_scores_codex":[0.09105425,0.002291529,0.58758,0.1475865,0.0005126202,0.002345682,0.0002516462,0.0003036003,0.1680742],"genre_scores_gemma":[0.7724983,0.001063475,0.2142999,0.005560303,0.0001055449,0.002735903,0.00008402303,0.00004766504,0.003604912],"genre_candidate":"methods","genre_consensus":"methods","teacher_disagreement_score":0.01289471,"threshold_uncertainty_score":0.09355813,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.09788696817587979,"score_gpt":0.4421841283312011,"score_spread":0.3442971601553213,"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."}}