{"id":"W4404381314","doi":"10.1161/circ.150.suppl_1.4146994","title":"Abstract 4146994: Electronic Health Record Based Clinical Decision Support Increases Guideline-Directed Medical Therapy Initiation or Dosage Intensification in Patients with Heart Failure with Reduced Ejection Fraction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","year":2024,"lang":"en","type":"review","venue":"Circulation","topic":"Heart Failure Treatment and Management","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia; Toronto General Hospital; University of Toronto","funders":"","keywords":"Medicine; Guideline; Ejection fraction; Heart failure; Medical therapy; Meta-analysis; Intensive care medicine; Clinical decision support system; Cardiology; Internal medicine; Decision support system; Pathology; Data mining","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":[],"consensus_categories":[],"category_scores_codex":[0.01532322,0.002489218,0.01734632,0.004904572,0.0005427123,0.003856138,0.00186356,0.002692185,0.0065681],"category_scores_gemma":[0.03522811,0.001193434,0.02997171,0.005208535,0.0008146616,0.002368486,0.001232059,0.002510176,0.0004293228],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002945674,"about_ca_system_score_gemma":0.003857411,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00448473,"about_ca_topic_score_gemma":0.007696066,"domain_scores_codex":[0.9861324,0.00731583,0.003848022,0.0009465497,0.001482449,0.0002748071],"domain_scores_gemma":[0.9804366,0.01418869,0.003795559,0.0003118059,0.001042773,0.0002245005],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"meta_analysis","study_design_scores_codex":[0.004052705,0.0000728935,0.001358875,0.6213034,0.354687,0.00006582622,0.00008468254,0.0003151025,0.0003026638,0.000125783,0.0007134175,0.01691775],"study_design_scores_gemma":[0.004172491,0.000611537,0.002830469,0.07024993,0.919475,0.00006747987,0.00005053195,0.0003119427,0.0002167975,0.0001943314,0.001789184,0.0000302578],"study_design_candidate":"meta_analysis","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.006754217,0.9898206,0.0006295196,0.0004233526,0.0003409253,0.001014643,0.0004745731,0.00005071903,0.0004914246],"genre_scores_gemma":[0.2151119,0.7726501,0.004695685,0.002050027,0.0006374436,0.003156107,0.0009105148,0.00005426482,0.0007340058],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.01734632,"threshold_uncertainty_score":0.08103794,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1119006302671124,"score_gpt":0.4318351748457198,"score_spread":0.3199345445786073,"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."}}