{"id":"W4407631637","doi":"10.1016/s2213-8587(24)00372-3","title":"Realigning diabetes regimens in older adults: a 4S Pathway to guide simplification and deprescribing strategies","year":2025,"lang":"en","type":"review","venue":"The Lancet Diabetes & Endocrinology","topic":"Diabetes Management and Research","field":"Medicine","cited_by":25,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of British Columbia; Trillium Health Centre","funders":"National Center for Advancing Translational Sciences; National Institute on Aging; National Institutes of Health; Abbott Laboratories; Sanofi; National Institute of Diabetes and Digestive and Kidney Diseases; Dexcom","keywords":"Medicine; Deprescribing; Diabetes mellitus; Polypharmacy; Intensive care medicine; MEDLINE; Gerontology; Endocrinology","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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0009963457,0.0005761911,0.002583457,0.0008534318,0.0001439022,0.0001460814,0.0007075238,0.0002513727,0.00003212405],"category_scores_gemma":[0.000594277,0.0003910303,0.0002164197,0.0008922541,0.0002265235,0.0001178855,0.0007573254,0.0009027574,0.00007165497],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001665719,"about_ca_system_score_gemma":0.0002769818,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00003944909,"about_ca_topic_score_gemma":0.00003718416,"domain_scores_codex":[0.9952479,0.0005123231,0.0008412607,0.0009369575,0.0002932196,0.002168356],"domain_scores_gemma":[0.9970858,0.001189776,0.0002433179,0.001234618,0.0001050099,0.0001414535],"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":[0.00002050748,0.00008408889,0.005072431,0.02561434,0.000405721,0.00004167377,0.0001951089,0.000002351723,0.00003172414,0.002949178,0.006509664,0.9590732],"study_design_scores_gemma":[0.001528975,0.000236518,0.003854938,0.03965954,0.0007581972,0.000003979138,0.0004571717,0.00005017701,0.00006854135,0.000492137,0.9523491,0.0005406907],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.00776646,0.9758009,0.000009387335,0.002042182,0.0002116839,0.003192146,0.00004818453,0.0001882584,0.01074075],"genre_scores_gemma":[0.002521687,0.9910454,0.0002809037,0.001020224,0.0004483345,0.001441933,0.0002664497,0.00007716637,0.00289796],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.9585325,"threshold_uncertainty_score":0.9998541,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04096049604617223,"score_gpt":0.3578353991457552,"score_spread":0.3168749030995829,"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."}}