{"id":"W4409510513","doi":"10.1016/j.lana.2025.101097","title":"Interpreting trends of opioid and stimulant co-prescribing in the United States: the need for attention to evidence-based prescribing practice in the context of co-occurring mental and or substance use disorders","year":2025,"lang":"en","type":"letter","venue":"The Lancet Regional Health - Americas","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":1,"is_retracted":false,"has_abstract":false,"ca_institutions":"Dalhousie University; Providence Health Care; New Brunswick Community College; BC Centre for Disease Control; University of British Columbia","funders":"","keywords":"Stimulant; Context (archaeology); Substance use; Psychiatry; Mental health; Medicine; Psychology; Geography","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":[0.02967446,0.0004886821,0.001193528,0.00197977,0.003882971,0.007655655,0.003133703,0.03323466,0.006342875],"category_scores_gemma":[0.1427148,0.001034637,0.001733664,0.002658828,0.003731274,0.00739167,0.003062964,0.0244293,0.00425325],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.008573415,"about_ca_system_score_gemma":0.02701929,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.09096488,"about_ca_topic_score_gemma":0.1516134,"domain_scores_codex":[0.9736762,0.0132274,0.005575085,0.001379966,0.004560904,0.001580358],"domain_scores_gemma":[0.8269619,0.1235507,0.01291376,0.003197408,0.02441081,0.008965385],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00009713956,0.0000926184,0.01520354,0.0004306858,0.0001101765,0.0006873996,0.001710332,0.0002156108,0.0002279137,0.002837398,0.9455078,0.03287954],"study_design_scores_gemma":[0.0002714962,0.0002053994,0.0336593,0.004163987,0.0003314105,0.001464979,0.01405272,0.002534209,0.0009643358,0.03026421,0.9117572,0.0003307005],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0009752269,0.0005627142,0.00009652518,0.9921129,0.005141124,0.000006564513,0.0001768985,0.00001595471,0.0009121345],"genre_scores_gemma":[0.008304958,0.000942278,0.001075878,0.9721518,0.01517571,0.00004718346,0.0001133498,0.0000410073,0.002147901],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.09096488,"threshold_uncertainty_score":0.1808708,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.5473153057386078,"score_gpt":0.599009667479175,"score_spread":0.05169436174056719,"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."}}