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Record W1775831870 · doi:10.1002/0471463736.tnmp07

Prognostic Factors in Cancer Patient Care

2003· other· en· W1775831870 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueTNM Online · 2003
Typeother
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsPrincess Margaret Cancer CentreUniversity of TorontoUniversity Health Network
Fundersnot available
KeywordsMedicineAuditCancerDiseaseIntensive care medicineClinical PracticeOutcome (game theory)Family medicineInternal medicine

Abstract

fetched live from OpenAlex

Abstract The activities of clinical practice of medicine include the processes of diagnosis, treatment, and follow‐up care. Interspersed throughout is the fundamental activity of prognostication. Whatever the situation, physicians are asked daily about the foreseeable outcome of the disease, expected results of treatment, and possible complications. The care of patients with cancer involves a series of steps, starting with the initial assessment, leading to the diagnosis, treatment, and assessment of outcomes. In each of these steps, and in all forms of physician–patient interaction, the ability to communicate the prognosis or to predict the probable outcome is critical. The modern approach to patient management endorses clinical practice based on scientific evidence from experiments or observations. To facilitate consistent management, and to facilitate audit; evidence‐ or consensus‐based clinical practice guidelines are developed for patient groupings based according to defined and reproducible characteristics and reliable predictions of different outcomes. The necessity of grouping patients with similar characteristics to guide treatment and to anticipate the outcome has been recognized as far back as the seventeenth century. The development of a prognostic classification for infections was followed by classifications for other diseases. In cancer, a formal staging classification (the TNM system) has been in use for over 50 years. Cancer presents a formidable challenge for classification because it comprises a very heterogeneous group of diseases. The fundamental elements required to characterize each cancer are the organ of origin, the histologic type, and in addition numerous prognostic factors that characterize the tumor, the patient, and the environment surrounding the patient. Knowledge of prognostic factors is essential to all aspects of cancer care. Beginning with the diagnosis, and extending through the process of treatment planning, outcome assessment, and planning of support measures, it is essential to be familiar with issues that concern prognosis. Moreover, the knowledge, familiarity, and comprehension of this information are necessary to communicate with patients and their caregivers. Well‐informed patients are better equipped to face the future and become partners in our efforts to improve outcomes through the generation of new knowledge through participation in clinical research in an informed manner. In the process of diagnosis, the knowledge of factors that discriminate for more advanced disease presentations helps to reduce the need for unnecessary tests, while knowledge of the likely failure pattern leads to site‐specific tests to rule out metastasis. For example, a low prostatic‐specific antigen (PSA) level predicts for the presence of localized prostate cancer and obviates the need for extensive staging investigations. In the process of understanding prognosis, a compilation of prognostic factors is analyzed to predict the future outcome. The international consensus on prognostic factor classifications in non‐Hodgkin's lymphoma and germ‐cell testis tumors are examples of wide use of multiple prognostic factors in the decision making and outcome assessment of these tumors.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.286
Threshold uncertainty score0.976

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0250.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.194
GPT teacher head0.500
Teacher spread0.306 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it