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Record W2001196301 · doi:10.1136/bmj.330.7505.1401

Reducing variation in surgical care

2005· letter· en· W2001196301 on OpenAlexaff
David R. Urbach, Nancy N. Baxter

Bibliographic record

VenueBMJ · 2005
Typeletter
Languageen
FieldMedicine
TopicCardiac, Anesthesia and Surgical Outcomes
Canadian institutionsCancer Care OntarioUniversity of Toronto
Fundersnot available
KeywordsVariation (astronomy)MedicinePhysics

Abstract

fetched live from OpenAlex

Requires innovative methods for getting evidence into surgical practice V ariations in surgical care have been recognised since the early 1980s and are generally interpreted as evidence of uncertainty among practitioners regarding optimal care. The prescription for remedying variations in surgical practice has generally included development of better medical evidence to identify best practices, dissemination of medical evidence to surgeons, and use of practice guidelines and care pathways to streamline care. More than 20 years later, there is still abundant evidence that surgical care varies substantially. Why do variations in surgical care persist? And what can be done about them? In this issue of BMJ , Lassen et al (p 1420) report the results of a survey of lead surgeons in five north European countries regarding processes of care for colorectal surgery.1 These processes included use of preoperative bowel preparation, routine postoperative nasogastric decompression, and use of epidural analgesia in the …

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.

How this classification was reachedexpand

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)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.142
Threshold uncertainty score0.666

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.018
GPT teacher head0.300
Teacher spread0.282 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations51
Published2005
Admission routes1
Has abstractyes

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