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Record W2029681419 · doi:10.1016/j.arthro.2009.01.013

Evidence‐Based Medicine: Why Bother?

2009· review· en· W2029681419 on OpenAlexaff
Mohit Bhandari

Bibliographic record

VenueArthroscopy The Journal of Arthroscopic and Related Surgery · 2009
Typereview
Languageen
FieldHealth Professions
TopicHealth Sciences Research and Education
Canadian institutionsMcMaster UniversityHamilton General Hospital
Fundersnot available
KeywordsEvidence-based medicineMedical literatureCritical appraisalMEDLINEAlternative medicineMedicineQuality (philosophy)ScopusPsychologyMedical educationEpistemologyPolitical science

Abstract

fetched live from OpenAlex

The British Medical Journal recently published a list of the top medical milestones over the past 160 years, which included the discovery of DNA, the development of vaccinations, emergence of antibiotics, the use of anesthetics for surgery, and, of course, the development of evidence-based medicine.1 Coined in 1990 by Professor Gordon Guyatt, the term “evidence-based medicine” (EBM) placed less emphasis on expert opinion and nonsystematic clinical observations; rather, the new paradigm stressed the importance of evidence derived from high-quality clinical research, such as randomized-controlled trials.

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 machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.121
metaresearch head score (Gemma)0.326
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.879
Threshold uncertainty score0.641

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1210.326
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0070.003
Bibliometrics0.0090.008
Science and technology studies0.0040.026
Scholarly communication0.0250.041
Open science0.0050.009
Research integrity0.0270.051
Insufficient payload (model declined to judge)0.0130.009

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 head0.323
GPT teacher head0.520
Teacher spread0.197 · 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 source (direct Gemma or distilled Codex), not a consensus.

Study designTheoretical or conceptual
DomainMethods
GenreReview

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

Citations12
Published2009
Admission routes1
Has abstractyes

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