A COPD self management programme reduced hospital use and improved health status
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.
Bibliographic record
Abstract
Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med2003 ; 163 : 585 –91 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In patients with chronic obstructive pulmonary disease (COPD), does a COPD specific self management programme reduce hospital use and improve health status more than usual care? Randomised (allocation concealed), blinded {data collectors and data analysts}*, controlled trial with 12 months of follow up. 7 hospitals in 3 cities in Quebec, Canada. 191 patients ≥50 years of age (mean age 70 y, 55% men) who had stable COPD (respiratory symptoms and medication unchanged for ≥4 wks); were current or previous smokers; had an FEV1 25–70% of predicted and an FEV1 forced vital capacity ratio <70%; no previous asthma, left congestive heart failure, terminal disease, dementia, or uncontrolled psychiatric illness; had not been in a respiratory rehabilitation programme in the … [1]: {openurl}?query=rft.jtitle%253DArchives%2Bof%2BInternal%2BMedicine%26rft.stitle%253DArch%2BIntern%2BMed%26rft.aulast%253DBourbeau%26rft.auinit1%253DJ.%26rft.volume%253D163%26rft.issue%253D5%26rft.spage%253D585%26rft.epage%253D591%26rft.atitle%253DReduction%2Bof%2BHospital%2BUtilization%2Bin%2BPatients%2BWith%2BChronic%2BObstructive%2BPulmonary%2BDisease%253A%2BA%2BDisease-Specific%2BSelf-management%2BIntervention%26rft_id%253Dinfo%253Adoi%252F10.1001%252Farchinte.163.5.585%26rft_id%253Dinfo%253Apmid%252F12622605%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1001/archinte.163.5.585&link_type=DOI [3]: /lookup/external-ref?access_num=12622605&link_type=MED&atom=%2Febnurs%2F6%2F4%2F111.atom [4]: /lookup/external-ref?access_num=000181561000009&link_type=ISI
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 imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it