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Evidence-based flying: a new paradigm for frequent flyers

2010· editorial· en· W2056277216 on OpenAlexaboutno aff
Leslie Citrome

Bibliographic record

VenueInternational Journal of Clinical Practice · 2010
Typeeditorial
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
Fundersnot available
KeywordsNewspaperMedicineCompetition (biology)Number needed to treatEvidence-based medicineAdvertisingAlternative medicineBusiness

Abstract

fetched live from OpenAlex

In recent years, increasing emphasis has been placed on the practice of evidence-based medicine (EBM). Originally proposed by Sackett et al., EBM exhorts clinicians to incorporate into medical decision-making the best available research evidence together with an individualised assessment and simultaneously considering the preferences of the patient (1). One of the important tools of EBM is the notion of number needed to treat (NNT) (2). The concept of EBM and NNT can be easily translated to help with other human activities, such as airplane travel, especially for frequent flyers. Academics ‘on the circuit’ have their own extensive travel experience (albeit anecdotal), and fairly well defined values and preferences when it comes to airline selection. What has been missing in the flyer decision-making process is robust research evidence. This obstacle to the proper practice of evidence-based flying (EBF) is now disappearing, thanks to cut-throat competition amongst the airlines and advertisements that tout low rates of departure delays. Introducing number needed to fly (NNF): With the disclosure of on-time departure rates, this dichotomous outcome can be used to calculate the number of flights one has to take with one airline vs. another before expecting to encounter (or avoid) one additional departure delay. The data from Table 1 were extracted from a newspaper advertisement in USA Today (ostensibly the most commonly read national newspaper amongst US frequent flyers) (3). NNF was determined by taking the difference in on-time departure rates between the two airlines of interest, calculating the reciprocal, and then rounding up to the next highest whole number. Caveats to this crude measure is that the specific airport one is flying out of is not considered – adjustment for this baseline risk (and others) requires methodological refinements that have yet to be worked out with the data currently publically available. Regardless of the emphatic claims by each airline, the NNF may not be entirely compelling; for example, the comparison between US Airways vs. Delta reveals that about 30 flights would need to be taken to encounter one additional delayed departure. One can easily calculate other pair-wise comparisons for NNF. If the denominators are known, a 95% confidence interval can also be calculated. Although the NNF for the comparison between US Airways (ranked #1 on this list) vs. American (ranked last) is 10, this may still not be a compelling effect size given the perks an American Airlines frequent flyer may enjoy. This latter point can be quantified if one examines another metric outlined below. Introducing number needed to upgrade (NNU): This statistic can only be guesstimated as the actual rates of achieving a successful upgrade from coach to first class can be highly variable, depending on baseline factors such as city from which one is flying, time of day, day of week, class of ticket purchased and individual traveller characteristics such as frequent flyer loyalty club status level. In this author’s experience, flying his airline of choice the NNU is in the range of 2–4. The likelihood to be upgraded or delayed (LUD) can thus be calculated, with the result being of some utility in flying decision-making. In any of these calculations, using any frequent flyer outcome measures, the personal preferences and values of the flyer are key to making flyer-relevant decisions (Figure 1). These include the type of food that is served (free or not), pillow and blanket policy, and so on. Cost considerations (same as alternative airlines or not, extras for checked baggage) and availability of flights also enter the decision-making process. Using baseline characteristics to refine our calculations will help make the NNF and NNU estimates more precise. We all look forward to greater transparency and the posting of delay and upgrade rates in publically accessible airline registries, further enhancing the amount of data available to help us make wise decisions. What is evidence-based flying (EBF)? Leslie Citrome belongs to the loyalty programmes for all of the airlines he flies on and has platinum status with Continental Airlines and silver status with Air Canada. The initial draft of this manuscript was written in the air on a Qantas flight between Los Angeles, USA, and Brisbane, Australia.

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)0.011
metaresearch head score (Gemma)0.189
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.178
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0110.189
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0010.003
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 head0.331
GPT teacher head0.504
Teacher spread0.173 · 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.

Study designNot applicable
Domainnot available
GenreEditorial

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

Citations2
Published2010
Admission routes1
Has abstractyes

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