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Triage for Nonspecific Lower-back Pain

2006· review· en· W2083677715 on OpenAlexaff
Sherri Weiser, M Rossignol

Bibliographic record

VenueClinical Orthopaedics and Related Research · 2006
Typereview
Languageen
FieldMedicine
TopicMusculoskeletal pain and rehabilitation
Canadian institutionsMcGill University Health Centre
Fundersnot available
KeywordsMedicineTriagePsychological interventionBack painHealth careMEDLINEEvidence-based medicineBest evidencePhysical therapyExpert opinionEvidence-based practiceIntensive care medicineAlternative medicineMedical emergencyPsychiatryPathology

Abstract

fetched live from OpenAlex

UNLABELLED: Unremitting lower-back pain has long been a costly and personally devastating problem in society. Guidelines for the treatment of lower-back pain have provided evidence-based recommendations to help identify patients who will benefit from specific types of treatment in an effort to reduce costs and human suffering. However, there is little evidence that these guidelines are being applied in the daily practice of health care providers. Practical information is required to assist health care providers in triaging patients for specific treatments so that interventions can be targeted only to those who need them. In this way, iatrogenic complications and unnecessary costs can be contained. This chapter provides information on how to triage the patient with nonspecific lower-back pain for optimal care. The recommendations are supported by evidence-based guidelines, and when these are not available, best practice principles. Because appropriate treatment varies depending on the length of time a patient is suffering from lower-back pain, the chapter is divided into recommendations for acute, subacute, chronic and recurrent phases of lower-back pain. LEVEL OF EVIDENCE: Level V (expert opinion). See the Guidelines for Authors for a complete description of the levels of evidence.

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)0.001
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.019
Threshold uncertainty score0.062

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0020.002
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0020.001
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0190.005

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 head0.242
GPT teacher head0.528
Teacher spread0.286 · 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.

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

Citations19
Published2006
Admission routes1
Has abstractyes

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