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Record W2405387692

Differences in treatment preferences between persons who enrol and do not enrol in a clinical trial.

2001· article· en· W2405387692 on OpenAlexaff
Malcolm Man‐Son‐Hing, Hart Rg, Renee Berquist, O'Connor Am, Andreas Laupacis

Bibliographic record

VenuePubMed · 2001
Typearticle
Languageen
FieldMedicine
TopicEthics in Clinical Research
Canadian institutionsOttawa Hospital
Fundersnot available
KeywordsMedicineAspirinRandomized controlled trialStroke (engine)Clinical trialPhysical therapyMyocardial infarctionQuality of life (healthcare)Internal medicineNursing
DOInot available

Abstract

fetched live from OpenAlex

OBJECTIVE: To quantitatively compare preferences for treatment between persons who enrolled in a randomized controlled trial (RCT) and those who were eligible but chose not to enrol. INTERVENTIONS: Participants' thresholds for treatment were determined using a probability trade-off technique. Pertinent health states were described. If not taking Aspirin, the probabilities of stroke, myocardial infarction (MI), and major bleeding were given. Given the risks and benefits of chronic Aspirin therapy, a systematic approach was used to determine patients' thresholds for treatment (the smallest reduction in stroke or MI risk of which patients were willing to take Aspirin). RESULTS: Of 54 participants, 42 enrolled in the RCT, and 12 did not. Compared with persons who enrolled, those who did not enrol required significantly greater increments in treatment benefit to be willing to take Aspirin. CONCLUSIONS: This study shows differences in thresholds for treatment between persons who enrolled in a clinical trial and those who chose not to. Such attitudinal differences may lead to difficulty in the interpretation of clinical trials, especially those using health-related quality-of-life measures. More studies are needed to determine whether the attitudinal differences affect the generalization of results from clinical 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)0.079
metaresearch head score (Gemma)0.250
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.921
Threshold uncertainty score0.419

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0790.250
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0010.001
Science and technology studies0.0000.001
Scholarly communication0.0010.002
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0040.000

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 head0.709
GPT teacher head0.553
Teacher spread0.156 · 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 designObservational
DomainMethods
GenreEmpirical

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

Citations6
Published2001
Admission routes1
Has abstractyes

Explore more

Same venuePubMed→Same topicEthics in Clinical Research→French-language works237,207→