Patient Care and Outcomes: Why Cancer Care Should Screen for Distress, the 6th Vital Sign
Bibliographic record
Abstract
Curing of the patient, prolonging of life, and avoiding premature death should be the primary focus of the cancer care team in the care of the patient. Fortunately, with advances in clinical trials and biomedical care, we now see that patients are cured or living longer. Cancer, once considered an acute disease with a diagnosis being synonymous with death, pain and suffering is now viewed more as a chronic illness with the extension of life as the real goal. It is also reasonable to say that with advances in radiation therapy, refinements in chemotherapeutic agents, personalized medicine coupled with aggressive surgeries, outcomes for cure as well as extension of life are increasingly attainable.
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 imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.028 | 0.131 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.004 | 0.007 |
| Scholarly communication | 0.008 | 0.010 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.007 | 0.016 |
| Insufficient payload (model declined to judge) | 0.007 | 0.002 |
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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".