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Record W2600490837 · doi:10.1136/bmj.j1388

Urgent improvements needed to diagnose and manage Lynch syndrome

2017· letter· en· W2600490837 on OpenAlexaff
Kevin Monahan, Deborah Alsina, Simon P. Bach, James Buchanan, John Burn, Sue Clark, Peter Dawson, Bianca de Souza, Farhat V N Din, Sunil Dolwani, Malcolm G. Dunlop, James E. East, D. Gareth Evans, Nicola Fearnhead, Ian M. Frayling, Rob Glynne‐Jones, James Hill, Richard S. Houlston, Mark A. Hull, Fiona Lalloo, Andrew Latchford, Suzy Lishman, Philip Quirke, Colin Rees, Matt Rutter, Peter Sasieni, Asha Senapati, D Speake, Huw Thomas, Ian Tomlinson

Bibliographic record

VenueBMJ · 2017
Typeletter
Languageen
FieldMedicine
TopicGenetic factors in colorectal cancer
Canadian institutionsInstitute of Cancer Research
FundersNational Institute for Health and Care ResearchCancer Research UK
KeywordsLynch syndromeExcellenceGuidelineMedicineColorectal cancerHealth careCancerIntensive care medicineFamily medicineInternal medicinePathologyPolitical scienceDNA mismatch repair

Abstract

fetched live from OpenAlex

Lynch syndrome is currently under-recognised, underdiagnosed, and undermanaged, so opportunities to reduce cancer mortality are often missed. The new guideline from the National Institute for Health and Care Excellence recommends universal testing for Lynch syndrome in all people newly diagnosed as having colorectal cancer.1 This should prevent several hundred colorectal cancers annually, but several issues hinder good care …

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)0.008
metaresearch head score (Gemma)0.055
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: Not applicable
GenreCandidate signal: Editorial · Consensus signal: none
Teacher disagreement score0.064
Threshold uncertainty score0.092

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.055
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0010.001
Science and technology studies0.0060.005
Scholarly communication0.0050.012
Open science0.0030.005
Research integrity0.0640.061
Insufficient payload (model declined to judge)0.0270.017

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 head0.030
GPT teacher head0.321
Teacher spread0.291 · 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
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

Citations24
Published2017
Admission routes1
Has abstractyes

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