MétaCan
Menu
Back to cohort
Record W2922489296 · doi:10.1503/cmaj.181496

Clinical practice guidelines and the overuse of health care services: need for reform

2019· article· en· W2922489296 on OpenAlexvenueno aff
Ismail Jatoi, Sunita Sah

Bibliographic record

VenueCanadian Medical Association Journal · 2019
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare cost, quality, practices
Canadian institutionsnot available
Fundersnot available
KeywordsKey (lock)Clinical PracticeHealth careMedicineHealth care deliveryClinical trialMEDLINEHealth care reformAlternative medicineEvidence-based medicineComputer scienceData scienceHealth policyNursingPublic healthPolitical sciencePathologyComputer security

Abstract

fetched live from OpenAlex

KEY POINTS Clinical practice guidelines can enhance the delivery of evidence-based health care. Yet, after reviewing the same evidence, at about the same time and from the same sets of clinical trials, medical panels in different parts of the world have issued varying, and sometimes even conflicting

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)0.052
metaresearch head score (Gemma)0.053
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.624
Threshold uncertainty score0.989

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0520.053
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
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 head0.392
GPT teacher head0.580
Teacher spread0.189 · 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; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreCommentary

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

Citations35
Published2019
Admission routes1
Has abstractyes

Explore more

Same venueCanadian Medical Association JournalSame topicHealthcare cost, quality, practicesFrench-language works237,207