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Record W3003225777

Reducing Bias in Public Health Guidelines

2019· article· en· W3003225777 on OpenAlexfundno aff
Nicholas Chartres

Bibliographic record

VenueThe Sydney eScholarship Repository (The University of Sydney) · 2019
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare cost, quality, practices
Canadian institutionsnot available
FundersCanadian Institutes of Health ResearchNational Institutes of HealthSerbian Academy of Sciences and ArtsHealth Research Council of New ZealandForskningsrådet om Hälsa, Arbetsliv och VälfärdDeutsche KrebshilfeUniversità degli Studi dell'InsubriaGeneral MillsMinistère de la SantéHellenic Cardiological SocietyForskningsrådet för Arbetsliv och SocialvetenskapNational Heart, Lung, and Blood InstituteTehran University of Medical Sciences and Health ServicesTherapeutic Innovation AustraliaWorld Health OrganizationCancer Research UKUniversity of SydneyKarolinska InstitutetInstitut National de la Santé et de la Recherche MédicaleNational Research FoundationHeart and Stroke Foundation of CanadaOntario Ministry of Health and Long-Term CareEuropean CommissionSanofiNational Cancer InstituteServierUniversity of BristolGlaxoSmithKlineVetenskapsrådetAustralian GovernmentMedical Research CouncilNational Research Foundation of KoreaU.S. Environmental Protection AgencyNational Health and Medical Research CouncilAstraZenecaAmerican Heart AssociationU.S. Department of Health and Human Services
KeywordsPublic healthPolitical scienceMedicineNursing
DOInot available

Abstract

fetched live from OpenAlex

Background and Objectives Bias in research and the methods used for developing public health guidelines may put the public’s health at risk. This dissertation explores three possible sources of influence on the recommendations made in public health guidelines: • Commercial Influences on Nutrition Research: Primary research studies and systematic reviews form the evidence base for dietary guidelines. The association between funding sources and the outcomes of nutrition studies was therefore explored; • Methods Used for Public Health Guideline Development: Heterogenous methodologies used in the development of public health guidelines may lead to conflicting recommendations. I conducted a systematic analysis of the methods used in their development; • Social Influences on Public Health Guideline Development: The interactions within guideline groups may be a significant influence on the final recommendations made. I aimed to understand the experiences of the participants involved in developing public health guidelines. Methods My methods included: 1) Meta-analysis and systematic review to measure bias in primary nutrition research; 2) Content analysis to understand the methods used in synthesising evidence for public health guidance development; and 3) Qualitative analysis of interviews to understand social influences on guideline development. Results My major findings were: I found an association with industry sponsorship with the outcomes of studies, even when controlling for the internal validity between the studies; I established heterogenous methodologies are being used by organisations that conduct hazard identification and risk assessment; and I identified that the public health guideline process in Australia is a divided one. Conclusions Through greater transparency of funding practices, the development of nutrition study registries and improvements in risk of bias tools used to evaluate the evidence, industry influence on the outcomes of nutrition studies relevant to dietary guidelines can be accounted for. Further, the use of standardised, transparent methodological processes and collaboration between systematic review teams and guideline groups will lead to increased comparability and validity of guidelines and ensure that the recommendations made from them will protect the public’s health.

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)0.698
metaresearch head score (Gemma)0.888
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: Methods
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: Methods
Teacher disagreement score0.302
Threshold uncertainty score0.372

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.6980.888
Meta-epidemiology (narrow)0.0040.005
Meta-epidemiology (broad)0.0100.009
Bibliometrics0.0240.015
Science and technology studies0.0080.026
Scholarly communication0.0230.024
Open science0.0090.035
Research integrity0.0150.016
Insufficient payload (model declined to judge)0.0160.003

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 head0.587
GPT teacher head0.460
Teacher spread0.127 · 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; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designTheoretical or conceptual
DomainMethods
GenreMethods

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

Citations0
Published2019
Admission routes1
Has abstractyes

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