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Record W3006615418 · doi:10.20882/adicciones.1376

For most fully alcohol-attributable diagnoses in the ICD, the etiological specification should be removed

2020· article· en· W3006615418 on OpenAlexaff
Shannon Lange, Michael Roerecke, Jürgen Rehm

Bibliographic record

VenueAdicciones · 2020
Typearticle
Languageen
FieldMedicine
TopicAlcohol Consumption and Health Effects
Canadian institutionsCentre for Addiction and Mental Health
Fundersnot available
KeywordsEtiologyDiseasePsychologyAlcohol dependenceAlcoholMedicinePsychiatryPathology

Abstract

fetched live from OpenAlex

Alcohol use is a risk factor for many chronic disease conditions, over 40 of which are regarded as fully alcohol-attributable. The practice of specifying the etiological cause in the names of diseases fully alcohol-attributable in the International Classification of Diseases has resulted in affected-individuals being stigmatized, misdiagnosed, and mistreated. Additional outcomes of this practice may include delayed care and misreporting. The consequences of specifying alcohol in the names of diseases causally linked to alcohol are discussed with respect to two examples: alcoholic liver disease and foetal alcohol syndrome. With respect to symptomatology and treatment, each of these conditions are not unique from there non-alcohol attributed counterparts--that is, non-alcoholic liver diseases and idiopathic neurodevelopmental disorders. Specifying “alcohol” in the name of a disease has a number of negative consequences, yet no apparent benefits. Given that the International Classification of Diseases is the international standard for reporting diseases and health conditions, having diagnostic categories that impede the ability of health care professionals to report diseases accurately is self-defeating.

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)0.006
metaresearch head score (Gemma)0.039
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.029
Threshold uncertainty score0.098

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.039
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0030.004
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0290.012

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 head0.417
GPT teacher head0.430
Teacher spread0.013 · 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 designTheoretical or conceptual
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

Citations6
Published2020
Admission routes1
Has abstractyes

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