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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 OpenAlex
Shannon Lange, Michael Roerecke, Jürgen Rehm

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

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.

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)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.558
Threshold uncertainty score0.260

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.417
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