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Record W3211304618 · doi:10.3899/jrheum.211044

Is Real-world Evidence Really Real?

2021· editorial· en· W3211304618 on OpenAlexvenueno aff
Lars Erik Kristensen, Alexander Egeberg

Bibliographic record

VenueThe Journal of Rheumatology · 2021
Typeeditorial
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsObservational studyReal world evidenceMedicineReal world dataMEDLINEData sciencePathologyInternal medicineComputer science

Abstract

fetched live from OpenAlex

Many important questions in medical research are investigated based on observational data, including “real-world evidence” studies.1 In fact, the vast majority of published medical research relies on data obtained from observational studies.2 This has been acknowledged by the increasing interest, focus, and acceptance of these types of studies. Although observational studies do have obvious weaknesses in the study design (in particular, inference of causality), it seems that the medical research paradigm has changed during the past few years. Focus has shifted from the downsides of observational studies to recognizing that they are important complements to randomized controlled clinical trials (RCTs). While biologic disease-modifying antirheumatic drugs (bDMARDs) have clinically proven efficacy in RCTs, results from RCTs may not be directly applicable to patients seen in a real-life setting, for example, because patients eligible for RCTs may have fewer comorbidities than those seen in daily practice. Multiple parallel cohort studies (one for each drug) may provide complementary information on … Address correspondence to Dr. L.E. Kristensen, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Nordre Fasanvej 57, Road 8, Entrance 19, DK-2000 Frederiksberg, Copenhagen, Denmark. Email: lars.erik.kristensen{at}regionh.dk.

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)0.047
metaresearch head score (Gemma)0.205
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.953
Threshold uncertainty score0.247

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0470.205
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0080.003
Bibliometrics0.0050.004
Science and technology studies0.0030.008
Scholarly communication0.0130.014
Open science0.0060.003
Research integrity0.0230.034
Insufficient payload (model declined to judge)0.0100.006

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 head0.069
GPT teacher head0.454
Teacher spread0.385 · 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.

Study designNot applicable
DomainMethods
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

Citations1
Published2021
Admission routes1
Has abstractyes

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