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Record W4213388700 · doi:10.1016/j.ekir.2022.01.312

POS-292 TRENDS IN REFERRAL PATTERNS TO NEPHROLOGISTS FOR PATIENTS WITH CHRONIC KIDNEY DISEASE: A RETROSPECTIVE COHORT STUDY

2022· article· en· W4213388700 on OpenAlexaff
Anukul Ghimire, Fang Ye, Brenda R. Hemmelgarn, Matthew Cooper, Kailash Jindal, Marcello Tonelli, Matthew T. James, Mohammed M. Tinwala, Maryam Khan, Nigar Sultana, Paul E. Ronksley, Scott Klarenbach, Siraj Ul Muneer, Ikechi G. Okpechi, Aminu K. Bello

Bibliographic record

VenueKidney International Reports · 2022
Typearticle
Languageen
FieldBusiness, Management and Accounting
TopicHealthcare Systems and Technology
Canadian institutionsUniversity of CalgaryUniversity of Alberta
Fundersnot available
KeywordsMedicineReferralGuidelineNephrologyInternal medicineKidney diseaseRetrospective cohort studyCohortIntensive care medicineEmergency medicineFamily medicinePediatricsPathology

Abstract

fetched live from OpenAlex

Guideline-concordant (GC) referrals to nephrology may lead to improved patient outcomes. However, some referrals are unnecessary, or guideline-discordant (GD), leading to high volumes and delays for referrals that are GC. Our objectives were to highlight the temporal trends in referrals to nephrology, identify variables predicting GD vs GC referrals, and characterize outcomes between patients in each referral category.

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)0.001
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: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.162
Threshold uncertainty score0.868

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.013
GPT teacher head0.273
Teacher spread0.260 · 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 teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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
Published2022
Admission routes1
Has abstractyes

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