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Record W4226079372 · doi:10.34105/j.kmel.2021.13.026

Utility of electronic decision-support tools for patients with head and neck cancer: A scoping review

2021· review· en· W4226079372 on OpenAlex
Eleah Stringer, André Kushniruk

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

VenueKnowledge Management & E-Learning An International Journal · 2021
Typereview
Languageen
FieldHealth Professions
TopicPatient-Provider Communication in Healthcare
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsDecision aidsGrey literatureHead and neck cancerMedicineInclusion (mineral)Head and neckMEDLINEMedical educationPsychologyMedical physicsFamily medicineAlternative medicineCancerSurgeryPathologyInternal medicine

Abstract

fetched live from OpenAlex

The objective of this scoping review is to evaluate the range and nature of electronic decision-support tools that have been researched and/or trialled for patients with head and neck cancer (HNC), and to explore the implication on patient safety through improving risk communication. A scoping review was conducted by: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) collecting data and data items; (5) and reporting on results. Six databases, reference lists and grey literature from Google and Google Scholar were searched, including articles in English from January 2010 to January 2021. Articles discussing electronic decision aids (DAs) for oncology patients were searched then sorted by specificity for HNC. This returned 4217 articles for oncology but only 167 for HNC. Twelve articles met the inclusion criteria and were incorporated in the analysis. Five DAs have been created with varying design characteristics but four consistent themes: appreciation for DAs, usefulness of visuals, impact on reducing decisional conflict and anxiety while increasing knowledge, satisfaction, and shared decision-making, and the variability of patient information needs. Findings demonstrate the paucity of developed and/or trialled electronic DAs for patients with HNC and confirms their value and need for further research and development in this area.

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 categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.906
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0010.001
Research integrity0.0000.002
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 head0.215
GPT teacher head0.514
Teacher spread0.299 · 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