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Record W4240154105 · doi:10.5172/hesr.2012.1205

Cochrane reviews and the behavioural turn in evidence-based medicine

2012· article· en· W4240154105 on OpenAlexaff
Kirsten Bell

Bibliographic record

VenueHealth Sociology Review · 2012
Typearticle
Languageen
FieldHealth Professions
TopicChild and Adolescent Health
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsPublishingProject commissioningAlternative medicineSociologyEpistemologyEngineering ethicsSocial sciencePsychologyPsychotherapistMedicinePolitical scienceEngineeringLawPhilosophy

Abstract

fetched live from OpenAlex

Evidence-based medicine (EBM) has been one of the most important movements in clinical medicine and public health in recent years. At the heart of the EBM movement lies the Cochrane Collaboration, an influential organisation that produces systematic assessments of healthcare interventions known as Cochrane reviews. Although Cochrane methods were initially designed to test the efficacy of medical therapies, the desire for ‘evidence-based’ practice has pushed the movement far beyond its initial scope into the assessment of complex social phenomena. Through an examination of one particular Cochrane review – Physician advice for smoking cessation – this paper highlights the limitations of EBM ‘creep’, and some of the more problematic conceptions of human nature underwriting Cochrane principles and methodologies.

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)0.189
metaresearch head score (Gemma)0.493
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Evaluation · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.811
Threshold uncertainty score0.998

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1890.493
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0080.003
Bibliometrics0.0250.025
Science and technology studies0.0040.037
Scholarly communication0.0160.022
Open science0.0050.009
Research integrity0.0230.019
Insufficient payload (model declined to judge)0.0080.002

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 head0.326
GPT teacher head0.546
Teacher spread0.221 · 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 designTheoretical or conceptual
DomainEvaluation
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
Published2012
Admission routes1
Has abstractyes

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