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Record W4304084045 · doi:10.1038/s41591-022-01973-2

The Burden of Proof studies: assessing the evidence of risk

2022· article· en· W4304084045 on OpenAlexaff
Peng Zheng, Ashkan Afshin, Stan Biryukov, Catherine Bisignano, Michael Bräuer, Dana Bryazka, Katrin Burkart, Kelly Cercy, Leslie Cornaby, Xiaochen Dai, M Ashworth Dirac, Kara Estep, Kairsten Fay, Rachel Feldman, Alize J Ferrari, Emmanuela Gakidou, Gabriela Gil, Max Griswold, Simon I Hay, Jiawei He, Caleb Mackay Salpeter Irvine, Nicholas J Kassebaum, Kate E LeGrand, Haley Lescinsky, Stephen S Lim, Justin Lo, Erin C Mullany, Kanyin Liane Ong, Puja C Rao, Christian Razo, Marissa B Reitsma, Gregory A. Roth, Damian Santomauro, Reed J D Sorensen, Vinay Srinivasan, Jeffrey D Stanaway, Theo Vos, Nelson Wang, Catherine A. Welgan, Sarah S Wozniak, Aleksandr Y. Aravkin, Christopher J L Murray

Bibliographic record

VenueNature Medicine · 2022
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsUniversity of British Columbia
FundersNational Institute of Mental HealthNational Health and Medical Research CouncilMedical Research CouncilNational Institute on AgingPublic Health EnglandSt. Jude Children's Research HospitalCardiovascular Medical Research and Education FundQueensland HealthUniversity of MelbourneBloomberg Family FoundationBill and Melinda Gates FoundationNorwegian Institute of Public HealthU.S. Department of Health and Human ServicesNational Institutes of HealthBloomberg Philanthropies
KeywordsDiseasePopulationMedicineAttributable riskActuarial scienceRisk analysis (engineering)PsychologyEnvironmental healthPathologyEconomics

Abstract

fetched live from OpenAlex

Exposure to risks throughout life results in a wide variety of outcomes. Objectively judging the relative impact of these risks on personal and population health is fundamental to individual survival and societal prosperity. Existing mechanisms to quantify and rank the magnitude of these myriad effects and the uncertainty in their estimation are largely subjective, leaving room for interpretation that can fuel academic controversy and add to confusion when communicating risk. We present a new suite of meta-analyses-termed the Burden of Proof studies-designed specifically to help evaluate these methodological issues objectively and quantitatively. Through this data-driven approach that complements existing systems, including GRADE and Cochrane Reviews, we aim to aggregate evidence across multiple studies and enable a quantitative comparison of risk-outcome pairs. We introduce the burden of proof risk function (BPRF), which estimates the level of risk closest to the null hypothesis that is consistent with available data. Here we illustrate the BPRF methodology for the evaluation of four exemplar risk-outcome pairs: smoking and lung cancer, systolic blood pressure and ischemic heart disease, vegetable consumption and ischemic heart disease, and unprocessed red meat consumption and ischemic heart disease. The strength of evidence for each relationship is assessed by computing and summarizing the BPRF, and then translating the summary to a simple star rating. The Burden of Proof methodology provides a consistent way to understand, evaluate and summarize evidence of risk across different risk-outcome pairs, and informs risk analysis conducted as part of the Global Burden of Diseases, Injuries, and Risk Factors Study.

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)0.045
metaresearch head score (Gemma)0.039
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.685
Threshold uncertainty score0.984

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0450.039
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
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 head0.379
GPT teacher head0.522
Teacher spread0.142 · 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; both teacher heads agree on what is shown here.

Study designNot applicable
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

Citations121
Published2022
Admission routes1
Has abstractyes

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