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The BIGG-REC database makes available all WHO/PAHO evidence informed recommendations

2023· article· en· W4365142378 on OpenAlexaff
Martín Ragusa, Fernando Tortosa, Gabriel Rada, Camilo Vergara, Leslie Zaragoza, Jenee Farrell, Marcela Torres, Carmen Verônica Mendes Abdala, Ariel Izcovich, Michelle M. Haby, Holger J. Schünemann, Sebastián García-Saisó, Ludovic Revéiz

Bibliographic record

VenueJournal of Clinical Epidemiology · 2023
Typearticle
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsMcMaster UniversityImpactCochrane
FundersPan American Health OrganizationWorld Health Organization
KeywordsGuidelineMedicineOnline databasePublic healthGrading (engineering)DatabaseChecklistReproductive healthFamily medicineEnvironmental healthNursingPsychologyComputer sciencePopulationPathology

Abstract

fetched live from OpenAlex

OBJECTIVES: To build and maintain a living database of the Pan American Health Organization/World Health Organization (PAHO/WHO) recommendations developed using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). STUDY DESIGN AND SETTING: Guidelines are identified from WHO and PAHO databases. We periodically extract recommendations, according to the health and well-being targets of sustainable development goal 3 (SDG-3). RESULTS: As of March 2022, the International database of GRADE guidelines (https://bigg-rec.bvsalud.org/en) database hosted 2,682 recommendations contained in 285 WHO/PAHO guidelines. Recommendations were classified as follows: communicable diseases (1,581), children's health (1,182), universal health (1,171), sexual and reproductive health (910), noncommunicable diseases (677), maternal health (654), COVID-19 (224), use of psychoactive substances (99), tobacco (14) and road and traffic accidents (16). International database of GRADE guidelines allows searching by SDG-3, condition or disease, type of intervention, institution, year of publication, and age. CONCLUSION: Recommendation maps provide an important resource for health professionals, organizations and member states that use evidence-informed guidance to make better decisions, providing a source for the adoption or adaptation of recommendations to meet their needs. This one-stop shop database of evidence-informed recommendations built with intuitive functionalities undoubtedly represents a long-needed tool for decision-makers, guideline developers, and the public at large.

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)0.020
metaresearch head score (Gemma)0.168
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Scholarly communication
Consensus categoriesnone
DomainCandidate signal: Evaluation · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.991
Threshold uncertainty score0.564

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0200.168
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0060.005
Bibliometrics0.0450.042
Science and technology studies0.0010.001
Scholarly communication0.0090.005
Open science0.0060.004
Research integrity0.0050.003
Insufficient payload (model declined to judge)0.1690.069

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 head0.850
GPT teacher head0.685
Teacher spread0.164 · 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
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".

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Citations0
Published2023
Admission routes1
Has abstractyes

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