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Record W4385802125 · doi:10.1038/s41581-023-00744-7

Digital health and acute kidney injury: consensus report of the 27th Acute Disease Quality Initiative workgroup

2023· review· en· W4385802125 on OpenAlexaff
Kianoush Kashani, Linda Awdishu, Sean M. Bagshaw, Erin F. Barreto, Rolando Claure‐Del Granado, Barbara J. Evans, Lui G. Forni, Erina Ghosh, Stuart L. Goldstein, Sandra L. Kane‐Gill, Jejo Koola, Jay L. Koyner, Mei Liu, Raghavan Murugan, Girish N. Nadkarni, Javier A. Neyra, Jacob Ninan, Marlies Ostermann, Neesh Pannu, Parisa Rashidi, Claudio Ronco, Mitchell H. Rosner, Nicholas M. Selby, Benjamin Shickel, Karandeep Singh, Danielle E. Soranno, Scott M. Sutherland, Azra Bihorac, Ravindra L. Mehta

Bibliographic record

VenueNature Reviews Nephrology · 2023
Typereview
Languageen
FieldMedicine
TopicAcute Kidney Injury Research
Canadian institutionsUniversity of AlbertaAlberta Health Services
FundersNational Center for Complementary and Integrative HealthNational Center for Advancing Translational SciencesNational Institute of Diabetes and Digestive and Kidney DiseasesNational Institute on AgingNational Institute of Biomedical Imaging and BioengineeringPhilips Research AmericasNational Institute of Neurological Disorders and StrokeNational Institute for Health and Care ResearchNational Institute of General Medical SciencesNational Science FoundationSony ElectronicsAstraZenecaDaiichi Sankyo EuropeAgency for Healthcare Research and QualityNational Institutes of HealthUniversity of California, San DiegoBaxter International
KeywordsMedicineWorkgroupAcute kidney injuryDigital healthHealth careIntensive care medicineAcute careKidney diseaseMedical emergencyInternal medicine

Abstract

fetched live from OpenAlex

Acute kidney injury (AKI), which is a common complication of acute illnesses, affects the health of individuals in community, acute care and post-acute care settings. Although the recognition, prevention and management of AKI has advanced over the past decades, its incidence and related morbidity, mortality and health care burden remain overwhelming. The rapid growth of digital technologies has provided a new platform to improve patient care, and reports show demonstrable benefits in care processes and, in some instances, in patient outcomes. However, despite great progress, the potential benefits of using digital technology to manage AKI has not yet been fully explored or implemented in clinical practice. Digital health studies in AKI have shown variable evidence of benefits, and the digital divide means that access to digital technologies is not equitable. Upstream research and development costs, limited stakeholder participation and acceptance, and poor scalability of digital health solutions have hindered their widespread implementation and use. Here, we provide recommendations from the Acute Disease Quality Initiative consensus meeting, which involved experts in adult and paediatric nephrology, critical care, pharmacy and data science, at which the use of digital health for risk prediction, prevention, identification and management of AKI and its consequences was discussed.

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)0.026
metaresearch head score (Gemma)0.026
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.026
Threshold uncertainty score0.138

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0260.026
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0050.006
Bibliometrics0.0100.009
Science and technology studies0.0010.001
Scholarly communication0.0040.003
Open science0.0040.005
Research integrity0.0040.006
Insufficient payload (model declined to judge)0.0050.002

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 head0.110
GPT teacher head0.477
Teacher spread0.367 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

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

Citations45
Published2023
Admission routes1
Has abstractyes

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