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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 OpenAlex
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

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

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.

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)0.003
metaresearch head score (Gemma)0.012
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Research integrity
Consensus categoriesResearch integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.402
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.012
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0080.002
Bibliometrics0.0000.002
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0020.005
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 head0.110
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