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Record W4403035527 · doi:10.3899/jrheum.2024-0921

Remission Is the Mission in Gout

2024· editorial· en· W4403035527 on OpenAlexvenueno aff
Till Uhlig

Bibliographic record

VenueThe Journal of Rheumatology · 2024
Typeeditorial
Languageen
FieldMedicine
TopicGout, Hyperuricemia, Uric Acid
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineMeaning (existential)GoutDiseaseInternal medicineLinguisticsPhysical therapySurgeryPsychotherapist

Abstract

fetched live from OpenAlex

Remission is a concept that rheumatologists have accepted as an explicit goal for treatment of their patients with inflammatory disease. With its Latin origins ( remittere , to send back), remission has been used as a noun with different meanings. According to the Oxford English Dictionary , one meaning is a cancellation of a debt, charge, or penalty. However, more related to medicine, remission relates to a temporary diminution of the severity of disease or pain. In our field of rheumatology, remission is a disease state that we envision when treating inflammatory rheumatic diseases such as gout or rheumatoid arthritis (RA). During the last decades, we have become more ambitious when treating our patients. The advent of biologic and other targeted therapies, or persistent treatment of gout with urate-lowering drugs, has resulted in lower disease burden in patients with inflammatory rheumatic diseases, and in a milder disease course, has reduced or abrogated disease activity. The goal of remission was studied early in RA,1,2 beginning with definitions of remission. Disease activity instruments were based on the concept that individual components, such as swollen and tender joints, acute-phase reactants (erythrocyte sedimentation rate and C-reactive protein), as well as disease activity evaluation by physicians or healthcare providers, could be aggregated into a single score, which then reflects disease activity. For example, there is the Disease Activity Score in 28 joints (DAS28),3 the Clinical Disease Activity Index (CDAI), or the Simplified Disease Activity Index … Address correspondence to Dr. T. Uhlig, Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Postbox 23 Vinderen, N-0319 Oslo, Norway. Email: Tillmann.uhlig{at}medisin.uio.no.

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)0.003
metaresearch head score (Gemma)0.007
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: Not applicable
GenreCandidate signal: Editorial · Consensus signal: none
Teacher disagreement score0.015
Threshold uncertainty score0.051

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.007
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0050.014
Scholarly communication0.0060.007
Open science0.0010.006
Research integrity0.0060.012
Insufficient payload (model declined to judge)0.0150.005

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 head0.012
GPT teacher head0.298
Teacher spread0.287 · 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
GenreEditorial

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

Citations2
Published2024
Admission routes1
Has abstractyes

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