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Record W4405893891 · doi:10.1007/s40258-024-00936-7

Exome Sequencing in the Diagnostic Pathway for Suspected Rare Genetic Diseases: Does the Order of Testing Affect its Cost-Effectiveness?

2024· article· en· W4405893891 on OpenAlexafffund
Koen Degeling, Toni Tagimacruz, Karen V. MacDonald, Trevor Seeger, Katharine Fooks, Viji Venkataramanan, Kym M. Boycott, François P. Bernier, Roberto Mendoza‐Londono, Taila Hartley, Robin Z. Hayeems, Deborah A. Marshall

Bibliographic record

VenueApplied Health Economics and Health Policy · 2024
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicGenomics and Rare Diseases
Canadian institutionsAlberta Children's HospitalChildren's Hospital of Eastern OntarioUniversity of CalgaryInstitute for Clinical Evaluative SciencesUniversity of TorontoSickKids FoundationUniversity of OttawaHospital for Sick Children
FundersGenome AlbertaCanada First Research Excellence FundGenome British ColumbiaCanadian Institutes of Health ResearchGenome CanadaChildren's Hospital of Eastern Ontario FoundationGénome QuébecOntario Genomics Institute
KeywordsMedicineExome sequencingGenetic testingHealth economicsDiseaseExomeHuman geneticsRare diseasePublic healthAffect (linguistics)Diagnostic testIntensive care medicineBioinformaticsPediatricsGeneticsPathologyMutationInternal medicineBiologyPsychologyGene

Abstract

fetched live from OpenAlex
No abstract in any covered source. Its absence is recorded, not treated as a negative.

No abstract. This is not a gap in this database; OpenAlex has none either. 23.3% of the frame is in this state, and the screen finds HALF as much metaresearch here, so the absence is a measured bias rather than a missing field.

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.763
Threshold uncertainty score0.522

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.045
GPT teacher head0.346
Teacher spread0.301 · 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 teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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

Citations2
Published2024
Admission routes2
Has abstractno

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