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Record W4407593491 · doi:10.3899/jrheum.2025-0092

Disparities in Diagnosis: A Call for Equity in Radiographic Axial Spondyloarthritis Care

2025· editorial· en· W4407593491 on OpenAlexvenueno aff
Shao‐Hsien Liu, Jonathan Kay

Bibliographic record

VenueThe Journal of Rheumatology · 2025
Typeeditorial
Languageen
FieldMedicine
TopicSpine and Intervertebral Disc Pathology
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineAxial spondyloarthritisRadiographyEquity (law)Physical therapyInternal medicineAnkylosing spondylitisSurgery

Abstract

fetched live from OpenAlex

Timely diagnosis of radiographic axial spondyloarthritis (r-axSpA) is crucial for initiating effective treatment and reducing the long-term effects of this debilitating condition. Despite advances in imaging modalities and diagnostic criteria, the average delay in diagnosing r-axSpA remains alarmingly high at about 7 to 9 years.1-3

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)0.019
metaresearch head score (Gemma)0.078
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: Editorial
Teacher disagreement score0.024
Threshold uncertainty score0.101

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0190.078
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0040.003
Bibliometrics0.0020.001
Science and technology studies0.0030.004
Scholarly communication0.0090.009
Open science0.0040.003
Research integrity0.0240.035
Insufficient payload (model declined to judge)0.0140.005

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 head0.020
GPT teacher head0.348
Teacher spread0.328 · 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
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueThe Journal of Rheumatology→Same topicSpine and Intervertebral Disc Pathology→French-language works237,207→