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Record W4410335814 · doi:10.1136/bmj-2024-083864

Core GRADE 4: rating certainty of evidence—risk of bias, publication bias, and reasons for rating up certainty

2025· article· en· W4410335814 on OpenAlexaff
Gordon Guyatt, Ying Wang, Prashanti Eachempati, Alfonso Iorio, M. Hassan Murad, Monica Hultcrantz, Derek K. Chu, Iván D. Flórez, Lars G. Hemkens, Thomas Agoritsas, Liang Yao, Per Olav Vandvik, Víctor M. Montori, Romina Brignardello‐Petersen

Bibliographic record

VenueBMJ · 2025
Typearticle
Languageen
FieldDecision Sciences
TopicMeta-analysis and systematic reviews
Canadian institutionsMcMaster UniversityImpact
Fundersnot available
KeywordsCertaintyRating systemPublication biasComputer scienceMedicineActuarial scienceInformation retrievalBusinessMathematicsMeta-analysisInternal medicineEconomics

Abstract

fetched live from OpenAlex

This fourth article in a seven part series presents the Core GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to addressing risk of bias, publication bias, and rating up certainty. In Core GRADE, randomised controlled trials begin as high certainty evidence and non-randomised studies of interventions (NRSI) as low certainty. To assess certainty of evidence for risk of bias, Core GRADE users first classify individual studies as low or high risk of bias. Decisions regarding rating down for risk of bias will depend on the weights of high and low risk of bias studies and similarities or differences between the results of high and low risk of bias studies. For publication bias, a body of evidence comprising small studies funded by industry should raise suspicion. Core GRADE users appraising results from well conducted NSRI can consider rating up certainty of evidence when risk ratios from pooled estimates suggest large or very large effects.

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)0.279
metaresearch head score (Gemma)0.700
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: Methods
Teacher disagreement score0.721
Threshold uncertainty score0.889

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2790.700
Meta-epidemiology (narrow)0.0030.003
Meta-epidemiology (broad)0.0110.020
Bibliometrics0.0230.013
Science and technology studies0.0030.004
Scholarly communication0.0130.007
Open science0.0070.010
Research integrity0.0080.012
Insufficient payload (model declined to judge)0.0150.004

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 head0.906
GPT teacher head0.589
Teacher spread0.317 · 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; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designTheoretical or conceptual
DomainMethods
GenreMethods

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

Citations48
Published2025
Admission routes1
Has abstractyes

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