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Record W4413971218

Solid reasons to equitably screen.

2025· article· en· W4413971218 on OpenAlexaff
Navindra Persaud, Aïsha Lofters

Bibliographic record

VenuePubMed · 2025
Typearticle
Languageen
FieldMedicine
TopicGlobal Cancer Incidence and Screening
Canadian institutionsWomen's College HospitalSt. Michael's Hospital
Fundersnot available
KeywordsPsychologyComputer science
DOInot available

Abstract

fetched live from OpenAlex

Preventive care can address inequities, or avoidable disparities in health outcomes. Preventive care, including screening for cardiovascular disease and cancer, and health promotion including offering counselling and preventive treatments, remains a routine part of primary care for good reasons. Here, we provide a fresh perspective on preventive care that focuses on health equity and we explain how centering on health equity can bring into focus the demonstrated benefits of screening in the context of other primary care interventions, the importance of patient preferences, and the relative magnitude of screening harms. Informed patients often prefer screening, and this should be offered where reasonable and the potential implications of negative screening recommendations for health equity should be carefully considered. The evidence for screening is better than the evidence of many other routine and uncontroversial aspects of care and the downsides of screening are sometimes overstated.

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)0.030
metaresearch head score (Gemma)0.089
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: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.034
Threshold uncertainty score0.157

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0300.089
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0030.009
Scholarly communication0.0070.008
Open science0.0020.007
Research integrity0.0090.010
Insufficient payload (model declined to judge)0.0340.007

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 head0.079
GPT teacher head0.365
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
GenreCommentary

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

Citations0
Published2025
Admission routes1
Has abstractyes

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