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Record W4415648268 · doi:10.7326/annals-24-03989

Addressing Racial and Ethnic Health Equity in Systematic Reviews and Evidence-Based Guidelines: Overview and Background for the Series

2025· article· en· W4415648268 on OpenAlexaff
Meera Viswanathan, Shazia Mehmood Siddique, Nila A Sathe, Rania Ali, Elizabeth M. Webber, Vivian Welch, Celia Fiordalisi, Jennifer S Lin

Bibliographic record

VenueAnnals of Internal Medicine · 2025
Typearticle
Languageen
FieldDecision Sciences
TopicMeta-analysis and systematic reviews
Canadian institutionsBruyère
Fundersnot available
KeywordsSystematic reviewHealth equityEthnic groupHealth careEquity (law)Health policyGuidelineMEDLINE

Abstract

fetched live from OpenAlex

Systematic reviews and other evidence synthesis products support clinical practice guidelines, policy and coverage decisions, and future research directions. These products can help promote health equity by examining why differences in outcomes exist, how underrepresentation or overrepresentation in the evidence affects generalizability, and how to address underlying societal sources of disparities. This article provides an overview of and background for a series of articles sponsored by the Agency for Healthcare Research and Quality and the Robert Wood Johnson Foundation. The series focuses on racial and ethnic health equity as one approach to enhance the utility of systematic reviews in addressing inequities. Together, the articles in the series address what end users of systematic reviews, specifically guideline developers, have done thus far; how best to methodologically address racial health equity; and what steps to take next.

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)0.040
metaresearch head score (Gemma)0.148
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.960
Threshold uncertainty score0.210

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0400.148
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0060.005
Bibliometrics0.0290.025
Science and technology studies0.0010.003
Scholarly communication0.0070.009
Open science0.0020.006
Research integrity0.0070.010
Insufficient payload (model declined to judge)0.0090.004

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 head0.973
GPT teacher head0.722
Teacher spread0.251 · 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.

Study designNot applicable
DomainMethods
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

Citations3
Published2025
Admission routes1
Has abstractyes

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