Variations in the quality and cost of colorectal cancer care in Manitoba
Bibliographic record
Abstract
Introduction: This thesis examines the quality of colorectal care and its association with healthcare costs. Methods: Quality of colorectal cancer care was assessed based on geography and hospital volume in patients diagnosed with colorectal cancer in Manitoba between 2004-2014. The associations between healthcare costs and longer wait times, higher postoperative morbidity and mortality and palliative care utilization were evaluated. Results: There were improvements in the quality of colorectal cancer care between 2004-2014, but disparities by geography and hospital volume existed. Increasing healthcare costs were associated with longer wait times, higher rates of morbidity and mortality and underutilization of palliative care. Conclusion: The quality of colorectal cancer care in Manitoba is improving but highly variable. This variability is an economic burden on the healthcare system and a cause of preventable patient morbidity and mortality. Strategies to improve the quality and reduce the costs of colorectal cancer care in Manitoba are needed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".