Evidence Update: Examining Options for Dialysis Services in Rural and Remote Newfoundland & Labrador
Bibliographic record
Abstract
The Contextualized Health Research Synthesis Program produced a 2008 'Evidence in Context Report' on rural dialysis that posed the following research question: "In meeting the needs for dialysis services in rural and remote populations, what are the differences among the available treatment options with regards to efficacy/effectiveness, cost, acceptability, and feasibility in Newfoundland and Labrador?" The report found no persuasive evidence to suggest that any of the available modalities of dialysis service, including peritoneal dialysis and hemodialysis, is either more or less appropriate for either clinical or economic reasons in rural or remote populations in this province. Both types of dialysis are, in fact, complementary forms of renal replacement therapy, and home-based therapies were recommended as the primary option for rural and remote service provision. In late 2012, we conducted a review to confirm that the findings of our 2008 study remain both current and relevant.
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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 | 0.023 | 0.091 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.005 |
| Bibliometrics | 0.011 | 0.014 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.007 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.008 | 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".