{"id":"https://openalex.org/W7162651505","doi":"https://doi.org/10.48550/arxiv.2605.28129","title":"Do Clinical Models Change Treatment Decisions?","display_name":"Do Clinical Models Change Treatment Decisions?","publication_year":2026,"publication_date":"2026-05-27","ids":{"openalex":"https://openalex.org/W7162651505","doi":"https://doi.org/10.48550/arxiv.2605.28129"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2605.28129","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.28129","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2605.28129","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134189242","display_name":"Dongkyu Cho","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cho, Dongkyu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137209119","display_name":"Miao Zhang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhang, Miao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5137260642","display_name":"Rumi Chunara","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chunara, Rumi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.5884000062942505,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.5884000062942505,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.10980000346899033,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10845","display_name":"Advanced Causal Inference Techniques","score":0.04919999837875366,"subfield":{"id":"https://openalex.org/subfields/2613","display_name":"Statistics and Probability"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.6536999940872192},{"id":"https://openalex.org/keywords/action","display_name":"Action (physics)","score":0.4957999885082245},{"id":"https://openalex.org/keywords/foundation","display_name":"Foundation (evidence)","score":0.45739999413490295},{"id":"https://openalex.org/keywords/benchmark","display_name":"Benchmark (surveying)","score":0.43470001220703125},{"id":"https://openalex.org/keywords/clinical-practice","display_name":"Clinical Practice","score":0.36959999799728394},{"id":"https://openalex.org/keywords/medical-treatment","display_name":"Medical treatment","score":0.3573000133037567},{"id":"https://openalex.org/keywords/theory-of-change","display_name":"Theory of change","score":0.3431999981403351}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6536999940872192},{"id":"https://openalex.org/C2780791683","wikidata":"https://www.wikidata.org/wiki/Q846785","display_name":"Action (physics)","level":2,"score":0.4957999885082245},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4672999978065491},{"id":"https://openalex.org/C2780966255","wikidata":"https://www.wikidata.org/wiki/Q5474306","display_name":"Foundation (evidence)","level":2,"score":0.45739999413490295},{"id":"https://openalex.org/C185798385","wikidata":"https://www.wikidata.org/wiki/Q1161707","display_name":"Benchmark (surveying)","level":2,"score":0.43470001220703125},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38690000772476196},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.36959999799728394},{"id":"https://openalex.org/C2982822547","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Medical treatment","level":2,"score":0.3573000133037567},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3434000015258789},{"id":"https://openalex.org/C7340896","wikidata":"https://www.wikidata.org/wiki/Q17165339","display_name":"Theory of change","level":2,"score":0.3431999981403351},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.3319000005722046},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3303000032901764},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.329800009727478},{"id":"https://openalex.org/C43540301","wikidata":"https://www.wikidata.org/wiki/Q689971","display_name":"Paradigm shift","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C2778571376","wikidata":"https://www.wikidata.org/wiki/Q1355821","display_name":"Frontier","level":2,"score":0.29420000314712524},{"id":"https://openalex.org/C25343380","wikidata":"https://www.wikidata.org/wiki/Q277521","display_name":"Relation (database)","level":2,"score":0.28850001096725464},{"id":"https://openalex.org/C2993312423","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medical practice","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C2985722590","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medical knowledge","level":2,"score":0.2761000096797943},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.27219998836517334},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2599000036716461},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.25690001249313354},{"id":"https://openalex.org/C2989179672","wikidata":"https://www.wikidata.org/wiki/Q6806500","display_name":"Clinical decision making","level":2,"score":0.25609999895095825}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2605.28129","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.28129","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2605.28129","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.28129","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","score":0.7159957885742188,"display_name":"Peace, Justice and strong institutions"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Clinical":[0],"foundation":[1],"models":[2,38,64],"are":[3],"evaluated":[4],"with":[5],"factual":[6],"or":[7],"exam-style":[8],"medical":[9,54,88],"QA,":[10],"but":[11],"treatment":[12,40],"decisions":[13,73],"must":[14],"change":[15,39,72],"when":[16,42],"patient":[17,33],"context":[18],"changes.":[19],"We":[20,50],"introduce":[21],"ClinPivot,":[22],"an":[23],"auditable":[24],"treatment-decision":[25],"benchmark":[26],"built":[27],"from":[28],"biomedical":[29],"relations":[30],"and":[31,65,75,87],"pivoted":[32],"contexts.":[34],"ClinPivot":[35],"asks":[36],"whether":[37],"choices":[41],"new":[43],"clinical":[44],"constraints":[45],"shift":[46,78],"the":[47],"action":[48],"space.":[49],"find":[51],"that":[52],"strong":[53],"QA":[55,89],"performance":[56],"does":[57],"not":[58],"reliably":[59],"predict":[60],"decision-making":[61,86],"performance:":[62],"frontier":[63],"task-adapted":[66],"Qwen":[67],"variants":[68],"often":[69],"fail":[70],"to":[71],"correctly,":[74],"model":[76],"rankings":[77],"across":[79],"evaluation":[80],"regimes.":[81],"Decision-structured":[82],"supervision":[83],"improves":[84],"pivot-sensitive":[85],"under":[90],"matched":[91],"knowledge":[92],"budgets,":[93],"while":[94],"lightweight":[95],"replay":[96],"reduces":[97],"losses":[98],"in":[99],"general":[100],"assistant":[101],"ability.":[102]},"counts_by_year":[],"updated_date":"2026-07-01T06:00:48.157686","created_date":"2026-05-29T00:00:00"}
