substantive-fix: address reviewer feedback (confidence_miscalibration)
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```markdown
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## The Claim (current version)
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## Challenging Evidence
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**Source:** Burden of Proof study group, PMC12726400, 41 studies
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Burden of Proof methodology (designed to correct for publication bias and systematic biases in observational studies) finds social isolation → dementia association has mean RR 1.29 (95% UI 0.98–1.71) — confidence interval CROSSES 1.0, classifying this as 'possible but uncertain' association. Only 'lack of social activity' sub-measure shows CI that does not cross null (RR 1.34, 95% UI 1.05–1.71). The BoP methodology's greater conservatism compared to standard meta-analyses explains the divergence from the HR 1.189 finding.
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Burden of Proof methodology (designed to correct for publication bias and systematic biases in observational studies) finds social isolation → dementia association has mean RR 1.29 (95% UI 0.98–1.71) — this confidence interval CROSSES 1.0, classifying this as a 'possible but uncertain' association. Only the 'lack of social activity' sub-measure shows a confidence interval that does not cross the null (RR 1.34, 95% UI 1.05–1.71). The BoP methodology's greater conservatism compared to standard meta-analyses explains the divergence from the HR 1.189 finding, suggesting the overall association is less certain than previously estimated.
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```
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