inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json

@@ -0,0 +1,35 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    },
+    {
+      "filename": "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 2,
+    "kept": 0,
+    "fixed": 5,
+    "rejected": 2,
+    "fixes_applied": [
+      "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:set_created:2026-03-18",
+      "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau",
+      "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:set_created:2026-03-18",
+      "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau",
+      "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:stripped_wiki_link:medical-care-explains-only-10-20-percent-of-health-outcomes-"
+    ],
+    "rejections": [
+      "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:missing_attribution_extractor",
+      "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-18"
+}

inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md

@@ -7,9 +7,13 @@ date: 2025-01-01
 domain: health
 secondary_domains: []
 format: systematic-review
-status: unprocessed
+status: null-result
 priority: high
 tags: [food-is-medicine, systematic-review, rct, hba1c, blood-pressure, bmi, aha, clinical-outcomes, evidence-review]
+processed_by: vida
+processed_date: 2026-03-18
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "LLM returned 2 claims, 2 rejected by validator"
 ---
 
 ## Content
@@ -63,3 +67,15 @@ AHA Scientific Statement published in Circulation reviewing 14 US randomized con
 PRIMARY CONNECTION: Existing food-as-medicine / SDOH evidence claims in health domain
 WHY ARCHIVED: Most authoritative US RCT evidence review on FIM clinical outcomes — the canonical source for "what the evidence actually says"
 EXTRACTION HINT: Extract two claims: (1) FIM consistently improves diet quality and food security (proven); (2) FIM clinical outcomes (HbA1c, BP, BMI) are inconsistent and often non-significant in RCTs (likely). These are different claims that the field conflates.
+
+
+## Key Facts
+- AHA Scientific Statement reviewed 14 US randomized controlled trials of Food Is Medicine interventions
+- FIM intervention types studied: medically tailored meals (MTMs), produce prescriptions, medically tailored groceries, food pharmacies
+- Clinical outcomes assessed: HbA1c, blood pressure, BMI
+- MTMs have the most evidence among FIM intervention types
+- Evidence for produce prescriptions and medically tailored groceries remains limited per AHA
+- AHA supports expansion and standardization of FIM programs despite inconsistent clinical evidence
+- AHA calls for more rigorous RCTs with standardized outcomes
+- Recipe4Health observational study (2,643 participants): HbA1c -0.37%, non-HDL -17 mg/dL (not RCT)
+- Multisite evaluation of 9 produce prescription programs showed improvements in food security and F&V intake with clinically relevant HbA1c improvements for adults with poor baseline cardiometabolic health (not RCT design)