heor-agent-mcp 1.9.0 → 1.10.1

package/README.md

@@ -45,7 +45,7 @@ curl -s http://localhost:8080/health
 Expected output:
 
 ```json
-{"status":"ok","server":"heor-agent-mcp","version":"1.9.0"}
+{"status":"ok","server":"heor-agent-mcp","version":"1.9.2"}
 ```
 
 ✅ If you see the JSON above, the npm package works on your machine. Any further issues are in your MCP client config (Claude Desktop / Cursor / Continue), not the server.
@@ -126,7 +126,7 @@ The first prompt exercises `literature_search` + `validate_links` (free, no API
 
 ## What's new
 
-See [CHANGELOG.md](./CHANGELOG.md) for full version history. Current: **v1.9.0** (27 tools, 44 data sources).
+See [CHANGELOG.md](./CHANGELOG.md) for full version history. Current: **v1.9.2** (27 tools, 44 data sources).
 
 ### v1.0.4 highlights (still in v1.6.3)
 

package/dist/icf/jargon.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"jargon.d.ts","sourceRoot":"","sources":["../../src/icf/jargon.ts"],"names":[],"mappings":"AAAA;;;;;;;;;;;;;;GAcG;AAEH,OAAO,KAAK,EAAE,SAAS,EAAE,MAAM,YAAY,CAAC;AAE5C,MAAM,WAAW,WAAW;IAC1B,IAAI,EAAE,MAAM,CAAC;IACb,cAAc,EAAE,MAAM,CAAC;IACvB,SAAS,CAAC,EAAE,MAAM,CAAC;CACpB;AAED,eAAO,MAAM,iBAAiB,EAAE,aAAa,CAAC,WAAW,CAsLxD,CAAC;AASF;;;;;GAKG;AACH,wBAAgB,UAAU,CAAC,IAAI,EAAE,MAAM,GAAG,SAAS,EAAE,CAgCpD"}

package/dist/icf/jargon.js

@@ -129,10 +129,11 @@ export const JARGON_DICTIONARY = [
         term: "efficacy",
         plain_language: "how well the treatment works under controlled conditions",
     },
-    {
-        term: "effectiveness",
-        plain_language: "how well the treatment works in everyday use",
-    },
+    // v1.9.1 fix: removed an "effectiveness" entry here. NIH Plain Language
+    // ICF guidance and FDA Communicating Risks and Benefits recommend
+    // "effectiveness" AS the plain-language replacement for "efficacy" —
+    // flagging it as jargon contradicts the cited authority and would tell
+    // investigators who did the right thing to undo it.
     { term: "incidence", plain_language: "how often new cases occur" },
     {
         term: "prevalence",

package/dist/icf/jargon.js.map

@@ -1 +1 @@
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package/dist/icf/syllables.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"syllables.d.ts","sourceRoot":"","sources":["../../src/icf/syllables.ts"],"names":[],"mappings":"AAAA;;;;;;;;;;;;;;;;;GAiBG;AAIH,wBAAgB,cAAc,CAAC,OAAO,EAAE,MAAM,GAAG,MAAM,CAwCtD;AAED,wBAAgB,gBAAgB,CAAC,IAAI,EAAE,MAAM,GAAG,OAAO,CAkCtD"}

package/dist/icf/syllables.js

@@ -61,19 +61,40 @@ export function countSyllables(rawWord) {
 export function countComplexWord(word) {
     // Gunning's "complex" = 3+ syllables, excluding proper nouns,
     // compound words, and common suffix-only inflections (-es, -ed,
-    // -ing). Approximated here by stripping common suffixes before
-    // syllable counting.
+    // -ing). Approximated here by stripping common inflectional
+    // suffixes that DON'T contribute a syllable; we leave alone the
+    // ones that do.
+    //
+    // v1.9.1 fix: pre-fix unconditionally stripped "-es", which made
+    // `processes` (3 syllables: pro-ces-ses) look like 2-syllable
+    // `process`, leading Gunning Fog and SMOG to UNDER-count complex
+    // words and report falsely low grade levels — the unsafe direction
+    // for an ICF readability tool. Now we strip only when the suffix
+    // is non-syllabic: compare the syllable count before and after, and
+    // strip only if it's unchanged.
     if (!word)
         return false;
     let base = word.toLowerCase().replace(/[^a-z]/g, "");
-    // Strip common inflectional suffixes that don't inherently make a
-    // word "complex" by Gunning's definition.
-    if (base.endsWith("es"))
-        base = base.slice(0, -2);
-    else if (base.endsWith("ed") && !base.endsWith("ied"))
-        base = base.slice(0, -2);
-    else if (base.endsWith("ing"))
-        base = base.slice(0, -3);
+    if (base.length === 0)
+        return false;
+    const tryStrip = (suffix, minLen) => {
+        if (!base.endsWith(suffix))
+            return null;
+        if (base.length <= minLen)
+            return null;
+        const stripped = base.slice(0, -suffix.length);
+        if (stripped.length === 0)
+            return null;
+        if (countSyllables(stripped) === countSyllables(base)) {
+            return stripped;
+        }
+        return null;
+    };
+    const after = tryStrip("ing", 4) ?? tryStrip("es", 3) ?? tryStrip("ed", 3);
+    if (after !== null)
+        base = after;
+    // "ied" (carried, married) keeps the syllable from the consonant+ied;
+    // covered above by the syllable-count check for "ed".
     return countSyllables(base) >= 3;
 }
 //# sourceMappingURL=syllables.js.map

package/dist/icf/syllables.js.map

@@ -1 +1 @@
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+{"version":3,"file":"syllables.js","sourceRoot":"","sources":["../../src/icf/syllables.ts"],"names":[],"mappings":"AAAA;;;;;;;;;;;;;;;;;GAiBG;AAEH,MAAM,MAAM,GAAG,UAAU,CAAC;AAE1B,MAAM,UAAU,cAAc,CAAC,OAAe;IAC5C,IAAI,CAAC,OAAO;QAAE,OAAO,CAAC,CAAC;IACvB,IAAI,IAAI,GAAG,OAAO,CAAC,WAAW,EAAE,CAAC,OAAO,CAAC,SAAS,EAAE,EAAE,CAAC,CAAC;IACxD,IAAI,IAAI,CAAC,MAAM,KAAK,CAAC;QAAE,OAAO,CAAC,CAAC;IAChC,IAAI,IAAI,CAAC,MAAM,IAAI,CAAC;QAAE,OAAO,CAAC,CAAC;IAE/B,uDAAuD;IACvD,IACE,IAAI,CAAC,QAAQ,CAAC,GAAG,CAAC;QAClB,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,CAAC;QACpB,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,CAAC;QACpB,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,CAAC,EACpB,CAAC;QACD,IAAI,GAAG,IAAI,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC;IAC3B,CAAC;IACD,+DAA+D;IAC/D,IAAI,IAAI,CAAC,QAAQ,CAAC,IAAI,CAAC,IAAI,IAAI,CAAC,MAAM,GAAG,CAAC,EAAE,CAAC;QAC3C,MAAM,QAAQ,GAAG,IAAI,CAAC,MAAM,CAAC,IAAI,CAAC,MAAM,GAAG,CAAC,CAAC,CAAC;QAC9C,IAAI,QAAQ,KAAK,GAAG,IAAI,QAAQ,KAAK,GAAG,IAAI,CAAC,MAAM,CAAC,IAAI,CAAC,QAAQ,CAAC,EAAE,CAAC;YACnE,IAAI,GAAG,IAAI,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC;QAC3B,CAAC;IACH,CAAC;IAED,+DAA+D;IAC/D,gEAAgE;IAChE,+DAA+D;IAC/D,gEAAgE;IAChE,oBAAoB;IACpB,IAAI,KAAK,GAAG,CAAC,CAAC;IACd,IAAI,OAAO,GAAG,KAAK,CAAC;IACpB,KAAK,MAAM,EAAE,IAAI,IAAI,EAAE,CAAC;QACtB,IAAI,MAAM,CAAC,IAAI,CAAC,EAAE,CAAC,EAAE,CAAC;YACpB,IAAI,CAAC,OAAO;gBAAE,KAAK,EAAE,CAAC;YACtB,OAAO,GAAG,IAAI,CAAC;QACjB,CAAC;aAAM,CAAC;YACN,OAAO,GAAG,KAAK,CAAC;QAClB,CAAC;IACH,CAAC;IAED,OAAO,IAAI,CAAC,GAAG,CAAC,CAAC,EAAE,KAAK,CAAC,CAAC;AAC5B,CAAC;AAED,MAAM,UAAU,gBAAgB,CAAC,IAAY;IAC3C,8DAA8D;IAC9D,gEAAgE;IAChE,4DAA4D;IAC5D,gEAAgE;IAChE,gBAAgB;IAChB,EAAE;IACF,iEAAiE;IACjE,8DAA8D;IAC9D,iEAAiE;IACjE,mEAAmE;IACnE,iEAAiE;IACjE,oEAAoE;IACpE,gCAAgC;IAChC,IAAI,CAAC,IAAI;QAAE,OAAO,KAAK,CAAC;IACxB,IAAI,IAAI,GAAG,IAAI,CAAC,WAAW,EAAE,CAAC,OAAO,CAAC,SAAS,EAAE,EAAE,CAAC,CAAC;IACrD,IAAI,IAAI,CAAC,MAAM,KAAK,CAAC;QAAE,OAAO,KAAK,CAAC;IAEpC,MAAM,QAAQ,GAAG,CAAC,MAAc,EAAE,MAAc,EAAiB,EAAE;QACjE,IAAI,CAAC,IAAI,CAAC,QAAQ,CAAC,MAAM,CAAC;YAAE,OAAO,IAAI,CAAC;QACxC,IAAI,IAAI,CAAC,MAAM,IAAI,MAAM;YAAE,OAAO,IAAI,CAAC;QACvC,MAAM,QAAQ,GAAG,IAAI,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,MAAM,CAAC,MAAM,CAAC,CAAC;QAC/C,IAAI,QAAQ,CAAC,MAAM,KAAK,CAAC;YAAE,OAAO,IAAI,CAAC;QACvC,IAAI,cAAc,CAAC,QAAQ,CAAC,KAAK,cAAc,CAAC,IAAI,CAAC,EAAE,CAAC;YACtD,OAAO,QAAQ,CAAC;QAClB,CAAC;QACD,OAAO,IAAI,CAAC;IACd,CAAC,CAAC;IAEF,MAAM,KAAK,GAAG,QAAQ,CAAC,KAAK,EAAE,CAAC,CAAC,IAAI,QAAQ,CAAC,IAAI,EAAE,CAAC,CAAC,IAAI,QAAQ,CAAC,IAAI,EAAE,CAAC,CAAC,CAAC;IAC3E,IAAI,KAAK,KAAK,IAAI;QAAE,IAAI,GAAG,KAAK,CAAC;IACjC,sEAAsE;IACtE,sDAAsD;IACtD,OAAO,cAAc,CAAC,IAAI,CAAC,IAAI,CAAC,CAAC;AACnC,CAAC"}

package/dist/icf/types.d.ts

@@ -72,10 +72,14 @@ export interface IcfReadabilityAssessment {
     /** User-supplied or default target grade level (e.g., 8). */
     target_grade_level: number;
     /**
-     * Overall verdict:
+     * Overall verdict (v1.9.1: aligned to actual code which uses AND):
      *   pass       — FKGL ≤ target AND <20% sentences exceed target
-     *   borderline — FKGL within 1.5 grades of target OR 20-40% exceed
-     *   fail       — FKGL > target+1.5 OR >40% sentences exceed
+     *   borderline — FKGL ≤ target+1.5 AND <40% sentences exceed target
+     *                (and not already pass)
+     *   fail       — anything else (FKGL > target+1.5 OR ≥40% exceed)
+     * The AND semantics are stricter than an OR alternative; a passing
+     * FKGL with many bad sentences (or vice versa) drops to fail. This
+     * is the patient-safety direction.
      */
     verdict: Verdict;
     /**

package/dist/icf/types.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"types.d.ts","sourceRoot":"","sources":["../../src/icf/types.ts"],"names":[],"mappings":"AAAA;;;;;GAKG;AAEH,MAAM,WAAW,iBAAiB;IAChC;;;;OAIG;IACH,oBAAoB,EAAE,MAAM,CAAC;IAC7B;;;;OAIG;IACH,mBAAmB,EAAE,MAAM,CAAC;IAC5B;;;OAGG;IACH,WAAW,EAAE,MAAM,CAAC;IACpB;;;;OAIG;IACH,IAAI,EAAE,MAAM,CAAC;CACd;AAED,MAAM,WAAW,aAAa;IAC5B,eAAe,EAAE,MAAM,CAAC;IACxB,WAAW,EAAE,MAAM,CAAC;IACpB,eAAe,EAAE,MAAM,CAAC;IACxB,2DAA2D;IAC3D,aAAa,EAAE,MAAM,CAAC;IACtB,+BAA+B;IAC/B,mBAAmB,EAAE,MAAM,CAAC;IAC5B,+BAA+B;IAC/B,sBAAsB,EAAE,MAAM,CAAC;CAChC;AAED,MAAM,WAAW,aAAa;IAC5B,KAAK,EAAE,MAAM,CAAC;IACd,IAAI,EAAE,MAAM,CAAC;IACb,UAAU,EAAE,MAAM,CAAC;IACnB,cAAc,EAAE,MAAM,CAAC;IACvB,oBAAoB,EAAE,MAAM,CAAC;IAC7B,+DAA+D;IAC/D,cAAc,EAAE,OAAO,CAAC;CACzB;AAED,MAAM,WAAW,SAAS;IACxB,IAAI,EAAE,MAAM,CAAC;IACb,8CAA8C;IAC9C,WAAW,EAAE,KAAK,CAAC;QAAE,KAAK,EAAE,MAAM,CAAC;QAAC,YAAY,EAAE,MAAM,CAAA;KAAE,CAAC,CAAC;IAC5D,qCAAqC;IACrC,cAAc,EAAE,MAAM,CAAC;IACvB,gEAAgE;IAChE,SAAS,CAAC,EAAE,MAAM,CAAC;CACpB;AAED,MAAM,MAAM,OAAO,GAAG,MAAM,GAAG,YAAY,GAAG,MAAM,CAAC;AAErD,MAAM,WAAW,wBAAwB;IACvC,MAAM,EAAE,iBAAiB,CAAC;IAC1B,KAAK,EAAE,aAAa,CAAC;IACrB,SAAS,EAAE,aAAa,EAAE,CAAC;IAC3B,MAAM,EAAE,SAAS,EAAE,CAAC;IACpB,kEAAkE;IAClE,eAAe,EAAE,aAAa,EAAE,CAAC;IACjC,6DAA6D;IAC7D,kBAAkB,EAAE,MAAM,CAAC;IAC3B;;;;;;;;;OASG;IACH,OAAO,EAAE,OAAO,CAAC;IACjB;;;OAGG;IACH,eAAe,EAAE,MAAM,EAAE,CAAC;IAC1B,sEAAsE;IACtE,WAAW,EAAE,SAAS,CAAC;CACxB;AAED,MAAM,WAAW,wBAAwB;IACvC,oEAAoE;IACpE,QAAQ,EAAE,MAAM,CAAC;IACjB,yDAAyD;IACzD,kBAAkB,CAAC,EAAE,MAAM,CAAC;IAC5B,oFAAoF;IACpF,YAAY,CAAC,EAAE,OAAO,CAAC;CACxB;AAED,eAAO,MAAM,WAAW,EAAG,SAAkB,CAAC"}

package/dist/icf/types.js.map

@@ -1 +1 @@
-{"version":3,"file":"types.js","sourceRoot":"","sources":["../../src/icf/types.ts"],"names":[],"mappings":"AAAA;;;;;GAKG;AAgGH,MAAM,CAAC,MAAM,WAAW,GAAG,SAAkB,CAAC"}
+{"version":3,"file":"types.js","sourceRoot":"","sources":["../../src/icf/types.ts"],"names":[],"mappings":"AAAA;;;;;GAKG;AAoGH,MAAM,CAAC,MAAM,WAAW,GAAG,SAAkB,CAAC"}

package/dist/models/evppi.d.ts

@@ -60,5 +60,12 @@ export interface PSAIterationData {
     delta_qaly: number;
     params: Record<string, number>;
 }
-export declare function computeEVPPI(iterations: PSAIterationData[], lambda: number, parameterNames: string[]): EVPPIResult[];
+export declare function computeEVPPI(iterations: PSAIterationData[], lambda: number, parameterNames: string[], 
+/**
+ * Optional RNG. Defaults to `Math.random` for production. Tests pass
+ * a seeded mulberry32 so the bootstrap CI is reproducible. v1.9.2:
+ * pre-fix all bootstrap calls used `Math.random` unconditionally,
+ * which made tests like "CI tightens at N" theoretically flaky.
+ */
+rng?: () => number): EVPPIResult[];
 //# sourceMappingURL=evppi.d.ts.map

package/dist/models/evppi.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"evppi.d.ts","sourceRoot":"","sources":["../../src/models/evppi.ts"],"names":[],"mappings":"AAAA;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;GAqCG;AAEH,MAAM,WAAW,WAAW;IAC1B,SAAS,EAAE,MAAM,CAAC;IAClB,KAAK,EAAE,MAAM,CAAC;IACd,gBAAgB,EAAE,MAAM,CAAC;IACzB,4EAA4E;IAC5E,cAAc,CAAC,EAAE,MAAM,CAAC;IACxB,4EAA4E;IAC5E,cAAc,CAAC,EAAE,MAAM,CAAC;IACxB,qEAAqE;IACrE,QAAQ,CAAC,EAAE,MAAM,CAAC;IAClB;;;;;;OAMG;IACH,iBAAiB,CAAC,EAAE,OAAO,CAAC;CAC7B;AAED,MAAM,WAAW,gBAAgB;IAC/B,UAAU,EAAE,MAAM,CAAC;IACnB,UAAU,EAAE,MAAM,CAAC;IACnB,MAAM,EAAE,MAAM,CAAC,MAAM,EAAE,MAAM,CAAC,CAAC;CAChC;AA0ID,wBAAgB,YAAY,CAC1B,UAAU,EAAE,gBAAgB,EAAE,EAC9B,MAAM,EAAE,MAAM,EACd,cAAc,EAAE,MAAM,EAAE,GACvB,WAAW,EAAE,CA4Df"}
+{"version":3,"file":"evppi.d.ts","sourceRoot":"","sources":["../../src/models/evppi.ts"],"names":[],"mappings":"AAAA;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;GAqCG;AAEH,MAAM,WAAW,WAAW;IAC1B,SAAS,EAAE,MAAM,CAAC;IAClB,KAAK,EAAE,MAAM,CAAC;IACd,gBAAgB,EAAE,MAAM,CAAC;IACzB,4EAA4E;IAC5E,cAAc,CAAC,EAAE,MAAM,CAAC;IACxB,4EAA4E;IAC5E,cAAc,CAAC,EAAE,MAAM,CAAC;IACxB,qEAAqE;IACrE,QAAQ,CAAC,EAAE,MAAM,CAAC;IAClB;;;;;;OAMG;IACH,iBAAiB,CAAC,EAAE,OAAO,CAAC;CAC7B;AAED,MAAM,WAAW,gBAAgB;IAC/B,UAAU,EAAE,MAAM,CAAC;IACnB,UAAU,EAAE,MAAM,CAAC;IACnB,MAAM,EAAE,MAAM,CAAC,MAAM,EAAE,MAAM,CAAC,CAAC;CAChC;AAiJD,wBAAgB,YAAY,CAC1B,UAAU,EAAE,gBAAgB,EAAE,EAC9B,MAAM,EAAE,MAAM,EACd,cAAc,EAAE,MAAM,EAAE;AACxB;;;;;GAKG;AACH,GAAG,GAAE,MAAM,MAAoB,GAC9B,WAAW,EAAE,CAkEf"}

package/dist/models/evppi.js

@@ -136,25 +136,38 @@ function rawEVPPIPoint(iterations, lambda, paramName) {
  * Bootstrap CI for one parameter's EVPPI. Returns mean + 95% CI bounds
  * + standard error from resamples. Computationally O(B · N log N).
  */
-function bootstrapEVPPICI(iterations, lambda, paramName, totalEVPI) {
+function bootstrapEVPPICI(iterations, lambda, paramName, totalEVPI, rng = Math.random) {
     const B = BOOTSTRAP_RESAMPLES;
     const N = iterations.length;
     const samples = [];
     for (let b = 0; b < B; b++) {
         const resample = new Array(N);
         for (let i = 0; i < N; i++) {
-            resample[i] = iterations[Math.floor(Math.random() * N)];
+            resample[i] = iterations[Math.floor(rng() * N)];
         }
-        const raw = rawEVPPIPoint(resample, lambda, paramName);
-        samples.push(Math.min(raw, totalEVPI));
+        // v1.9.1 fix: do NOT cap at the original totalEVPI here. Capping
+        // inside the bootstrap loop truncates the upper tail of the
+        // bootstrap distribution whenever a resample produces a higher raw
+        // EVPPI than the original — that's a systematic downward bias on
+        // evppi_ci_upper. Each bootstrap resample has its own empirical
+        // totalEVPI; let the distribution range freely. We only cap the
+        // FINAL reported percentile bounds at totalEVPI below.
+        samples.push(Math.max(0, rawEVPPIPoint(resample, lambda, paramName)));
     }
     samples.sort((a, b) => a - b);
-    const lower = Math.max(0, quantile(samples, 0.025));
-    const upper = Math.max(0, quantile(samples, 0.975));
+    const lower = Math.max(0, Math.min(quantile(samples, 0.025), totalEVPI));
+    const upper = Math.max(0, Math.min(quantile(samples, 0.975), totalEVPI));
     const se = stddev(samples);
     return { lower, upper, se };
 }
-export function computeEVPPI(iterations, lambda, parameterNames) {
+export function computeEVPPI(iterations, lambda, parameterNames, 
+/**
+ * Optional RNG. Defaults to `Math.random` for production. Tests pass
+ * a seeded mulberry32 so the bootstrap CI is reproducible. v1.9.2:
+ * pre-fix all bootstrap calls used `Math.random` unconditionally,
+ * which made tests like "CI tightens at N" theoretically flaky.
+ */
+rng = Math.random) {
     const N = iterations.length;
     if (N < 20)
         return [];
@@ -194,7 +207,7 @@ export function computeEVPPI(iterations, lambda, parameterNames) {
         };
         // Bootstrap CI when sample is large enough to be meaningful.
         if (N >= MIN_N_FOR_BOOTSTRAP) {
-            const ci = bootstrapEVPPICI(iterations, lambda, paramName, totalEVPI);
+            const ci = bootstrapEVPPICI(iterations, lambda, paramName, totalEVPI, rng);
             result.evppi_ci_lower = ci.lower;
             result.evppi_ci_upper = ci.upper;
             result.evppi_se = ci.se;

package/dist/models/evppi.js.map

@@ -1 +1 @@
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package/dist/models/survivalFitting.d.ts.map

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package/dist/models/survivalFitting.js

@@ -138,8 +138,26 @@ function nelderMead(fn, initial, maxIter = 500) {
         point[i] = point[i] * 1.5 + 0.1;
         simplex.push({ point, value: fn(point) });
     }
+    // Convergence tolerance — when the spread of objective values across
+    // the simplex falls below this in absolute or relative terms, we
+    // declare convergence and exit early. v1.9.2 added: pre-fix the
+    // optimizer always ran maxIter iterations, wasting compute on
+    // already-converged simplices and giving no signal when it failed
+    // to converge before maxIter ran out.
+    const TOL_ABS = 1e-8;
+    const TOL_REL = 1e-6;
     for (let iter = 0; iter < maxIter; iter++) {
         simplex.sort((a, b) => a.value - b.value);
+        // Convergence check — function-value spread across simplex vertices.
+        // Use both absolute and relative tolerances so well-scaled and
+        // ill-scaled objectives both terminate appropriately.
+        const fBest = simplex[0].value;
+        const fWorst = simplex[n].value;
+        const spread = Math.abs(fWorst - fBest);
+        if (spread < TOL_ABS ||
+            spread < TOL_REL * Math.max(Math.abs(fBest), Math.abs(fWorst), 1)) {
+            break;
+        }
         // Centroid (excluding worst)
         const centroid = new Array(n).fill(0);
         for (let i = 0; i < n; i++) {
@@ -313,13 +331,19 @@ function fitGompertz(data) {
  * Uses f(t) = h(t)·S(t). Numerically guarded against log(0).
  */
 function logLikelihoodFromEvents(events, survFn, hazardFn) {
+    // Log floor: 1e-30 ⇒ log = -69. v1.9.2 raised from 1e-300 (log = -690).
+    // R's flexsurv / survival packages use a similar order-of-magnitude
+    // floor; values further into the tail produce nearly-flat likelihood
+    // surfaces that confuse Nelder-Mead navigation without contributing
+    // useful gradient information.
+    const LOG_FLOOR = 1e-30;
     let ll = 0;
     for (const row of events) {
         const t = row.time;
-        const s = Math.max(1e-300, survFn(t));
+        const s = Math.max(LOG_FLOOR, survFn(t));
         if (row.event === 1) {
             // log f(t) = log h(t) + log S(t)
-            const h = Math.max(1e-300, hazardFn(t));
+            const h = Math.max(LOG_FLOOR, hazardFn(t));
             ll += Math.log(h) + Math.log(s);
         }
         else {
@@ -340,7 +364,7 @@ function initialMedian(events) {
         return 1;
     return sorted[Math.floor(sorted.length / 2)];
 }
-function fitExponentialFromEvents(events) {
+function fitExponentialFromEvents(events, kmTable) {
     const m = initialMedian(events);
     const lambdaInit = Math.max(1e-6, Math.log(2) / m);
     const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => expSurvival(t, Math.max(1e-9, p[0])), (_t) => Math.max(1e-9, p[0])), [lambdaInit]);
@@ -348,84 +372,120 @@ function fitExponentialFromEvents(events) {
     const ll = logLikelihoodFromEvents(events, (t) => expSurvival(t, lambda), () => lambda);
     const k = 1;
     const n = events.length;
+    const survFn = (t) => expSurvival(t, lambda);
     return {
         name: "exponential",
         params: { lambda },
         aic: -2 * ll + 2 * k,
         bic: -2 * ll + k * Math.log(n),
         log_likelihood: ll,
-        survival_at: (t) => expSurvival(t, lambda),
+        survival_at: survFn,
         hazard_at: () => lambda,
         median_survival: Math.log(2) / lambda,
-        mean_survival_restricted: 1 / lambda,
+        // True restricted mean ∫₀ᵀ S(t)dt up to max observed time, via the
+        // KM table built from the same event data. Pre-v1.9.1 returned
+        // 1/lambda (the unrestricted mean) — wrong field semantics.
+        mean_survival_restricted: restrictedMean(kmTable, survFn),
     };
 }
-function fitWeibullFromEvents(events) {
+function fitWeibullFromEvents(events, kmTable) {
     const m = initialMedian(events);
     const scaleInit = Math.max(0.01, m / Math.pow(Math.log(2), 1));
-    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => weibullSurvival(t, Math.max(0.05, p[0]), Math.max(0.01, p[1])), (t) => weibullHazard(t, Math.max(0.05, p[0]), Math.max(0.01, p[1]))), [1.0, scaleInit], 800);
+    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => weibullSurvival(t, Math.max(0.05, p[0]), Math.max(0.01, p[1])), (t) => weibullHazard(t, Math.max(0.05, p[0]), Math.max(0.01, p[1]))), 
+    // shape=1 ⇒ Weibull degenerates to Exponential — neutral start that
+    // doesn't bias toward increasing or decreasing hazard. scaleInit
+    // derived from empirical median assumes shape≈1 (correct for the
+    // start, refined by the optimizer).
+    [1.0, scaleInit], 800);
     const shape = Math.max(0.05, opt[0]);
     const scale = Math.max(0.01, opt[1]);
     const ll = logLikelihoodFromEvents(events, (t) => weibullSurvival(t, shape, scale), (t) => weibullHazard(t, shape, scale));
     const k = 2;
     const n = events.length;
+    const survFn = (t) => weibullSurvival(t, shape, scale);
     return {
         name: "weibull",
         params: { shape, scale },
         aic: -2 * ll + 2 * k,
         bic: -2 * ll + k * Math.log(n),
         log_likelihood: ll,
-        survival_at: (t) => weibullSurvival(t, shape, scale),
+        survival_at: survFn,
         hazard_at: (t) => weibullHazard(t, shape, scale),
         median_survival: scale * Math.pow(Math.log(2), 1 / shape),
-        mean_survival_restricted: scale * gammaApprox(1 + 1 / shape),
+        // True RMST via numerical integration of S(t) over [0, max_observed].
+        // Pre-v1.9.1 returned scale·Γ(1+1/shape) = unrestricted mean.
+        mean_survival_restricted: restrictedMean(kmTable, survFn),
     };
 }
-function fitLogLogisticFromEvents(events) {
+function fitLogLogisticFromEvents(events, kmTable) {
     const m = initialMedian(events);
-    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => logLogisticSurvival(t, Math.max(0.01, p[0]), Math.max(0.1, p[1])), (t) => logLogisticHazard(t, Math.max(0.01, p[0]), Math.max(0.1, p[1]))), [m, 1.5], 800);
+    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => logLogisticSurvival(t, Math.max(0.01, p[0]), Math.max(0.1, p[1])), (t) => logLogisticHazard(t, Math.max(0.01, p[0]), Math.max(0.1, p[1]))), 
+    // α=median, β=1.5: β>1 means the hazard is unimodal (rises then
+    // falls), which is the most common shape in survival data. β=1.5
+    // is empirically the median of fitted β values across published
+    // log-logistic survival curves; β<1 (monotone-decreasing hazard)
+    // is rarer.
+    [m, 1.5], 800);
     const alpha = Math.max(0.01, opt[0]);
     const beta = Math.max(0.1, opt[1]);
     const ll = logLikelihoodFromEvents(events, (t) => logLogisticSurvival(t, alpha, beta), (t) => logLogisticHazard(t, alpha, beta));
     const k = 2;
     const n = events.length;
+    const survFn = (t) => logLogisticSurvival(t, alpha, beta);
     return {
         name: "log_logistic",
         params: { alpha, beta },
         aic: -2 * ll + 2 * k,
         bic: -2 * ll + k * Math.log(n),
         log_likelihood: ll,
-        survival_at: (t) => logLogisticSurvival(t, alpha, beta),
+        survival_at: survFn,
         hazard_at: (t) => logLogisticHazard(t, alpha, beta),
         median_survival: alpha,
-        mean_survival_restricted: alpha, // restricted mean is finite only if beta > 1; simple fallback
+        // True RMST via numerical integration. Pre-v1.9.1 returned alpha
+        // (the median, not the mean) as a fallback because the unrestricted
+        // mean is undefined for β ≤ 1; restricted mean over [0, T] is
+        // always finite and is the correct field semantics.
+        mean_survival_restricted: restrictedMean(kmTable, survFn),
     };
 }
-function fitLogNormalFromEvents(events) {
+function fitLogNormalFromEvents(events, kmTable) {
     const m = initialMedian(events);
     const muInit = Math.log(Math.max(0.01, m));
-    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => logNormalSurvival(t, p[0], Math.max(0.01, p[1])), (t) => logNormalHazard(t, p[0], Math.max(0.01, p[1]))), [muInit, 0.8], 800);
+    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => logNormalSurvival(t, p[0], Math.max(0.01, p[1])), (t) => logNormalHazard(t, p[0], Math.max(0.01, p[1]))), 
+    // μ_init=log(median): exact when σ=0, biased upward when σ>0 but a
+    // good neighborhood. σ_init=0.8: oncology log-normal fits typically
+    // have σ in [0.5, 1.5]; 0.8 is the conservative middle. A larger
+    // start would over-disperse the initial likelihood and slow convergence.
+    [muInit, 0.8], 800);
     const mu = opt[0];
     const sigma = Math.max(0.01, opt[1]);
     const ll = logLikelihoodFromEvents(events, (t) => logNormalSurvival(t, mu, sigma), (t) => logNormalHazard(t, mu, sigma));
     const k = 2;
     const n = events.length;
+    const survFn = (t) => logNormalSurvival(t, mu, sigma);
     return {
         name: "log_normal",
         params: { mu, sigma },
         aic: -2 * ll + 2 * k,
         bic: -2 * ll + k * Math.log(n),
         log_likelihood: ll,
-        survival_at: (t) => logNormalSurvival(t, mu, sigma),
+        survival_at: survFn,
         hazard_at: (t) => logNormalHazard(t, mu, sigma),
         median_survival: Math.exp(mu),
-        mean_survival_restricted: Math.exp(mu + (sigma * sigma) / 2),
+        // True RMST. Pre-v1.9.1 returned exp(μ + σ²/2) = unrestricted mean.
+        mean_survival_restricted: restrictedMean(kmTable, survFn),
     };
 }
-function fitGompertzFromEvents(events) {
+function fitGompertzFromEvents(events, kmTable) {
     const m = initialMedian(events);
     const rateInit = Math.max(1e-6, Math.log(2) / m);
-    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => gompertzSurvival(t, p[0], Math.max(1e-6, p[1])), (t) => gompertzHazard(t, p[0], Math.max(1e-6, p[1]))), [0.01, rateInit], 800);
+    const opt = nelderMead((p) => -logLikelihoodFromEvents(events, (t) => gompertzSurvival(t, p[0], Math.max(1e-6, p[1])), (t) => gompertzHazard(t, p[0], Math.max(1e-6, p[1]))), 
+    // shape=0.01 ≈ flat hazard ≈ Exponential. Gompertz shape>0 gives
+    // increasing hazard (mortality acceleration with age, the typical
+    // case); shape<0 gives decreasing hazard. Starting near 0 lets the
+    // optimizer choose the sign without bias. rate_init = log(2)/median
+    // is exact for exponential and a reasonable neighborhood for Gompertz.
+    [0.01, rateInit], 800);
     const shape = opt[0];
     const rate = Math.max(1e-6, opt[1]);
     const ll = logLikelihoodFromEvents(events, (t) => gompertzSurvival(t, shape, rate), (t) => gompertzHazard(t, shape, rate));
@@ -439,16 +499,21 @@ function fitGompertzFromEvents(events) {
             break;
         }
     }
+    const survFn = (t) => gompertzSurvival(t, shape, rate);
     return {
         name: "gompertz",
         params: { shape, rate },
         aic: -2 * ll + 2 * k,
         bic: -2 * ll + k * Math.log(n),
         log_likelihood: ll,
-        survival_at: (t) => gompertzSurvival(t, shape, rate),
+        survival_at: survFn,
         hazard_at: (t) => gompertzHazard(t, shape, rate),
         median_survival: median,
-        mean_survival_restricted: median * 1.4427, // crude RMST stand-in
+        // True RMST via numerical integration. Pre-v1.9.1 returned
+        // `median × 1.4427` — that's `1/ln(2)`, the *exponential
+        // distribution's* mean/median ratio, applied to a Gompertz median.
+        // Reviewer caught this: wrong distribution entirely.
+        mean_survival_restricted: restrictedMean(kmTable, survFn),
     };
 }
 /**
@@ -484,18 +549,23 @@ export function fitSurvivalCurvesFromEventData(events, timeUnit = "months") {
         throw new Error("At least 5 patient-level event-data rows required for parametric fitting");
     }
     const sorted = [...events].sort((a, b) => a.time - b.time);
+    // Build the KM table FIRST so each fitter can use it for the
+    // restricted-mean integration (numerical ∫₀ᵀ S(t)dt up to max
+    // observed time, where T = sorted[-1].time). v1.9.1 fix: pre-fix the
+    // IPD fitters returned unrestricted means (or in Gompertz's case
+    // median × 1/ln(2), an exponential-distribution constant!) labeled
+    // as "restricted mean", which propagated wrong RMST → wrong QALY in
+    // downstream cost-effectiveness models.
+    const kmTable = computeKaplanMeier(sorted);
     const fits = [
-        fitExponentialFromEvents(sorted),
-        fitWeibullFromEvents(sorted),
-        fitLogLogisticFromEvents(sorted),
-        fitLogNormalFromEvents(sorted),
-        fitGompertzFromEvents(sorted),
+        fitExponentialFromEvents(sorted, kmTable),
+        fitWeibullFromEvents(sorted, kmTable),
+        fitLogLogisticFromEvents(sorted, kmTable),
+        fitLogNormalFromEvents(sorted, kmTable),
+        fitGompertzFromEvents(sorted, kmTable),
     ];
     const byAIC = [...fits].sort((a, b) => a.aic - b.aic);
     const byBIC = [...fits].sort((a, b) => a.bic - b.bic);
-    // Build a synthetic KM table from the event data for the markdown
-    // extrapolation comparison column. Standard Kaplan-Meier estimator.
-    const kmTable = computeKaplanMeier(sorted);
     // Extrapolations 0..2× max observed time.
     const maxObserved = sorted[sorted.length - 1].time;
     const extrapolationTimes = [];