Notice bibliographique
Résumé
slurry or thoracoscopic talc poudrage pleurodesis. Furthermore, it remains unclear whether spontaneous pleurodesis with TPC prolongs life. In survivors to 14 weeks, the mean time to pleurodesis was 54 days. One coauthor’s earlier study revealed that those with TPC who had spontaneous pleurodesis lived over 3 times as long as those who did not have pleurodesis [2] . If pleurodesis by itself prolongs life, why not use more rapid pleurodesis techniques, such as talc slurry or thoracoscopic talc poudrage in the best candidates for longer survival? The report of Sabur et al. [1] complements a recent RCT by Davies et al. [3] (TIME2) from 7 centers in the UK, which found that talc slurry pleurodesis was ‘not inferior’ to TPC in controlling dyspnea 42 days after randomization [3] . The median length of the initial hospitalization was shorter in the TPC group ( ! 1 day vs. 4 days) (shorter hospitalizations – a median of 3 days – have been reported with thoracoscopic talc poudrage) [4] . There was no significant difference in qol. The study by Davies et al. [3] was not powered to compare survival in the 2 groups and results from the 2 procedures were discordant for complications versus the need for subsequent procedures. These mixed results suggest that the choice of procedure may depend on the specific circumstances of each patient and local capabilities. The randomization process led to half A vexing problem for patients and physicians today is malignant pleural effusion. These patients’ generally short survivals may be managed with hospice care or chemotherapy and radiation therapy. Palliative options for dyspnea include repeated thoracenteses, placement of an indwelling plastic catheter for drainage at home, and pleurodesis. Little controlled data is available comparing these treatments. Fortunately, in this issue of Respiration, Sabur et al. [1] report on quality of life (qol) in 4 Canadian centers after insertion of a tunneled pleural catheter (TPC) left in place either for life or until ‘spontaneous’ pleurodesis occurred. This study indicates that patients surviving 14 weeks after TPC placement have improved mean qol, dyspnea scores, and patient satisfaction compared to baseline. Median dyspnea scores, which might have proved complementary, were omitted. However, 45% of patients were deceased at 14 weeks’ follow-up. No attempt was made to determine the qol and dyspnea from family members of the 45% who died between 2 and 14 weeks, roughly half the patients. So the qol/dyspnea results are based on the half of the patients with relatively long survival. Other information of interest would be a full accounting of lifetime medical events – qol, dyspnea, and otherwise – following TPC, in comparison with control groups of talc Published online: November 21, 2012
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».