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Solid-Organ Transplantation in Older Adults: Current Status and Future Research

2012· article· en· W1501724616 on OpenAlex
Michaël Abécassis, Nancy D. Bridges, Cornelius J. Clancy, Mary Amanda Dew, Basil A. Eldadah, Michael J. Englesbe, Michael F. Flessner, Janet C. Frank, John J. Friedewald, John S. Gill, Cynthia Gries, Jeffrey B. Halter, Erica Hartmann, William R. Hazzard, Frances McFarland Horne, Jeffrey D. Hosenpud, Pamala A. Jacobson, Bertram L. Kasiske, John R. Lake, Rohit Loomba, Preeti Malani, Timothy M. Moore, Anne M. Murray, M. Hong Nguyen, Neil R. Powe, Peter P. Reese, Harmony R. Reynolds, Millie Samaniego, Kenneth E. Schmader, Dorry L. Segev, Ashish S. Shah, L.G. Singer, Julie Ann Sosa, Zoe A. Stewart, Jane C. Tan, Winfred W. Williams, David Zaas, Kevin P. High

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueAmerican Journal of Transplantation · 2012
Typearticle
Languageen
FieldMedicine
TopicOrgan Transplantation Techniques and Outcomes
Canadian institutionsUniversity of TorontoUniversity of British Columbia
FundersNational Institute of Diabetes and Digestive and Kidney DiseasesHartford Foundation for Public GivingNational Institute on AgingU.S. Department of Health and Human ServicesNational Institutes of HealthJohn A. Hartford Foundation
KeywordsMedicineTransplantationProxy (statistics)GerontologyIntensive care medicineLife spanLiver transplantationKidney transplantationAdverse effectInternal medicine

Abstract

fetched live from OpenAlex

An increasing number of patients older than 65 years are referred for and have access to organ transplantation, and an increasing number of older adults are donating organs. Although short-term outcomes are similar in older versus younger transplant recipients, older donor or recipient age is associated with inferior long-term outcomes. However, age is often a proxy for other factors that might predict poor outcomes more strongly and better identify patients at risk for adverse events. Approaches to transplantation in older adults vary across programs, but despite recent gains in access and the increased use of marginal organs, older patients remain less likely than other groups to receive a transplant, and those who do are highly selected. Moreover, few studies have addressed geriatric issues in transplant patient selection or management, or the implications on health span and disability when patients age to late life with a transplanted organ. This paper summarizes a recent trans-disciplinary workshop held by ASP, in collaboration with NHLBI, NIA, NIAID, NIDDK and AGS, to address issues related to kidney, liver, lung, or heart transplantation in older adults and to propose a research agenda in these areas.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.219
Threshold uncertainty score0.524

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.376
Teacher spread0.359 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it