Adding revascularization to medical therapy did not improve renal function in atherosclerotic renal artery stenosis
Bibliographic record
Abstract
ACP Journal Club16 February 2010Adding revascularization to medical therapy did not improve renal function in atherosclerotic renal artery stenosisDaniel G. Hackam, MD, PhD, Amit X. Garg, MD, PhDDaniel G. Hackam, MD, PhDUniversity of Western Ontario, London, Ontario, Canada (D.G.H., A.X.G.)Search for more papers by this author, Amit X. Garg, MD, PhDUniversity of Western Ontario, London, Ontario, Canada (D.G.H., A.X.G.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-4-201002160-02006 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Source CitationASTRAL Investigators, Wheatley K, Ives N, et al. Revascularization versus medical therapy for renal-artery stenosis. N Engl J Med. 2009;361:1953-62. https://pubmed.ncbi.nlm.nih.gov/19907042Clinical Impact RatingsHospitalists: Nephrology: References1 Ives NJ, Wheatley K, Stowe RL, et al. Continuing uncertainty about the value of percutaneous revascularization in atherosclerotic renovascular disease: a meta-analysis of randomized trials. Nephrol Dial Transplant. 2003;18:298−304. [PMID: 12543884] Google Scholar2 Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary. J Am Coll Cardiol. 2006;47:1239−312. [PMID: 16545667] Google Scholar3 Cooper CJ, Murphy TP, Matsumoto A, et al. Stent revascularization for the prevention of cardiovascular and renal events among patients with renal artery stenosis and systolic hypertension: rationale and design of the CORAL trial. Am Heart J. 2006;152:59−66. [PMID: 16824832] Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Western Ontario, London, Ontario, Canada (D.G.H., A.X.G.)This article was published at Annals.org on 2 February 2010. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 16 February 2010Volume 152, Issue 4Page: JC2-6KeywordsAntiplatelet therapyCardiovascular therapyMortalityMyocardial infarctionRenal arteriesRenal diseasesRenal failureRenal transplantationRevascularizationStenosis ePublished: 16 February 2010 Issue Published: 16 February 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".