The 2010 ESC/EACTS guidelines on myocardial revascularisation
Bibliographic record
Abstract
At the European Society for Cardiology annual meeting in Stockholm at the end of August 2010, the new joint European Society of Cardiology (ESC) and European Association for Cardiothoracic Surgery (EACTS) guidelines on myocardial revascularisation were published online.1 These are a completely new set of guidelines which incorporate the 2006 percutaneous coronary intervention (PCI) guidelines on the management of stable angina pectoris2 and also contain important differences reflecting advances in the clinical management of ischaemic heart disease and advocating a more formal multidisciplinary approach to intervention in such patients. In contrast to previous guidelines for interventions in coronary artery disease produced independently by the cardiology and cardiac surgery communities, the new ESC/EACTS collaborative effort recognises the need for cohesive guidelines applicable to the management of the entire spectrum of coronary artery disease. While less severe disease can be adequately treated by lifestyle changes and optimal medical therapy, more severe disease may additionally require intervention by stenting or surgery. Accordingly, the writing committee, which was co-chaired by a cardiologist and a surgeon, consisted of 25 members in total and included nine non-interventional cardiologists, eight interventional cardiologists and eight cardiac surgeons. This is in marked contrast to the previous ESC guidelines task force which included a single cardiac surgeon among its 16 members.2 It should also be noted that the guidelines were produced without any commercial sponsorship from the pharmaceutical or interventional or surgical device industry, who are all powerful players in the cardiovascular arena. After several revisions, the guidelines were approved by the external reviewers from the respective societies. The ESC guidelines are based on a ‘comprehensive review of the published evidence’3 with a ‘formal meta-analysis at the beginning of the writing phase’.4 However, it has also to be acknowledged that, as with all guidelines, some …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.020 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.003 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.003 | 0.002 |
| Research integrity | 0.005 | 0.008 |
| Insufficient payload (model declined to judge) | 0.012 | 0.013 |
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; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".