Is abdominal surgery still a contraindication for peritoneal dialysis?
Bibliographic record
Abstract
Peritoneal Dialysis (PD) is considered an underutilized modality of renal replacement treatment (RRT) in our media if we compare with other countries as Canada [1], with an incidence that has reached a plateau in the last years (Figure 1). In the 2005 Spanish Registry only 14% started RRT with PD, with a reported prevalence in the technique of about 6%. Both the incidence and prevalence of PD patients vary between different regions, depending on their experience and availability. We observe that in some areas as Cantabria o La Rioja the incidence is higher than 20% while in others as Aragón it is almost nonexistent (Figure 2). We must consider that there are some well-defined indications and contraindications for PD that determine its use [2,3]. Many patients are not given the chance to choose the RRT as far as PD is concerned, since some renal units apply this indication too restrictively. A history of previous abdominal surgery is responsible for most of the patients’ refusal. If there is careful selection of the potential PD by the patients, the probabilities of failure decrease considerably.
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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 | 0.001 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
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".