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Record W2136022750 · doi:10.1136/ebm.12.1.9

Budesonide-formoterol for maintenance and as needed reliever treatment reduced asthma exacerbations

2007· letter· en· W2136022750 on OpenAlexaff
Magdie Kohn

Bibliographic record

VenueEvidence-Based Medicine · 2007
Typeletter
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsSunnybrook Health Science CentreHealth Sciences Centre
Fundersnot available
KeywordsFormoterolBudesonideBudesonide/formoterolAsthmaAsthma exacerbationsMedicineInternal medicine

Abstract

fetched live from OpenAlex

Rabe KF, Atienza T, Magyar P, et al. Effect of budesonide in combination with formoterol for reliever therapy in asthma exacerbations: a randomised controlled, double-blind study. Lancet 2006;368:744–53. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q In patients with asthma receiving budesonide-formoterol (B-F) for maintenance treatment, how does B-F as needed reliever treatment compare with as needed formoterol and as needed terbutaline for reducing exacerbations? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Paediatrics ★★★★★★☆ Respirology ★★★★★☆☆ ### ![Graphic][5]</img>Design: randomised controlled trial. ### ![Graphic][6]</img>Allocation: concealed.* ### ![Graphic][7]</img>Blinding: blinded (patients and healthcare providers).* ### ![Graphic][8]</img>Follow up period: 12 months. ### ![Graphic][9]</img>Setting: 289 centres in 20 countries. ### ![Graphic][10]</img>Patients: 3394 patients ⩾12 years of age (mean age 42 y, 60% women) who had >1 severe asthma exacerbation in the past 12 months, had used inhaled corticosteroids (ICS) for ⩾3 months, and had an FEV1 of 50–100% of predicted normal with ⩾12% reversibility after inhalation of terbutaline, 1 mg. Exclusion criteria included respiratory infection affecting asthma and use of oral corticosteroids within 1 month of … [1]: {openurl}?query=rft.jtitle%253DLancet%26rft.stitle%253DLancet%26rft.aulast%253DRabe%26rft.auinit1%253DK.%2BF.%26rft.volume%253D368%26rft.issue%253D9537%26rft.spage%253D744%26rft.epage%253D753%26rft.atitle%253DEffect%2Bof%2Bbudesonide%2Bin%2Bcombination%2Bwith%2Bformoterol%2Bfor%2Breliever%2Btherapy%2Bin%2Basthma%2Bexacerbations%253A%2Ba%2Brandomised%2Bcontrolled%252C%2Bdouble-blind%2Bstudy.%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS0140-6736%252806%252969284-2%26rft_id%253Dinfo%253Apmid%252F16935685%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1016/S0140-6736(06)69284-2&link_type=DOI [3]: /lookup/external-ref?access_num=16935685&link_type=MED&atom=%2Febmed%2F12%2F1%2F9.atom [4]: /lookup/external-ref?access_num=000240240200026&link_type=ISI [5]: /embed/inline-graphic-1.gif [6]: /embed/inline-graphic-2.gif [7]: /embed/inline-graphic-3.gif [8]: /embed/inline-graphic-4.gif [9]: /embed/inline-graphic-5.gif [10]: /embed/inline-graphic-6.gif

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.

How this classification was reachedexpand

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmano category
Domain: not available · Genre: Commentary
About the Canadian research system: no · About a Canadian topic: no
Not applicablelow
gptno category
Domain: not available · Genre: Commentary
About the Canadian research system: no · About a Canadian topic: no
Not applicablehigh
models agreeAgreement compares identical category sets and study designs across arms.

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)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.029
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
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 head0.060
GPT teacher head0.337
Teacher spread0.277 · 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

Classification

machine, unvalidated

Labeled directly by 2 models reading the full record.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

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".

Quick stats

Citations0
Published2007
Admission routes1
Has abstractyes

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