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Record W2159095547 · doi:10.1681/asn.v111126

Trends in Mortality on Peritoneal Dialysis

2000· article· en· W2159095547 on OpenAlexaffabout
Douglas E. Schaubel, Stanley S.A. Fenton

Bibliographic record

VenueJournal of the American Society of Nephrology · 2000
Typearticle
Languageen
FieldMedicine
TopicDialysis and Renal Disease Management
Canadian institutionsToronto General HospitalUniversity of TorontoUniversity Health Network
Fundersnot available
KeywordsMedicinePoisson regressionPeritoneal dialysisConfidence intervalRelative riskDialysisMortality rateInternal medicineRate ratioAmbulatoryDemographySurgeryPopulation

Abstract

fetched live from OpenAlex

Several technical and nontechnical improvements in peritoneal dialysis (PD) have occurred during recent years. Since few previous studies have examined trends in PD mortality over time, and to determine whether enhancements in PD have translated into improved patient outcomes, mortality rates among the 17,900 patients receiving PD in Canada during the period 1981-1997 were analyzed. Mortality rate ratios (RR) were estimated using Poisson regression, adjusting for age, race, gender, primary renal diagnosis, follow-up time, and type of PD (continuous ambulatory/cyclic versus intermittent). Adjusted mortality rates decreased significantly by calendar period, the reduction being monotonic: RR = 0.81, 95% confidence interval [CI], 0.75 to 0.87 for 1986-1989; RR = 0.73, 95% CI, 0.67 to 0.78 for 1990-1993; RR = 0.63, 95% CI, 0.58 to 0.67 for 1994-1997, with 1981-1985 serving as the reference period (RR = 1, fixed). The improvement in mortality was fairly consistent across patient subpopulations. When analyzed separately by follow-up time window, the mortality decrease was strongest in the first 12 mo after renal replacement therapy initiation. Supplementary analysis revealed that the trend in mortality rates was not attributable to corresponding trends in transplantation or technique failure rates, or modality switching patterns. Results were quite similar whether based on an "as-treated" or "intent-to-treat" analysis. More extensive data on practice patterns would empower future studies to elucidate the cause/effect relationship between PD practice patterns and patient survival.

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

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation 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 score0.337
Threshold uncertainty score0.670

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0020.003
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

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 head0.018
GPT teacher head0.304
Teacher spread0.286 · 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

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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

Citations57
Published2000
Admission routes2
Has abstractyes

Explore more

Same venueJournal of the American Society of NephrologySame topicDialysis and Renal Disease ManagementFrench-language works237,207