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Record W2519004876 · doi:10.1213/ane.0000000000003409

Evaluating Patient-Centered Outcomes in Clinical Trials of Procedural Sedation, Part 2 Safety: Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research Recommendations

2018· review· en· W2519004876 on OpenAlexaff
Denham S. Ward, Mark R. Williams, John W. Berkenbosch, Maala Bhatt, Douglas W. Carlson, Phillip Chappell, Randall M. Clark, Isabelle Constant, Aaron Conway, Joseph P. Cravero, Albert Dahan, Franklin Dexter, Raymond A. Dionne, Robert H. Dworkin, Tong J. Gan, David Gozal, Steven Green, Michael G. Irwin, Suzanne Karan, Michael L. Kochman, Jerrold Lerman, Jenifer R. Lightdale, Ronald S. Litman, Keira P. Mason, James R. Miner, Robert E. O’Connor, Pratik P. Pandharipande, Richard R. Riker, Mark G. Roback, Daniel I. Sessler, Anne Sexton, Joseph R. Tobin, Dennis C. Turk, Rebecca S. Twersky, Richard D. Urman, Mark S. Weiss, Hannah Wunsch, Anna Zhao-Wong

Bibliographic record

VenueAnesthesia & Analgesia · 2018
Typereview
Languageen
FieldMedicine
TopicAnesthesia and Sedative Agents
Canadian institutionsUniversity of TorontoSunnybrook Health Science CentreHealth Sciences CentreChildren's Hospital of Eastern OntarioUniversity of Ottawa
FundersU.S. Food and Drug Administration
KeywordsMedicineSedationClinical trialPatient safetyAdverse effectMEDLINEIntensive care medicineAnesthesiaHealth carePharmacology

Abstract

fetched live from OpenAlex

The Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research, established by the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks, a public-private partnership with the US Food and Drug Administration, convened a second meeting of sedation experts from a variety of clinical specialties and research backgrounds to develop recommendations for procedural sedation research. The previous meeting addressed efficacy and patient- and/or family-centered outcomes. This meeting addressed issues of safety, which was defined as "the avoidance of physical or psychological harm." A literature review identified 133 articles addressing safety measures in procedural sedation clinical trials. After basic reporting of vital signs, the most commonly measured safety parameter was oxygen saturation. Adverse events were inconsistently defined throughout the studies. Only 6 of the 133 studies used a previously validated measure of safety. The meeting identified methodological problems associated with measuring infrequent adverse events. With a consensus discussion, a set of core and supplemental measures were recommended to code for safety in future procedural clinical trials. When adopted, these measures should improve the integration of safety data across studies and facilitate comparisons in systematic reviews and meta-analyses.

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 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)0.007
metaresearch head score (Gemma)0.007
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.961
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0070.007
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.444
GPT teacher head0.574
Teacher spread0.131 · 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 teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

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

Citations29
Published2018
Admission routes1
Has abstractyes

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