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Predictors of differential response to induction chemotherapy in high-risk neuroblastoma: A report from the Children's Oncology Group (COG).

2018· article· en· W2891211996 on OpenAlexaff
Navin Pinto, Emily Hibbitts, Susan G. Kreissman, Meaghan Granger, Meredith S. Irwin, Rochelle Bagatell, Wendy B. London, Emily Greengard, Arlene Naranjo, Julie R. Park, Steven G. DuBois

Bibliographic record

VenueJournal of Clinical Oncology · 2018
Typearticle
Languageen
FieldMedicine
TopicNeuroblastoma Research and Treatments
Canadian institutionsHospital for Sick Children
Fundersnot available
KeywordsMedicineInternal medicineInduction chemotherapyBonferroni correctionOncologyNeuroblastomaCogUnivariate analysisUnivariateLogistic regressionClinical endpointStage (stratigraphy)ChemotherapyMultivariate analysisClinical trialMultivariate statisticsStatisticsBiology

Abstract

fetched live from OpenAlex

10532 Background: Induction chemotherapy plays an important role in the management of patients with high-risk neuroblastoma. Predictors of response to Induction therapy itself are largely lacking. We sought to describe clinical and biological features associated with differential response to Induction. Methods: Patients from the following COG high-risk trials with at least one disease evaluation during Induction were included: A3973; ANBL02P1; ANBL0532; and ANBL12P1. Response at end-Induction was evaluated by the 1993 International Neuroblastoma Response Criteria. The primary endpoint was partial response (PR) or better. A series of univariate analyses (Fisher's exact or chi-squared tests) were performed to compare response as a function of clinical or biologic predictor variables. For each predictor variable, the Holm-Bonferroni method was used to correct for multiple testing, using an overall α=0.05. A multivariate logistic regression model using significant predictors from univariate analyses was constructed to model PR or better. Results: The analytic cohort included 1,242 patients (79.8% with PR or better; 20.8% with CR; 9.1% with PD). Baseline factors significantly associated with a PR or better included age <18 months (87.4% with PR or better vs. 78.7% if older; p=0.0103), age <5 years (82.0% vs. 70.6% if older; p<0.0001), INSS

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)0.002
metaresearch head score (Gemma)0.004
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 score0.007
Threshold uncertainty score0.014

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
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 head0.050
GPT teacher head0.423
Teacher spread0.373 · 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".

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Citations0
Published2018
Admission routes1
Has abstractyes

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Same venueJournal of Clinical OncologySame topicNeuroblastoma Research and TreatmentsFrench-language works237,207