The clinical value of endovascular stent in treatment of hepatic vein-type Budd-Chiari syndrome: a Meta analysis
Bibliographic record
Abstract
Objective To analyze the clinical significance of endovascular stents in treatment of hepatic vein type Budd-Chiari syndrome. Methods Newcastle-Ottawa Scale assessment method was used by carrying out the computer-based retrieval and collecting the documents about the endovascular stents in treatment of hepatic vein type Budd-Chiari syndrome at home and abroad, the searching time limit was set from January 1992 to July 2014, all of collected data were analyzed and summarized, and the Meta analysis was conducted for the diameter stenosis and blocking rate of postoperative endovascular stents and percutaneous transluminal angioplasty. Results After systematic retrieval based on search strategies, according to inclusion criteria, there were 6 Chinese papers and one English paper included, with a total of 534 patients. The Meta analysis was conducted for the diameter stenosis and blocking rate of postoperative endovascular stents and percutaneous transluminal angioplasty in those included papers. The results showed that, after combining the diameter stenosis and blocking rate of postoperative percutaneous transluminal angioplasty and endovascular stents, the tests for heterogeneity revealed that it had the significant heterogeneity (χ2=15.821, P 0.05), which indicated that the diameter stenosis and blocking rate of postoperative endovascular stents and percutaneous transluminal angioplasty in short-and medium-term had no significant differences. Conclusions Endovascular stents have advantages of a high success rate, higher safety and minimal invasion with definite efficacy in treatment of hepatic vein type Budd-Chiari syndrome. The diameter stenosis and blocking rate of postoperative endovascular stents and percutaneous transluminal angioplasty in short-and medium-term had no significant differences. For patients with unclear therapeutic effects in percutaneous transluminal angioplasty or with repeated percutaneous transluminal angioplasty, they may consider the endovascular stent therapy. Key words: Budd-Chiari syndrome; Hepatic vein occlusion; Interventional treatment; Endovascular stent
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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 | 0.014 | 0.025 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.017 | 0.047 |
| Bibliometrics | 0.007 | 0.007 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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.
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".