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Record W3144773245 · doi:10.1016/j.kint.2021.03.020

Controversies in optimal anemia management: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Conference

2021· article· en· W3144773245 on OpenAlexaff
Jodie L. Babitt, Michele F. Eisenga, Volker H. Haase, Abhijit V. Kshirsagar, Adeera Levin, Francesco Locatelli, Jolanta Małyszko, Dorine W. Swinkels, Der‐Cherng Tarng, Michael Cheung, Michel Jadoul, Wolfgang C. Winkelmayer­, Tilman B. Drüeke, Ali K. Abu‐Alfa, Barış Afşar, Amy Barton Pai, Anatole Besarab, Geraldine Biddle Moore, Nicole Casadevall, Aleix Cases, Angel Francisco, Kai‐Uwe Eckardt, Steven Fishbane, Linda F. Fried, Tomas Ganz, Yelena Ginzburg, Rafael Gómez, Lawrence T. Goodnough, Takayuki Hamano, Mark R. Hanudel, Chuan‐Ming Hao, Kunitoshi Iseki, Joachim H. Ix, Kirsten L. Johansen, Markus Ketteler, Csaba P. Kövesdy, David E. Leaf, Iain C. Macdougall, Ziad A. Massy, Lawrence P. McMahon, Roberto Minutolo, Takeshi Nakanishi, Elizabeta Nemeth, Gregorio T. Obrador, Patrick S. Parfrey, Hyeong Cheon Park, Roberto Pecoits‐Filho, Bruce Robinson, Simon D. Roger, Yatrik Shah, Bruce Spinowitz, Tetsuhiro Tanaka, Yusuke Tsukamoto, Kriang Tungsanga, Carl P. Walther, Angela Yee‐Moon Wang, Myles Wolf

Bibliographic record

VenueKidney International · 2021
Typearticle
Languageen
FieldMedicine
TopicErythropoietin and Anemia Treatment
Canadian institutionsSt. Paul's HospitalUniversity of British Columbia
FundersNational Institute of Diabetes and Digestive and Kidney DiseasesU.S. Department of Veterans Affairs
KeywordsKidney diseaseMedicineIntensive care medicineGuidelineAnemiaDiseaseClinical trialPathologyInternal medicine

Abstract

fetched live from OpenAlex

In chronic kidney disease, anemia and disordered iron homeostasis are prevalent and associated with significant adverse consequences. In 2012, Kidney Disease: Improving Global Outcomes (KDIGO) issued an anemia guideline for managing the diagnosis, evaluation, and treatment of anemia in chronic kidney disease. Since then, new data have accrued from basic research, epidemiological studies, and randomized trials that warrant a re-examination of previous recommendations. Therefore, in 2019, KDIGO decided to convene 2 Controversies Conferences to review the latest evidence, explore new and ongoing controversies, assess change implications for the current KDIGO anemia guideline, and propose a research agenda. The first conference, described here, focused mainly on iron-related issues, including the contribution of disordered iron homeostasis to the anemia of chronic kidney disease, diagnostic challenges, available and emerging iron therapies, treatment targets, and patient outcomes. The second conference will discuss issues more specifically related to erythropoiesis-stimulating agents, including epoetins, and hypoxia-inducible factor-prolyl hydroxylase inhibitors. Here we provide a concise overview of the consensus points and controversies resulting from the first conference and prioritize key questions that need to be answered by future research.

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)0.094
metaresearch head score (Gemma)0.146
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
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 score0.094
Threshold uncertainty score0.500

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0940.146
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0050.005
Bibliometrics0.0030.004
Science and technology studies0.0040.010
Scholarly communication0.0120.011
Open science0.0070.009
Research integrity0.0230.043
Insufficient payload (model declined to judge)0.0070.002

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 head0.011
GPT teacher head0.282
Teacher spread0.271 · 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 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

Citations209
Published2021
Admission routes1
Has abstractno

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