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Randomized Trial of Warfarin Nomograms

2004· article· en· W4234630696 on OpenAlexaffabout
Michael J. Kovacs, Philip S. Wells

Bibliographic record

VenueAnnals of Internal Medicine · 2004
Typearticle
Languageen
FieldMedicine
TopicHeparin-Induced Thrombocytopenia and Thrombosis
Canadian institutionsLondon Health Sciences Centre
Fundersnot available
KeywordsMedicineWarfarinConcomitantLow molecular weight heparinHeparinSurgeryInternal medicine

Abstract

fetched live from OpenAlex

Letters16 March 2004Randomized Trial of Warfarin NomogramsMichael J. Kovacs, MD, FRCPC and Philip S. Wells, MD, FRCPC, MScMichael J. Kovacs, MD, FRCPCFrom London Health Sciences Centre, London, Ontario N6A 4G5, Canada, and Ottawa Hospital—Civic Campus; Ottawa, Ontario K1Y 4E9, Canada.Search for more papers by this author and Philip S. Wells, MD, FRCPC, MScFrom London Health Sciences Centre, London, Ontario N6A 4G5, Canada, and Ottawa Hospital—Civic Campus; Ottawa, Ontario K1Y 4E9, Canada.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-6-200403160-00030 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank all of the correspondents for the interest in our article, which has initiated a strong and emotional debate. Given the strong shift, however, of treatment of acute thromboembolism to an outpatient setting using low-molecular-weight heparin, it is imperative to have a simple means to achieve therapeutic oral anticoagulation in an efficient, timely, and predictable fashion.Much press has been given to the fact that the INR may predominantly reflect factor VII levels during initiation of oral anticoagulant therapy, but with concomitant primary therapy (that is, therapy with low-molecular-weight heparin), no clinical consequences have been reported. Perhaps ...References1. Warkentin TE, Levine MN, Hirsh J, Horsewood P, Roberts RS, Gent M, et al . Heparin-induced thrombocytopenia in patients treated with low-molecular-weight heparin or unfractionated heparin. N Engl J Med. 1995;332:1330-5. [PMID: 7715641] CrossrefMedlineGoogle Scholar2. Warkentin TE, Elavathil LJ, Hayward CP, Johnston MA, Russett JI, Kelton JG. The pathogenesis of venous limb gangrene associated with heparin-induced thrombocytopenia. Ann Intern Med. 1997;127:804-12. [PMID: 9382401] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Michael J. Kovacs, MD, FRCPC; Philip S. Wells, MD, FRCPC, MScAffiliations: From London Health Sciences Centre, London, Ontario N6A 4G5, Canada, and Ottawa Hospital—Civic Campus; Ottawa, Ontario K1Y 4E9, Canada. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Pathogenesis of Venous Limb Gangrene Associated with Heparin-Induced Thrombocytopenia Theodore E. Warkentin , Leela J. Elavathil , Catherine P.M. Hayward , Marilyn A. Johnston , Jean I. Russett , and John G. Kelton Comparison of 10-mg and 5-mg Warfarin Initiation Nomograms Together with Low-Molecular-Weight Heparin for Outpatient Treatment of Acute Venous Thromboembolism Michael J. Kovacs , Marc Rodger , David R. Anderson , Beverly Morrow , Gertrude Kells , Judy Kovacs , Eleanor Boyle , and Philip S. Wells Randomized Trial of Warfarin Nomograms Gregory M. Peterson and Shane L. Jackson Randomized Trial of Warfarin Nomograms Richard White and William Dager Randomized Trial of Warfarin Nomograms Robert Zeller Randomized Trial of Warfarin Nomograms Brian F. Gage Randomized Trial of Warfarin Nomograms Robert J. DiDomenico Randomized Trial of Warfarin Nomograms Mark A. Crowther , Linda Harrison , and Jack Hirsh Randomized Trial of Warfarin Nomograms Theodore E. Warkentin Randomized Trial of Warfarin Nomograms Kenneth L. McCall Metrics 16 March 2004Volume 140, Issue 6Page: 491-492KeywordsAnticoagulant therapyHeparinHeparin-induced thrombocytopeniaInternational normalized ratioLow molecular weight heparinOutpatientsRandomized trialsSafetyThromboembolismVenous thromboembolism ePublished: 16 March 2004 Issue Published: 16 March 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

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)0.006
metaresearch head score (Gemma)0.021
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.030
Threshold uncertainty score0.101

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.021
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0050.005
Bibliometrics0.0010.001
Science and technology studies0.0010.002
Scholarly communication0.0020.003
Open science0.0010.001
Research integrity0.0050.005
Insufficient payload (model declined to judge)0.0300.004

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 head0.100
GPT teacher head0.389
Teacher spread0.289 · 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 designRandomized trial
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
Published2004
Admission routes2
Has abstractyes

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