Colorectal 06
Bibliographic record
Abstract
Fast track postoperative protocols can yield a 4.3-day (d) stay after intestinal surgery, compared to 7–10 d with traditional (TRAD) approaches. Patient satisfaction, quality of life and pain are poorly understood after abdominal surgery, and have not been compared after fast track and traditional care. Sixty-four intestinal resection cases were randomly allocated to CREAD (controlled rehabilitation with early ambulation and diet) or TRAD. CREAD cases received: no NG tubes; ambulation and liquids on d 1; soft diet, oral analgesia on d 2. TRAD patients had: NG tubes; liquids, oral analgesia and diet after bowel function; ambulated on d 2. Postoperative endpoints at discharge, d 10 and d 30 used the Short Form-36 quality of life form, Cleveland clinic global quality of life scale (CGQL) and the McGill pain score. Length of stay including readmissions was 5.4 d in CREAD and 7.1 d in TRAD patients (P = 0.02). Changes in the mental component of the SF36 (reduced from 51 to 42, P < 0.01), and McGill score (increased from 3.9 to 7.6, P < 0.05) in CREAD patients at discharge, were resolved at d 10 and d 30, and are attributed to the shorter stay of CREAD patients. There were no differences in any other variable at any time. Patients using the CREAD had a shorter postoperative stay, without altered quality of life or pain scores on d 10 and d 30 after surgery, when compared to patients managed by the TRAD approach. It should be considered as a primary care pathway for patients undergoing intestinal resection.
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 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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.646 | 0.467 |
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".