The future of pediatric enhanced recovery after surgery is bright!
Bibliographic record
Abstract
There is an abundance of data for the use of enhanced recovery after surgery protocols (ERPs) in the adult literature. These ERPs are not used only to expedite discharge after surgery, but to optimize patients before surgery, standardize their care during surgery, and shorten the time to full post-operative recovery. However, the use of ERPs in pediatric surgery has lagged behind adult surgeons. This is primarily due to specific challenges in pediatric surgery including a lack of consensus guidelines, data to support their use, and the belief that many of the principles are already followed. Early champions of ERPs have demonstrated their utility and effectiveness in children. This special issue of the Journal of Pediatric Surgery – Open highlights the current state and future of ERPs in children. The contributing authors demonstrate that the future of pediatric ERPs is very bright and will ultimately lead to better recovery for our patients.
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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 | 0.005 | 0.014 |
| 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 | 0.002 |
| Scholarly communication | 0.005 | 0.008 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.004 | 0.010 |
| Insufficient payload (model declined to judge) | 0.015 | 0.005 |
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".