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Record W4399126197 · doi:10.1111/petr.14781

The <scp>IPTA</scp> Nashville consensus conference on <scp>post‐transplant</scp> lymphoproliferative disorders after solid organ transplantation in children: <scp>IV</scp>‐consensus guidelines for the management of <scp>post‐transplant</scp> lymphoproliferative disorders in children and adolescents

2024· article· en· W4399126197 on OpenAlexafffund
Upton Allen, Arnaud G. L’Huillier, Catherine M. Bollard, Thomas G. Gross, Robert J. Hayashi, Britta Höcker, Britta Maecker‐Kolhoff, Stephen D. Marks, George Mazariegos, Françoise Smets, Ralf Ulrich Trappe, Gary Visner, Richard Chinnock, Patrizia Comoli, Lara Danziger‐Isakov, Daniel E. Dulek, Anne I. Dipchand, Judith A. Ferry, Olivia M. Martinez, Diana Metes, Marian G. Michaels, Jutta K. Preiksaitis, James E. Squires, Steven H. Swerdlow, James D. Wilkinson, Vikas R. Dharnidharka, Michael Green, Steven A. Webber, Carlos O. Esquivel

Bibliographic record

VenuePediatric Transplantation · 2024
Typearticle
Languageen
FieldMedicine
TopicViral-associated cancers and disorders
Canadian institutionsUniversity of AlbertaSickKids FoundationHospital for Sick ChildrenUniversity of Toronto
FundersMedical Center, University of PittsburghWashington University School of Medicine in St. LouisSchool of Medicine, Vanderbilt UniversityHospital for Sick Children
KeywordsMedicineRituximabImmunosuppressionLymphoproliferative disordersTransplantationRandomized controlled trialIntensive care medicinePost-transplant lymphoproliferative disorderPediatricsImmunologyInternal medicineLymphoma

Abstract

fetched live from OpenAlex

The International Pediatric Transplant Association convened an expert consensus conference to assess current evidence and develop recommendations for various aspects of care relating to post-transplant lymphoproliferative disorders (PTLD) after pediatric solid organ transplantation. This report addresses the outcomes of deliberations by the PTLD Management Working Group. A strong recommendation was made for reduction in immunosuppression as the first step in management. Similarly, strong recommendations were made for the use of the anti-CD20 monoclonal antibody (rituximab) as was the case for chemotherapy in selected scenarios. In some scenarios, there is uncoupling of the strength of the recommendations from the available evidence in situations where such evidence is lacking but collective clinical experiences drive decision-making. Of note, there are no large, randomized phase III trials of any treatment for PTLD in the pediatric age group. Current gaps and future research priorities are highlighted.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesMeta-epidemiology (narrow)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.124
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.002
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.010
GPT teacher head0.262
Teacher spread0.253 · 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; both teacher heads agree on what is shown here.

Study designObservational
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".

Quick stats

Citations9
Published2024
Admission routes2
Has abstractyes

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