MétaCan
Menu
Back to cohort
Record W7132884727

Temozolomide Chemoradiotherapy and Pneumocystis Pneumonia Prophylaxis

2022· dissertation· W7132884727 on OpenAlexafffundabout
Seth Climans

Bibliographic record

VenueTSpace · 2022
Typedissertation
Language
FieldMedicine
TopicPneumocystis jirovecii pneumonia detection and treatment
Canadian institutionsCanadian Institute for Health Information
FundersCanadian Centre for Applied Research in Cancer Control
KeywordsTemozolomideNeutropeniaPneumoniaCohortChemoradiotherapyAntibioticsAntibiotic prophylaxis
DOInot available

Abstract

fetched live from OpenAlex

Background: Pneumocystis pneumonia (PCP) can occur in glioma patients receiving chemoradiotherapy. Health Canada recommends PCP prophylaxis during temozolomide chemoradiotherapy. Not all neuro-oncologists follow these recommendations. The research objective was to characterize the risk-versus-benefit balance of PCP prophylaxis during chemoradiotherapy. Methods: Using ICES data, the risk of PCP in temozolomide-treated glioma patients with or without antibiotics was evaluated. Secondary outcomes included mortality, hospitalizations, and myelosuppression. Results: Between 2005–2019 there were 3225 patients included in the cohort (648 received antibiotics). Eighteen patients developed PCP within 90 days of therapy. The propensity score–adjusted absolute risk reduction in PCP with antibiotics was 0.0035 (95% CI -0.0013–0.0083), number needed to treat:288. Neither overall survival nor hospitalization count differed between groups. The number needed to harm by causing grade 3/4 neutropenia was 39. Conclusion: In regions where PCP is rare, routine PCP prophylaxis should not be offered, since the harms may outweigh the benefits

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)0.001
metaresearch head score (Gemma)0.005
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: none
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.003
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.013
GPT teacher head0.336
Teacher spread0.323 · 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
GenreOther

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

Citations0
Published2022
Admission routes3
Has abstractyes

Explore more

Same venueTSpaceSame topicPneumocystis jirovecii pneumonia detection and treatmentFrench-language works237,207