Optimización perioperatoria en el paciente con dolor crónico: una revisión reflexiva
Bibliographic record
Abstract
Chronic pain is an intersectional condition whose impact has gained more attention following the COVID-19 pandemic. Preoperative optimization in these patients presents logistical, social, and economic challenges. This study explores the implementation of Perioperative Optimization Programs (POP) as an integrated approach to improve care and outcomes for these patients. A reflective review of various articles available in scientific databases, action plans, and protocols in both Spanish and English was conducted to assess the importance of perioperative optimization and identify existing evidence for optimizing the preoperative state in chronic pain patients. The implementation of an integrated perioperative approach improves recovery and reduces risks in chronic pain patients. These programs are essential to optimizing surgical care and promoting a faster, safer recovery.
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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 | 0.010 | 0.028 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.002 |
| Bibliometrics | 0.005 | 0.004 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".