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Reviewer: NikosGouliaros ( talk · contribs) 20:34, 7 March 2024 (UTC)
Our mutual replies were here and there and impossible for anyone other than us to follow, so I've arranged them in sections, keeping them time-stamped. Hope this helps.Please let's keep our replies in the section they are meant for. NikosGouliaros ( talk) 21:56, 19 March 2024 (UTC)
Note that this is my first GA review; I am prepared to be corrected or withdraw if experienced editors believe I am off-base. Also note I am not a native English speaker.
There is no doubt a lot of work has been put to this article on a magnificent device, which performs two complicated functions together (vessel scaffolding and gradual drug emitting), and has been described as a "multidiscipllinary success story" [a] [1], so congratulations to its contributors. However, I humbly express my skepticism that it can be brought to GA status in the time frame of a GA review. In my opinion there are some gaps in the coverage of the topic, coupled with undue weight placed on peripheral aspects of it. For now, I am explaining my general thoughts on the article content, and then taking a closer look at the Lead, as an idea of what more detailed fact-checking, reference-checking and copy-editing could look like for the rest of it.
So, starting from the big picture: Drug eluting stent follows, to some extent, the Manual of Style on medicine-related articles as regards the article layout; there, medical devices are grouped with drugs and treatments, and I'd argue this isn't very helpful, as this layout is clearly made for medications. Crucially, it lacks a section on the description of the device, and the different types it comes in. One can compare similar GAs: The only Good Articles on a medical device are Dental implant, which has a "composition" section right after "uses"; and Injector pen, with a "design" section in the same place. Another instance of a somewhat similarly themed Good Article is Brachytherapy, which has a section on "types". (No Featured Articles with helpful thematic similarities are found). So, I think this article is definitely missing a section dedicated to describing the device (I expand on some potential ways of describing it later on), and its different subtypes. More specifically, this section could also mention:
I'd argue the section on description I'm proposing would be better suited after Uses (like in the aforementioned GAs), since Uses is the section that also gives background info on atherosclerosis and restenosis, two essential concepts to grasp what's behind DES design.
So, moving on to Uses: I think it needs a little more general background on atherosclerosis, without jumping directly to coronary artery disease; nonetheless, specific info on symptoms and signs (under the heading Clinical indications) feel a bit non-relevant to the article. Also, from this point on, the section feels like coming from an article on PCI, not DES. Importantly: but for a brief lead reference, the article ignores the use of drug eluting stents (DES) in peripheral arterial interventions, and only covers coronary interventions. It couldn't reasonably pass GA review without expanding its breadth of coverage to the role of DES in peripheral arterial disease, relatively limited though it is. [5] [6]: 57–59 [7]: 56 The obvious place for this is probably [[Drug eluting stent#Uses]|this section].
The Clinical Procedure section is welcome; I wonder if being somewhat less detailed could help it. The section on Efficacy feels not necessary: much of it just repeats info already given, or that could reasonably fit elsewhere; on the other had, it could merge with Complications into an Outcomes section. I'm also skeptical on the role of Design considerations: it reads a bit like a foreword to a manufacturer's manual. The info including in the Alternatives section could either be missing or fit in Uses.
History is of course welcome, but I wonder if some of the material in the first three paragraphs could be shortened.
These are some first thoughts. Looking forward to some reaction! NikosGouliaros ( talk) 21:04, 8 March 2024 (UTC)
The stent slowly releases a drug to prevent re-blockage of the arteryis followed by
The release of the drug from the stent to prevent the growth of scar tissue and reduce the risk of stent restenosis, which is the narrowing of the stented area of an artery after treatment: this repeats less than it expands on the previous sentence, but the first paragraph of the lead might not be the perfect place for expanding; directly follows
A drug-eluting stent is different from other types of stents because it has a coating that delivers medication directly to the arterial wall., which is saying pretty much the same. Moreover, the first paragraph describes the stent insertion procedure, before the reader becomes acquainted with the concept of atherosclerosis and perhaps angioplasty.
As of 2023, more than 90 percent of stents used in PCI procedures were DES, as I can't find where the source [12] mentions this, and it is a challengeable piece of info. NikosGouliaros ( talk) 22:33, 17 March 2024 (UTC)
I added the "Design" section that briefly covers the issues that you've raised. Maxim Masiutin ( talk) 17:40, 11 March 2024 (UTC)
In designing a DESto
add further complexity to design considerations), and not just the heading, should go; it is somewhat manual-like, it repeats already given info, and it feels a bit in violation of GA criterion 3b. But I'm willing to be convinced differently.
Notes
References
{{
cite book}}
: CS1 maint: extra punctuation (
link)
Hello, NikosGouliaros! I hope I resolved your concerns and objections one week ago. Do you have any more concerns that I have to address? Are you expecting any action for me for these last 5-7 days? Please let me know how should I proceed. Maxim Masiutin ( talk) 20:39, 25 March 2024 (UTC)
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Reviewer: NikosGouliaros ( talk · contribs) 20:34, 7 March 2024 (UTC)
Our mutual replies were here and there and impossible for anyone other than us to follow, so I've arranged them in sections, keeping them time-stamped. Hope this helps.Please let's keep our replies in the section they are meant for. NikosGouliaros ( talk) 21:56, 19 March 2024 (UTC)
Note that this is my first GA review; I am prepared to be corrected or withdraw if experienced editors believe I am off-base. Also note I am not a native English speaker.
There is no doubt a lot of work has been put to this article on a magnificent device, which performs two complicated functions together (vessel scaffolding and gradual drug emitting), and has been described as a "multidiscipllinary success story" [a] [1], so congratulations to its contributors. However, I humbly express my skepticism that it can be brought to GA status in the time frame of a GA review. In my opinion there are some gaps in the coverage of the topic, coupled with undue weight placed on peripheral aspects of it. For now, I am explaining my general thoughts on the article content, and then taking a closer look at the Lead, as an idea of what more detailed fact-checking, reference-checking and copy-editing could look like for the rest of it.
So, starting from the big picture: Drug eluting stent follows, to some extent, the Manual of Style on medicine-related articles as regards the article layout; there, medical devices are grouped with drugs and treatments, and I'd argue this isn't very helpful, as this layout is clearly made for medications. Crucially, it lacks a section on the description of the device, and the different types it comes in. One can compare similar GAs: The only Good Articles on a medical device are Dental implant, which has a "composition" section right after "uses"; and Injector pen, with a "design" section in the same place. Another instance of a somewhat similarly themed Good Article is Brachytherapy, which has a section on "types". (No Featured Articles with helpful thematic similarities are found). So, I think this article is definitely missing a section dedicated to describing the device (I expand on some potential ways of describing it later on), and its different subtypes. More specifically, this section could also mention:
I'd argue the section on description I'm proposing would be better suited after Uses (like in the aforementioned GAs), since Uses is the section that also gives background info on atherosclerosis and restenosis, two essential concepts to grasp what's behind DES design.
So, moving on to Uses: I think it needs a little more general background on atherosclerosis, without jumping directly to coronary artery disease; nonetheless, specific info on symptoms and signs (under the heading Clinical indications) feel a bit non-relevant to the article. Also, from this point on, the section feels like coming from an article on PCI, not DES. Importantly: but for a brief lead reference, the article ignores the use of drug eluting stents (DES) in peripheral arterial interventions, and only covers coronary interventions. It couldn't reasonably pass GA review without expanding its breadth of coverage to the role of DES in peripheral arterial disease, relatively limited though it is. [5] [6]: 57–59 [7]: 56 The obvious place for this is probably [[Drug eluting stent#Uses]|this section].
The Clinical Procedure section is welcome; I wonder if being somewhat less detailed could help it. The section on Efficacy feels not necessary: much of it just repeats info already given, or that could reasonably fit elsewhere; on the other had, it could merge with Complications into an Outcomes section. I'm also skeptical on the role of Design considerations: it reads a bit like a foreword to a manufacturer's manual. The info including in the Alternatives section could either be missing or fit in Uses.
History is of course welcome, but I wonder if some of the material in the first three paragraphs could be shortened.
These are some first thoughts. Looking forward to some reaction! NikosGouliaros ( talk) 21:04, 8 March 2024 (UTC)
The stent slowly releases a drug to prevent re-blockage of the arteryis followed by
The release of the drug from the stent to prevent the growth of scar tissue and reduce the risk of stent restenosis, which is the narrowing of the stented area of an artery after treatment: this repeats less than it expands on the previous sentence, but the first paragraph of the lead might not be the perfect place for expanding; directly follows
A drug-eluting stent is different from other types of stents because it has a coating that delivers medication directly to the arterial wall., which is saying pretty much the same. Moreover, the first paragraph describes the stent insertion procedure, before the reader becomes acquainted with the concept of atherosclerosis and perhaps angioplasty.
As of 2023, more than 90 percent of stents used in PCI procedures were DES, as I can't find where the source [12] mentions this, and it is a challengeable piece of info. NikosGouliaros ( talk) 22:33, 17 March 2024 (UTC)
I added the "Design" section that briefly covers the issues that you've raised. Maxim Masiutin ( talk) 17:40, 11 March 2024 (UTC)
In designing a DESto
add further complexity to design considerations), and not just the heading, should go; it is somewhat manual-like, it repeats already given info, and it feels a bit in violation of GA criterion 3b. But I'm willing to be convinced differently.
Notes
References
{{
cite book}}
: CS1 maint: extra punctuation (
link)
Hello, NikosGouliaros! I hope I resolved your concerns and objections one week ago. Do you have any more concerns that I have to address? Are you expecting any action for me for these last 5-7 days? Please let me know how should I proceed. Maxim Masiutin ( talk) 20:39, 25 March 2024 (UTC)