{"id":"W1967979861","doi":"10.1177/0272989x0202200309","title":"Reduction Mammaplasty: Defining Medical Necessity","year":2002,"lang":"en","type":"article","venue":"Medical Decision Making","topic":"Breast Implant and Reconstruction","field":"Medicine","cited_by":76,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Mammaplasty; Breast reduction; Medicine; Breast surgery; Physical therapy; Breast cancer; Set (abstract data type); Quality of life (healthcare); MEDLINE; Surgery; Cancer; Computer science; Nursing","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["insufficient_payload"],"consensus_categories":["insufficient_payload"],"category_scores_codex":[0.0008684964,0.0001738332,0.0003655984,0.0002203492,0.0002028435,0.00003235959,0.0001664004,0.0005009376,0.02092896],"category_scores_gemma":[0.001403176,0.0001309275,0.000133376,0.0003517574,0.0001862531,0.0001214677,0.0001095363,0.0007665837,0.0008750996],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00007349972,"about_ca_system_score_gemma":0.0001018885,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000006760216,"about_ca_topic_score_gemma":0.000006630197,"domain_scores_codex":[0.9964229,0.00007437561,0.000543267,0.0003839353,0.002207608,0.0003679431],"domain_scores_gemma":[0.9986104,0.0003590752,0.0001122936,0.0002468696,0.00007543636,0.0005959754],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"case_report","study_design_scores_codex":[0.0001233876,0.00008719936,0.003439775,0.00002361706,0.00002172777,0.0004252065,0.00006268531,9.727192e-7,0.00002079024,0.0003674225,0.009169554,0.9862577],"study_design_scores_gemma":[0.008848567,0.0005656365,0.03510468,0.009603404,0.0002764875,0.8099195,0.0005071933,0.09602269,0.0003037126,0.004809081,0.03310137,0.0009377105],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9523731,0.0005834047,0.02606943,0.004009792,0.003615056,0.0001768155,0.000003179677,0.0002818927,0.01288731],"genre_scores_gemma":[0.9920052,0.0001356752,0.005949676,0.0004628384,0.001044754,0.000006088792,0.000009878667,0.00002287197,0.0003629883],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.98532,"threshold_uncertainty_score":0.9999028,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02587630598120863,"score_gpt":0.3061433642201487,"score_spread":0.28026705823894,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}