{"id":"W1991614433","doi":"10.1007/s00268-014-2566-3","title":"Tragic Knowledge: Truth Telling and the Maintenance of Hope in Surgery","year":2014,"lang":"en","type":"article","venue":"World Journal of Surgery","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":19,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto General Hospital; University Health Network; Women's College Hospital; University of Toronto","funders":"","keywords":"Dilemma; Harm; Truth telling; Autonomy; Medicine; Psychology; Law; Epistemology; Philosophy; Social psychology; Psychoanalysis; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00327311,0.0001087234,0.0009455737,0.0004942832,0.00001921057,0.0000059333,0.00006225152,0.00003453518,0.00002869212],"category_scores_gemma":[0.002104976,0.00006463607,0.0002823934,0.0004328713,0.0002349787,0.00007587641,0.00001521151,0.0002577643,0.000001408238],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00002519043,"about_ca_system_score_gemma":0.000133343,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001971698,"about_ca_topic_score_gemma":0.00002102696,"domain_scores_codex":[0.9984877,0.0001933148,0.0008468243,0.00008720328,0.0002076944,0.0001773395],"domain_scores_gemma":[0.9916794,0.007313263,0.0005523118,0.0001296162,0.0002441152,0.00008124483],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001947075,0.0002112157,0.905574,0.0005650172,0.0001807828,0.0001164886,0.002221346,0.00002827563,0.0005584161,0.001027453,0.009302892,0.07826702],"study_design_scores_gemma":[0.01012925,0.0002460742,0.6376963,0.04783468,0.0006714174,0.0005106025,0.003721754,0.0009838052,0.02470845,0.005396489,0.2673522,0.0007489331],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9698389,0.02523937,0.0002094827,0.001301077,0.0006267109,0.00005897647,0.000001244438,0.00000370674,0.002720502],"genre_scores_gemma":[0.9904293,0.00867927,0.0002042092,0.0001305808,0.0002829779,9.471221e-7,6.551987e-7,0.00001162944,0.0002603763],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2678777,"threshold_uncertainty_score":0.2635783,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.111328473398029,"score_gpt":0.3584693493914669,"score_spread":0.2471408759934379,"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."}}