{"id":"W2074650941","doi":"10.1245/s10434-006-9330-3","title":"The Pylorus: Take It or Leave It? Systematic Review and Meta-Analysis of Pylorus-Preserving versus Standard Whipple Pancreaticoduodenectomy for Pancreatic or Periampullary Cancer","year":2007,"lang":"en","type":"review","venue":"Annals of Surgical Oncology","topic":"Pancreatic and Hepatic Oncology Research","field":"Medicine","cited_by":83,"is_retracted":false,"has_abstract":false,"ca_institutions":"Western University; McMaster University; London Health Sciences Centre","funders":"","keywords":"Medicine; Pancreaticoduodenectomy; Meta-analysis; Whipple Procedure; Perioperative; Gastric emptying; Confidence interval; Surgical oncology; Pancreatic cancer; Randomized controlled trial; Ampulla of Vater; Internal medicine; General surgery; Pylorus; Periampullary cancer; Study heterogeneity; Surgery; Cancer; Pancreas; Stomach; Carcinoma","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":["metaepi_narrow","metaepi_broad","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.00873671,0.0008804341,0.02956879,0.0006401005,0.0002585167,0.00003266545,0.000789019,0.0009481004,0.003049695],"category_scores_gemma":[0.00415347,0.0004059754,0.004017041,0.001922971,0.0009075245,0.0000865769,0.0003575885,0.0007251517,0.000008294809],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002740471,"about_ca_system_score_gemma":0.002738539,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002258356,"about_ca_topic_score_gemma":0.001169593,"domain_scores_codex":[0.9906233,0.001997246,0.004308708,0.0008978314,0.001080561,0.001092339],"domain_scores_gemma":[0.9640394,0.02988935,0.002627867,0.001435734,0.001564284,0.0004432985],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"not_applicable","study_design_scores_codex":[0.006606971,0.0002461781,0.00001134364,0.6423934,0.3220604,0.0002928869,0.0001328299,6.61159e-7,1.667885e-7,0.0001834225,0.01200708,0.01606469],"study_design_scores_gemma":[0.001082076,0.002351507,0.000001135196,0.01857651,0.4688869,0.0000980789,0.0001947523,0.00002720279,9.76655e-7,0.000009181682,0.5085605,0.0002111762],"study_design_candidate":"meta_analysis","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.00002282843,0.9797807,0.00004437311,0.008851063,0.0001049225,0.007965197,0.000843424,0.00002343562,0.002364111],"genre_scores_gemma":[0.00001284473,0.9877385,0.0007540487,0.0009273689,0.0001329396,0.003569731,0.0001796709,0.00008724137,0.006597642],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.6238168,"threshold_uncertainty_score":0.9998392,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.5071655642701006,"score_gpt":0.5593767552418033,"score_spread":0.05221119097170268,"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."}}