{"id":"W2910258346","doi":"10.1097/gox.0000000000001855","title":"Implementing Our Microsurgical Breast Reconstruction Enhanced Recovery after Surgery Pathway: Consensus Obstacles and Recommendations","year":2019,"lang":"en","type":"article","venue":"Plastic & Reconstructive Surgery Global Open","topic":"Enhanced Recovery After Surgery","field":"Medicine","cited_by":14,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Breast reconstruction; Multidisciplinary approach; Multidisciplinary team; Medicine; Protocol (science); Ambiguity; Cognitive dissonance; Patient satisfaction; Focus group; Plastic surgery; Evidence-based practice; Surgery; Breast cancer; Nursing; Psychology; Computer science; Alternative medicine; Internal medicine; Cancer","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","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.001711302,0.0007528705,0.001963907,0.0004715298,0.00031732,0.0004226587,0.0002150049,0.0003703618,0.001489968],"category_scores_gemma":[0.001286585,0.0007511762,0.0005992458,0.00087896,0.0002736991,0.001058173,0.0006263893,0.0005420164,0.0003044958],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0005995147,"about_ca_system_score_gemma":0.001174997,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002015331,"about_ca_topic_score_gemma":0.0001815158,"domain_scores_codex":[0.9943389,0.0005006368,0.001758259,0.001543026,0.0004589147,0.001400296],"domain_scores_gemma":[0.9924627,0.004881837,0.000878575,0.0006983494,0.0005022523,0.0005762886],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.004019086,0.0001694204,0.6774343,0.0002244798,0.0006309454,0.0001723848,0.00004471239,0.000003929478,0.002844873,0.00009518084,0.001606195,0.3127545],"study_design_scores_gemma":[0.004819058,0.0003929616,0.9161614,0.006889434,0.0006567197,0.03930054,0.005787426,0.0001823062,0.01084826,0.002923398,0.008566914,0.003471647],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9849885,0.0003188709,0.0003883117,0.0007814215,0.006824256,0.001361435,0.001527327,0.0001662684,0.003643592],"genre_scores_gemma":[0.9932993,0.0002771574,0.00482241,0.0003425242,0.0002998342,0.0002093577,0.0002680659,0.00007994955,0.0004013902],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3092828,"threshold_uncertainty_score":0.9994939,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01586401512610342,"score_gpt":0.272004148579537,"score_spread":0.2561401334534336,"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."}}