{"id":"W2916610677","doi":"10.5435/jaaos-d-18-00366","title":"Patients Undergoing Revision Microdiskectomy for Recurrent Lumbar Disk Herniation Experience Worse Clinical Outcomes and More Revision Surgeries Compared With Patients Undergoing a Primary Microdiskectomy","year":2019,"lang":"en","type":"article","venue":"Journal of the American Academy of Orthopaedic Surgeons","topic":"Spine and Intervertebral Disc Pathology","field":"Medicine","cited_by":12,"is_retracted":false,"has_abstract":true,"ca_institutions":"Object Research Systems (Canada)","funders":"","keywords":"Medicine; Oswestry Disability Index; Cohort; Visual analogue scale; Retrospective cohort study; Lumbar; Surgery; Multivariate analysis; Physical therapy; Cohort study; Demographics; Low back pain; Internal medicine","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0002815497,0.0001742279,0.0003739172,0.0004469412,0.0003489308,0.0005067417,0.0001570598,0.0002274856,0.002602636],"category_scores_gemma":[0.001830476,0.0001098139,0.0003357214,0.000446839,0.0001924754,0.0002991699,0.0003143529,0.0002662275,0.0002761271],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001714981,"about_ca_system_score_gemma":0.0002289419,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0007901524,"about_ca_topic_score_gemma":0.001722734,"domain_scores_codex":[0.9997166,0.00003088836,0.00004513309,0.00004744779,0.00009059946,0.00006933226],"domain_scores_gemma":[0.9986117,0.0001598893,0.0008849406,0.00005162873,0.0001009768,0.0001908696],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00006154445,0.00002439611,0.9969391,0.00001609612,0.00003347563,0.0002038567,0.00006273486,0.00001434931,0.0002855849,0.000006760222,0.00006625066,0.002285923],"study_design_scores_gemma":[0.000004839646,0.0001507233,0.9967243,0.000009624987,0.00001634415,0.002638214,0.0002054897,0.00003841109,0.00007398651,0.000007922268,0.0001270999,0.00000302433],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9995255,0.0002116734,0.00002930399,0.00001478437,0.00000535153,0.000003651178,0.00005909433,0.000001902605,0.0001486796],"genre_scores_gemma":[0.9996607,0.0001131789,0.00003736285,0.00001460826,0.000009380008,0.000004041381,0.0001058156,6.211054e-7,0.00005431391],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.002602636,"threshold_uncertainty_score":0.008706689,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02503338258074162,"score_gpt":0.3335844636472542,"score_spread":0.3085510810665126,"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."}}