{"id":"W2921480715","doi":"10.1186/s12885-019-5333-x","title":"Breaking silence: a survey of barriers to goals of care discussions from the perspective of oncology practitioners","year":2019,"lang":"en","type":"article","venue":"BMC Cancer","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":51,"is_retracted":false,"has_abstract":true,"ca_institutions":"Impact; Western University; McMaster University; University of Toronto","funders":"","keywords":"Medicine; Oncology; Internal medicine; Surgical oncology; Family medicine; Likert scale; Health care; Oncology nursing; Nursing; Psychology; Nurse education","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":[0.0001732664,0.00007702212,0.0004103556,0.00004808458,0.00001821802,0.000001039604,0.00009491836,0.00006248162,0.0006310146],"category_scores_gemma":[0.001400597,0.0000471186,0.00008605988,0.0002335422,0.0001228138,0.00003699233,0.00003879183,0.0000869712,0.000002557947],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001958801,"about_ca_system_score_gemma":0.0008582091,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.05371013,"about_ca_topic_score_gemma":0.01135491,"domain_scores_codex":[0.9991475,0.0001491249,0.0002390347,0.0001535191,0.0002121664,0.0000986961],"domain_scores_gemma":[0.9979389,0.0007806137,0.000264465,0.0002374353,0.0007049925,0.00007356628],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0006861095,0.00003546777,0.9227543,0.0001209421,0.000152785,6.421122e-7,0.06094149,0.0001945804,0.01282524,0.0001994636,0.001396049,0.0006929655],"study_design_scores_gemma":[0.0009938118,0.0004731406,0.7478368,0.001767915,0.0001525289,4.030504e-7,0.2213128,0.00001524732,0.02384435,0.00003978557,0.003482194,0.00008103909],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9900692,0.003490943,0.00007180835,0.0005704632,0.0002092051,0.0003625033,0.0009452138,0.000004453858,0.004276244],"genre_scores_gemma":[0.9988278,0.0003288957,0.0004807767,0.0001284616,0.00005127371,0.00002094739,0.00002463219,0.000008748653,0.0001284358],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1749175,"threshold_uncertainty_score":0.9525913,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.101823298287416,"score_gpt":0.4669779616144978,"score_spread":0.3651546633270817,"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."}}