{"id":"W2986676422","doi":"10.1093/neuros/nyz472","title":"Metastatic Spine Disease: Should Patients With Short Life Expectancy Be Denied Surgical Care? An International Retrospective Cohort Study","year":2019,"lang":"en","type":"article","venue":"Neurosurgery","topic":"Management of metastatic bone disease","field":"Medicine","cited_by":93,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Western Hospital; McGill University; Montreal General Hospital; University of Toronto; Sunnybrook Health Science Centre; Vancouver General Hospital; University of British Columbia","funders":"National Cancer Institute","keywords":"Life expectancy; Retrospective cohort study; Medicine; Disease; Cohort; General surgery; Surgery; Internal medicine; Environmental health","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":[0.0003235362,0.0003983077,0.0007890936,0.0003138076,0.00007053291,0.00008656661,0.0002328352,0.00003269756,0.001244192],"category_scores_gemma":[0.0004266587,0.0003252755,0.0001890791,0.0003525841,0.00007222041,0.0004098548,0.0001246917,0.0002866152,0.00004351759],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001507103,"about_ca_system_score_gemma":0.0001751352,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001198284,"about_ca_topic_score_gemma":0.000005053832,"domain_scores_codex":[0.9955311,0.0002179793,0.0005876897,0.000999812,0.002248428,0.0004150273],"domain_scores_gemma":[0.9975582,0.00009085469,0.0001601813,0.001010942,0.0004236498,0.0007561112],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001969434,0.003475784,0.9915327,0.00009711389,0.0004706086,0.001408129,0.0001763447,0.00002238683,0.000009411289,0.00009829587,0.0005332859,0.0002065188],"study_design_scores_gemma":[0.004046879,0.0008725774,0.9919615,0.00004939185,0.0008514433,0.000005118586,0.0005264682,0.0001797273,0.000006685362,0.000004730013,0.001179499,0.0003159269],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9922124,0.00005876581,0.00002697935,0.0002903867,0.0009006601,0.003142962,0.0001090253,0.0001647864,0.003094052],"genre_scores_gemma":[0.997093,0.00001345058,0.0001711922,0.0009694876,0.0001266103,0.0002204449,0.0006740857,0.00009268586,0.000639067],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.004880594,"threshold_uncertainty_score":0.99992,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02544757316365608,"score_gpt":0.2981068838717875,"score_spread":0.2726593107081314,"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."}}