{"id":"W2989452620","doi":"10.1136/medethics-2019-105598","title":"Evidence first, practice second in arthroscopic surgery: use of placebo surgery in randomised controlled trial","year":2019,"lang":"en","type":"article","venue":"Journal of Medical Ethics","topic":"Healthcare cost, quality, practices","field":"Health Professions","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Impact","funders":"","keywords":"Medicine; Placebo; Randomized controlled trial; Evidence-based medicine; Clinical trial; Sham surgery; Arthroscopy; Surgery; Physical therapy; MEDLINE; Harm; Alternative medicine; General surgery; Psychology","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":["metaresearch","research_integrity","insufficient_payload"],"consensus_categories":["metaresearch","research_integrity"],"category_scores_codex":[0.2274837,0.0002407307,0.002707617,0.0006867616,0.0001480846,0.00002866802,0.0004085841,0.002295526,0.003135505],"category_scores_gemma":[0.7699512,0.0001861072,0.0003913828,0.0006120111,0.0002371937,0.001718528,0.0001284266,0.0151299,0.00006295738],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000406944,"about_ca_system_score_gemma":0.02951787,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001838218,"about_ca_topic_score_gemma":0.008899684,"domain_scores_codex":[0.9471844,0.03999767,0.006526733,0.000320183,0.005219681,0.0007513715],"domain_scores_gemma":[0.327908,0.6630774,0.006008312,0.0004524512,0.001921008,0.000632861],"domain_codex":null,"domain_gemma":"methods","domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.8631692,0.0009284746,0.1093254,0.004153199,0.0001695688,0.0005666296,0.01013456,0.00003069141,0.00002329367,0.000341834,0.01028214,0.0008750526],"study_design_scores_gemma":[0.8823776,0.0006844999,0.01420847,0.03841778,0.0001513308,0.00007529445,0.005643079,0.0004518224,0.00001735426,0.0003344847,0.05723764,0.0004006215],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8328852,0.001904279,0.00006243006,0.1564832,0.005669093,0.002825637,0.00000346457,0.0000100384,0.0001566282],"genre_scores_gemma":[0.9571625,0.01977623,0.0003387526,0.02136864,0.0009884527,0.0001091782,0.000001901333,0.00003487904,0.0002194862],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.6230797,"threshold_uncertainty_score":0.9989997,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.7215033332355886,"score_gpt":0.5864939803248994,"score_spread":0.1350093529106892,"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."}}