{"id":"W2995085185","doi":"10.1186/s13063-019-3918-y","title":"ELEMENT TRIAL: study protocol for a randomized controlled trial on endoscopic ultrasound-guided biliary drainage of first intent with a lumen-apposing metal stent vs. endoscopic retrograde cholangio-pancreatography in the management of malignant distal biliary obstruction","year":2019,"lang":"en","type":"article","venue":"Trials","topic":"Gallbladder and Bile Duct Disorders","field":"Medicine","cited_by":23,"is_retracted":false,"has_abstract":true,"ca_institutions":"Royal Alexandra Hospital; University of Alberta; Hôpital Charles-Le Moyne; University of Toronto; St. Michael's Hospital; St. Paul's Hospital; University of Calgary; Vancouver General Hospital; University of British Columbia; McGill University Health Centre; University of Ottawa; Centre Hospitalier de l’Université de Montréal; University of Alberta Hospital; Ottawa Hospital","funders":"University of Toronto; Université de Montréal; Vrije Universiteit Brussel; University of Alberta; McGill University Health Centre; American Society for Gastrointestinal Endoscopy; McGill University; University of Ottawa; Boston Scientific Corporation; Université de Sherbrooke; Johns Hopkins University","keywords":"Medicine; Endoscopic ultrasound; Stent; Randomized controlled trial; Endoscopic retrograde cholangiopancreatography; Clinical endpoint; Surgery; Biliary disease; Radiology; Pancreatitis","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.01049901,0.0005196498,0.004505476,0.0005665597,0.00008256938,0.00005412196,0.0002976147,0.0001076527,0.00009403477],"category_scores_gemma":[0.0007812867,0.0002621342,0.001498032,0.000589989,0.0001740437,0.00009514634,0.00004440716,0.0002181798,0.000001186258],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001047846,"about_ca_system_score_gemma":0.0001150983,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000220508,"about_ca_topic_score_gemma":0.00004092018,"domain_scores_codex":[0.9921804,0.002274157,0.003254562,0.0006781091,0.001132429,0.0004803588],"domain_scores_gemma":[0.9947611,0.002572717,0.001603672,0.0008221791,0.0001580179,0.00008228387],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9806458,0.006291123,0.004403607,0.001121905,0.004525736,0.00001541736,0.001256719,0.00001352976,0.001168386,0.0002840187,0.00006029092,0.0002134427],"study_design_scores_gemma":[0.9640338,0.02105537,0.001609088,0.001017877,0.004017973,0.000006337211,0.006510494,0.00002692717,0.001283849,0.0001626565,0.00007659984,0.0001989734],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.5373027,0.00003211184,0.00005202738,0.0001355962,0.0003246613,0.461869,0.00001527509,0.00002497455,0.000243679],"genre_scores_gemma":[0.6252805,0.00001567733,0.0003797672,0.00003064771,0.00008886564,0.374082,0.00003237238,0.000030415,0.00005980334],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.0879778,"threshold_uncertainty_score":0.9999831,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04319932595234455,"score_gpt":0.3464322210394514,"score_spread":0.3032328950871068,"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."}}