{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.03432229,0.006142067,0.01143826,0.001773988,0.002606191,0.004831331,0.002873231,0.006897861,0.1036327],"category_scores_gemma":[0.04662526,0.002152427,0.005224374,0.00285407,0.003606593,0.004336486,0.001797689,0.008419671,0.01381016],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004684056,"about_ca_system_score_gemma":0.01096986,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001605477,"about_ca_topic_score_gemma":0.003314267,"domain_scores_codex":[0.9735845,0.01787237,0.002671344,0.002393498,0.001858525,0.001619703],"domain_scores_gemma":[0.9799433,0.007817405,0.004203267,0.003077288,0.00286032,0.002098424],"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":[0.9120423,0.003598764,0.0005875686,0.02549895,0.003936586,0.000176028,0.0002585789,0.001164525,0.0009483362,0.00616259,0.03106623,0.01455957],"study_design_scores_gemma":[0.948885,0.007975824,0.0008747266,0.004065039,0.001395813,0.00004881348,0.0000815404,0.001963285,0.0004304528,0.003967326,0.03023101,0.00008116342],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"protocol","genre_gemma":"protocol","genre_scores_codex":[0.003215947,0.0009694695,0.003110188,0.0007347155,0.001790089,0.9832863,0.004627706,0.0002802532,0.001985249],"genre_scores_gemma":[0.002762712,0.0001937489,0.003504574,0.0003745891,0.0001189023,0.991759,0.0004067394,0.00002368627,0.0008560277],"genre_candidate":"protocol","genre_consensus":"protocol","teacher_disagreement_score":0.1036327,"threshold_uncertainty_score":0.3466858,"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."}}