{"id":"W4285492187","doi":"10.1038/s41591-022-01879-z","title":"Deep brain stimulation for obsessive–compulsive disorder: a crisis of access","year":2022,"lang":"en","type":"article","venue":"Nature Medicine","topic":"Neurological disorders and treatments","field":"Medicine","cited_by":81,"is_retracted":false,"has_abstract":false,"ca_institutions":"Toronto Western Hospital; University of Toronto; Sunnybrook Health Science Centre","funders":"National Institute of Neurological Disorders and Stroke; Queensland Brain Institute; Medical Research Council; Audrey and Theodor Geisel School of Medicine at Dartmouth; Universitätsklinikum Köln; Dartmouth College; Centre National de la Recherche Scientifique; Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung; University of Toronto; Albert-Ludwigs-Universität Freiburg; Universiteit van Amsterdam; Sorbonne Université; Université de Genève; Amsterdam University Medical Centers; Anschutz Medical Campus, University of Colorado; Fondation FondaMental; Institut National de la Santé et de la Recherche Médicale; University of Florida Health; Sunnybrook Research Institute; National Institute of Nursing Research; KU Leuven; QIMR Berghofer Medical Research Institute; Georgetown University; Medizinische Fakultät der Albert-Ludwigs-Universität Freiburg; National Institutes of Health; Florida Department of Health; University College London Hospitals NHS Foundation Trust; Universität zu Köln; University of Bern; Umeå Universitet; Assistance publique-Hôpitaux de Paris; Massachusetts General Hospital; National Science Foundation; University of Dundee; Brown University","keywords":"Deep brain stimulation; Obsessive compulsive; Stimulation; Psychiatry; Mental health; Medicine; Action (physics); Psychology; Neuroscience; Psychotherapist; Internal medicine; Disease","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":false,"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":[0.002954385,0.0002454025,0.0008277281,0.0005139827,0.0007728743,0.002936263,0.0009600468,0.003524728,0.007363807],"category_scores_gemma":[0.005122893,0.0001258759,0.0004385881,0.0004978176,0.002481918,0.005703914,0.001947224,0.006111394,0.001246632],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001626729,"about_ca_system_score_gemma":0.002702685,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0009349964,"about_ca_topic_score_gemma":0.00355597,"domain_scores_codex":[0.9989869,0.0003161609,0.0001621167,0.0001045518,0.000238858,0.0001913783],"domain_scores_gemma":[0.9965701,0.001885569,0.000366665,0.0001596046,0.0004312758,0.0005868553],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.001020495,0.0002097621,0.002350521,0.001204949,0.00008887082,0.003119427,0.0006217293,0.0005160658,0.002371719,0.06212564,0.09740688,0.8289639],"study_design_scores_gemma":[0.0007663674,0.001225078,0.006051476,0.00584723,0.00009256836,0.0219522,0.002134332,0.001862061,0.001111865,0.2142925,0.7445119,0.0001523076],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.02533905,0.382921,0.007373961,0.5296923,0.008803141,0.00006058651,0.0002408172,0.000135183,0.04543384],"genre_scores_gemma":[0.4109174,0.3069615,0.009587146,0.2171314,0.03688641,0.000236479,0.0004194116,0.0001682162,0.01769208],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.007363807,"threshold_uncertainty_score":0.02463436,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02151841373742634,"score_gpt":0.3470492106484475,"score_spread":0.3255307969110212,"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."}}