{"id":"W4296960059","doi":"10.1001/jamasurg.2022.4299","title":"Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries","year":2022,"lang":"en","type":"letter","venue":"JAMA Surgery","topic":"Trauma Management and Diagnosis","field":"Medicine","cited_by":74,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Sciences Centre; Sunnybrook Health Science Centre; London Health Sciences Centre; University of Toronto; St. Michael's Hospital","funders":"Canadian Institutes of Health Research","keywords":"Medicine; Flail chest; Surgery; Randomized controlled trial; Mechanical ventilation; Pneumonia; Intensive care unit; Chest injury; Anesthesia; Internal medicine","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":[0.002088985,0.0007205739,0.001575244,0.0005416307,0.0004591516,0.0009137875,0.0006509338,0.001235027,0.00393822],"category_scores_gemma":[0.00486994,0.0003599696,0.001187425,0.0005024363,0.001308284,0.0007256717,0.0005307414,0.001438783,0.000306822],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0006484029,"about_ca_system_score_gemma":0.001591068,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0007836717,"about_ca_topic_score_gemma":0.002439755,"domain_scores_codex":[0.9982028,0.0009724674,0.000262239,0.0001585859,0.0002481288,0.0001557501],"domain_scores_gemma":[0.9968163,0.001242374,0.001070486,0.00008826283,0.0001382578,0.0006442852],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"observational","study_design_scores_codex":[0.9049518,0.01431521,0.01474795,0.00211236,0.00111014,0.00006246945,0.00008574735,0.0005412897,0.001293565,0.0002358692,0.0004813701,0.06006215],"study_design_scores_gemma":[0.5416093,0.4276102,0.02503652,0.0004911564,0.001313926,0.0001365725,0.0002214839,0.0008648615,0.001123104,0.0004486549,0.001105121,0.00003928333],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"commentary","genre_scores_codex":[0.9861124,0.008584393,0.0003900101,0.0005707732,0.0005171601,0.002307669,0.0001923273,0.00001640126,0.001308843],"genre_scores_gemma":[0.9925426,0.003136055,0.0007470867,0.0003715224,0.0006441561,0.001900641,0.0001521909,0.000002577658,0.0005032042],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.00393822,"threshold_uncertainty_score":0.01317471,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03521840566119458,"score_gpt":0.2862217866596392,"score_spread":0.2510033809984445,"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."}}