{"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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.000192797,0.0005281634,0.001587846,0.0005282024,0.0001498863,0.0000882192,0.0001329501,0.000390543,0.004666156],"category_scores_gemma":[0.0000596506,0.0004237361,0.0005856252,0.0003889989,0.0001501862,0.0002505774,0.0001045913,0.0006452873,0.00008365237],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004476925,"about_ca_system_score_gemma":0.0003769327,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0006074772,"about_ca_topic_score_gemma":0.00001382348,"domain_scores_codex":[0.9975756,0.000182691,0.0006132205,0.0005993238,0.0005514443,0.0004776526],"domain_scores_gemma":[0.9979479,0.0009173415,0.0002788342,0.0006150447,0.000158166,0.00008267372],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0005581324,0.0004482437,0.01628459,0.0002784425,0.002504564,0.00191788,0.001121888,0.000002166138,0.00002277028,0.00003203675,0.9739735,0.002855752],"study_design_scores_gemma":[0.00102925,0.001048555,0.007925607,0.000183937,0.001283052,0.00001282619,0.000174291,0.000006567137,0.00231587,0.00001071832,0.9856318,0.0003775306],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.08623521,0.001151285,0.00000628288,0.8863348,0.001202872,0.001677278,0.0009370772,0.0001652724,0.02228996],"genre_scores_gemma":[0.05078555,0.007719118,0.0004925166,0.7880435,0.004788962,0.002459934,0.01443953,0.0003102189,0.1309607],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.1086707,"threshold_uncertainty_score":0.9998214,"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."}}