{"id":"W4323830780","doi":"10.1016/j.joca.2023.03.001","title":"The crux of the issue: assessment of patient appropriateness for joint replacement requires a conversation with the patient","year":2023,"lang":"en","type":"editorial","venue":"Osteoarthritis and Cartilage","topic":"Total Knee Arthroplasty Outcomes","field":"Medicine","cited_by":8,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Toronto","funders":"","keywords":"CLARITY; Conversation; Medicine; Health care; Knee replacement; Joint replacement; Quality (philosophy); Arthroplasty; Healthcare system; Physical therapy; Business; Psychology; Economic growth; Surgery; Economics","routes":{"ca_aff":true,"ca_fund":false,"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":[0.01934565,0.003457885,0.007350686,0.003365514,0.006523256,0.01290499,0.005652581,0.04617175,0.009483939],"category_scores_gemma":[0.09174973,0.00218026,0.003495321,0.002300687,0.005375525,0.006972952,0.002730473,0.05676045,0.008308657],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005032946,"about_ca_system_score_gemma":0.01019655,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004182919,"about_ca_topic_score_gemma":0.01394152,"domain_scores_codex":[0.9839511,0.004889284,0.002301061,0.001254003,0.006869962,0.0007345536],"domain_scores_gemma":[0.8809822,0.06940273,0.005035519,0.002290232,0.02853809,0.01375133],"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":[0.00002782942,0.00001431887,0.00005162464,0.0002222551,0.00003074979,0.0000856212,0.00002602421,0.00001663678,0.00002013204,0.0002434891,0.9956352,0.003626094],"study_design_scores_gemma":[0.000206961,0.00008610414,0.0008655204,0.002527446,0.0002457259,0.0006079614,0.0002992474,0.0003929341,0.0001054772,0.002444381,0.9921374,0.0000808528],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"editorial","genre_gemma":"editorial","genre_scores_codex":[0.00002654786,0.00407468,0.0001094626,0.101682,0.8932364,0.0000155479,0.00003409567,0.00003314421,0.0007881595],"genre_scores_gemma":[0.0003114253,0.002380615,0.0001180478,0.05188999,0.9433466,0.00002229703,0.00001671852,0.00002138816,0.001892904],"genre_candidate":"editorial","genre_consensus":"editorial","teacher_disagreement_score":0.04617175,"threshold_uncertainty_score":0.1023108,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.007652594901310469,"score_gpt":0.2475818341148581,"score_spread":0.2399292392135476,"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."}}