{"id":"W4378781106","doi":"10.1097/gox.0000000000005033","title":"Gender-Affirming Vaginoplasty: A Comparison of Algorithms, Surgical Techniques and Management Practices across 17 High-volume Centers in North America and Europe","year":2023,"lang":"en","type":"article","venue":"Plastic & Reconstructive Surgery Global Open","topic":"LGBTQ Health, Identity, and Policy","field":"Psychology","cited_by":27,"is_retracted":false,"has_abstract":true,"ca_institutions":"Centre de Recherche Dermatologique du Québec Métropolitain","funders":"","keywords":"Vaginoplasty; Medicine; Labia minora; Transgender; Perioperative; General surgery; Surgery; Vagina","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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0005202945,0.0002939136,0.0008151705,0.0002596729,0.0001931992,0.0001797214,0.0003125975,0.0001117076,0.0001007844],"category_scores_gemma":[0.0002165008,0.0003035044,0.00005525338,0.001162079,0.0005045137,0.0004449445,0.0007050607,0.0002603397,0.00007790806],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001026262,"about_ca_system_score_gemma":0.000098873,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.009808962,"about_ca_topic_score_gemma":0.001955634,"domain_scores_codex":[0.9971157,0.0004490914,0.0007547521,0.0007223843,0.0002549239,0.0007031791],"domain_scores_gemma":[0.9972844,0.001354763,0.0007748096,0.0002725148,0.00009532956,0.0002181688],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000417853,0.0001509038,0.8943926,0.0003048669,0.0001797614,0.0004733488,0.000488994,0.000005276761,8.449242e-7,0.0003910674,0.005319475,0.09787498],"study_design_scores_gemma":[0.0008269945,0.0001178641,0.9766632,0.00007970001,0.00007891553,0.0003320574,0.002074227,0.000127132,0.000002000395,0.0001411246,0.01923788,0.0003189516],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9863812,0.0003733239,0.00004500211,0.0002142472,0.001002497,0.000675607,0.0005345996,0.00009036306,0.01068312],"genre_scores_gemma":[0.9955456,0.002238458,0.001408901,0.00005741617,0.0001353114,0.0001057182,0.00009108126,0.00003305608,0.0003844158],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.09755603,"threshold_uncertainty_score":0.9999417,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06976311144465543,"score_gpt":0.401500766560469,"score_spread":0.3317376551158136,"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."}}