{"id":"W4385613208","doi":"10.1053/j.gastro.2023.07.024","title":"Endoscopic Ultrasound-Guided Biliary Drainage of First Intent With a Lumen-Apposing Metal Stent vs Endoscopic Retrograde Cholangiopancreatography in Malignant Distal Biliary Obstruction: A Multicenter Randomized Controlled Study (ELEMENT Trial)","year":2023,"lang":"en","type":"article","venue":"Gastroenterology","topic":"Gallbladder and Bile Duct Disorders","field":"Medicine","cited_by":122,"is_retracted":false,"has_abstract":true,"ca_institutions":"St. Michael's Hospital; Jewish General Hospital; University of Alberta Hospital; Ottawa Hospital; Alberta Hospital Edmonton; University of Calgary; Vancouver General Hospital; Hôpital Charles-Le Moyne; University of Toronto; St. Paul's Hospital; Centre Hospitalier de l’Université de Montréal; McGill University; McGill University Health Centre","funders":"Canadian Institutes of Health Research; Fonds de Recherche du Québec - Santé; Boston Scientific Corporation; American Society for Gastrointestinal Endoscopy","keywords":"Medicine; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasound; Stent; Randomized controlled trial; Clinical endpoint; Radiology; Surgery; Pancreatitis","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"],"consensus_categories":[],"category_scores_codex":[0.001538528,0.0005768319,0.003166763,0.001098291,0.000107558,0.00003803092,0.0002490766,0.000117088,0.0001093398],"category_scores_gemma":[0.0003770185,0.0003916394,0.0008521946,0.0007124935,0.0004970138,0.0001232627,0.0001346377,0.0004112195,0.000005548678],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001328834,"about_ca_system_score_gemma":0.00006729352,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0004933805,"about_ca_topic_score_gemma":0.001099827,"domain_scores_codex":[0.9945754,0.001109661,0.001822095,0.0008706682,0.0006439838,0.0009781711],"domain_scores_gemma":[0.9979807,0.0004502049,0.0005481528,0.000653283,0.0001554551,0.0002121876],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.4214871,0.002127792,0.5700958,0.0001391558,0.002009006,0.0002485782,0.001386389,0.00002083463,0.002394851,0.000005317799,0.00005931828,0.00002584936],"study_design_scores_gemma":[0.8146686,0.00893997,0.1669192,0.0002900518,0.001789754,0.0001354405,0.00657761,0.0002866141,0.0002113017,0.0000196979,0.00001315546,0.0001486054],"study_design_candidate":"randomized_trial","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9856128,0.0001886145,0.000140158,0.000755452,0.0007847221,0.01228873,0.00002517628,0.0001432696,0.00006107919],"genre_scores_gemma":[0.9961997,0.0001367225,0.0005138098,0.0001941512,0.00009092064,0.002571674,0.0001613034,0.00005778688,0.00007390134],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.4031766,"threshold_uncertainty_score":0.9998536,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01323528298271081,"score_gpt":0.2568315592335889,"score_spread":0.243596276250878,"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."}}