{"id":"W4390694691","doi":"10.1227/neu.0000000000002818","title":"Elderly Patients Show Substantial Improvement in Health-Related Quality of Life After Surgery for Degenerative Cervical Myelopathy Despite Medical Frailty: An Ambispective Analysis of a Multicenter, International Data Set","year":2024,"lang":"en","type":"article","venue":"Neurosurgery","topic":"Cervical and Thoracic Myelopathy","field":"Medicine","cited_by":12,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Western Hospital; University Health Network; University of Toronto","funders":"","keywords":"Medicine; Myelopathy; Quality of life (healthcare); Frailty Index; Degenerative disease; Multicenter study; Surgery; Physical therapy; Gerontology; Central nervous system disease; Spinal cord; Randomized controlled trial; Nursing","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":[],"consensus_categories":[],"category_scores_codex":[0.002352053,0.0002639694,0.001327584,0.0008388638,0.00003215032,0.00003069549,0.000263021,0.0001924101,0.0005550139],"category_scores_gemma":[0.002229218,0.000228335,0.000432265,0.001251313,0.0001379698,0.0002664159,0.0002221273,0.0003703881,0.000002413265],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000112024,"about_ca_system_score_gemma":0.0006225037,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0008823365,"about_ca_topic_score_gemma":0.001320823,"domain_scores_codex":[0.9949564,0.0004423012,0.002233482,0.0008570957,0.001127583,0.0003831661],"domain_scores_gemma":[0.9969031,0.001275752,0.0004265715,0.000613276,0.0003577745,0.0004235],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.006495797,0.002469436,0.8914833,0.001135096,0.001407967,0.0001352254,0.001326891,0.00002048544,0.000805898,0.00008963353,0.0002953008,0.09433499],"study_design_scores_gemma":[0.00145426,0.0004944748,0.9407759,0.0003470639,0.0003216872,0.00000219617,0.0001193185,0.05535005,0.0004624249,0.00004594948,0.0004023768,0.0002242652],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9923309,0.0004165656,0.001138365,0.00189686,0.001109966,0.0006050729,0.002444566,0.00004545833,0.00001222248],"genre_scores_gemma":[0.995462,0.000150756,0.0001352762,0.001048048,0.0001275651,0.00007440702,0.002947182,0.00003519875,0.0000195426],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.09411072,"threshold_uncertainty_score":0.9311231,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.08294493796802654,"score_gpt":0.3695713840930768,"score_spread":0.2866264461250502,"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."}}