{"id":"W4394914308","doi":"10.1001/jamaoto.2024.0103","title":"Reconstruction for Salvage Laryngectomy With Limited Pharyngectomy","year":2024,"lang":"en","type":"article","venue":"JAMA Otolaryngology–Head & Neck Surgery","topic":"Reconstructive Surgery and Microvascular Techniques","field":"Medicine","cited_by":5,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Sciences Centre; Sunnybrook Health Science Centre","funders":"","keywords":"Laryngectomy; Medicine; Surgery; Perioperative; Retrospective cohort study; Fistula; Chemoradiotherapy; Cohort; Radiation therapy; Larynx; Internal medicine","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":[0.001099137,0.0005925327,0.00134492,0.001133002,0.0002254766,0.0001645428,0.0001489207,0.000599746,0.0003944678],"category_scores_gemma":[0.0004082506,0.0004896857,0.000976317,0.001007719,0.0004528889,0.0008884444,0.00005668518,0.0008817305,0.00008250722],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001550178,"about_ca_system_score_gemma":0.0005457007,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00003890222,"about_ca_topic_score_gemma":0.0000222028,"domain_scores_codex":[0.9966146,0.0002184361,0.0008098508,0.001159683,0.000307383,0.0008900951],"domain_scores_gemma":[0.9969434,0.001477303,0.0001848377,0.0007274385,0.0003652014,0.0003018228],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"not_applicable","study_design_scores_codex":[0.003753196,0.0004390983,0.5196094,0.004622283,0.002659732,0.004324799,0.0001850272,9.869191e-7,0.05241447,0.00127236,0.04597783,0.3647408],"study_design_scores_gemma":[0.005243421,0.001493808,0.3107587,0.01104958,0.00196932,0.0865569,0.0002357718,0.001219052,0.1758234,0.001412303,0.401876,0.002361772],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9824675,0.00427604,0.003154524,0.001420649,0.001399731,0.001884386,0.00009220756,0.001681356,0.003623633],"genre_scores_gemma":[0.9834688,0.0007463676,0.01098253,0.001379591,0.001001581,0.0008970747,0.0005212307,0.0002164628,0.0007863655],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.362379,"threshold_uncertainty_score":0.9997555,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02006604212750168,"score_gpt":0.2739356572467193,"score_spread":0.2538696151192176,"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."}}