{"id":"W4399672416","doi":"10.1016/j.jamda.2024.105090","title":"Advance Directives Change Frequently in Nursing Home Residents","year":2024,"lang":"en","type":"article","venue":"Journal of the American Medical Directors Association","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":6,"is_retracted":false,"has_abstract":false,"ca_institutions":"Toronto General Hospital; University Health Network; Institute for Clinical Evaluative Sciences; The Scarborough Hospital; York University; Public Health Ontario; McMaster University","funders":"Ministry of Long-Term Care; Canadian Institutes of Health Research; Kementerian Kesihatan Malaysia; Institute for Clinical Evaluative Sciences; York University; Ministry of Health, Ontario","keywords":"Medicine; Nursing homes; Nursing; Gerontology","routes":{"ca_aff":true,"ca_fund":true,"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":[0.003138941,0.0001255111,0.0003864959,0.0006472669,0.002278186,0.001421687,0.0005028201,0.002009267,0.003583987],"category_scores_gemma":[0.05493551,0.0002471817,0.0003908849,0.0007832312,0.0007430012,0.001140201,0.001108328,0.00301598,0.0004573772],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001674141,"about_ca_system_score_gemma":0.002801353,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003452057,"about_ca_topic_score_gemma":0.01197439,"domain_scores_codex":[0.9953873,0.002482442,0.000407811,0.0002498142,0.0008477335,0.000625033],"domain_scores_gemma":[0.9705767,0.0126323,0.01017149,0.0006311022,0.001692681,0.004295737],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001210648,0.001667517,0.6711245,0.0004956021,0.0002508238,0.01381796,0.05114498,0.0004205481,0.001178563,0.002119777,0.05969832,0.1968707],"study_design_scores_gemma":[0.0001808521,0.0009595601,0.7226192,0.001050473,0.0001473678,0.02655231,0.1431004,0.001086734,0.0008827107,0.00286295,0.1004023,0.0001551789],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9729487,0.001849701,0.0003785386,0.01349226,0.0005405844,0.00004623985,0.0001437372,0.00003912986,0.01056109],"genre_scores_gemma":[0.9905906,0.001068367,0.0005536938,0.005438983,0.000256922,0.000032536,0.0001381145,0.00002687254,0.001893886],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003583987,"threshold_uncertainty_score":0.01660055,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04528237078377507,"score_gpt":0.432230812966203,"score_spread":0.386948442182428,"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."}}