{"id":"W4404905046","doi":"10.1001/jamainternmed.2024.6215","title":"Advance Care Planning, End-of-Life Preferences, and Burdensome Care","year":2024,"lang":"en","type":"letter","venue":"JAMA Internal Medicine","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":20,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto East General Hospital; University of Toronto","funders":"National Institute on Aging","keywords":"Medicine; Advance care planning; End-of-life care; Psychological intervention; Facilitator; Checklist; Family medicine; Randomized controlled trial; Intervention (counseling); Receipt; Directive; Health care; Palliative care; 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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0001128889,0.0005567678,0.001649265,0.0004987119,0.0000255696,0.00001574491,0.000338736,0.0007090254,0.0004288009],"category_scores_gemma":[0.001066884,0.0003952384,0.0001936939,0.0001984169,0.0006085156,0.00007486608,0.000166278,0.002291841,0.00002305596],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001607729,"about_ca_system_score_gemma":0.0002497225,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0010255,"about_ca_topic_score_gemma":0.00002733834,"domain_scores_codex":[0.9969806,0.00007181041,0.0009129148,0.0006539763,0.0009890585,0.0003916093],"domain_scores_gemma":[0.9976152,0.0005250918,0.0004691855,0.0004982907,0.0006732481,0.000218975],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0003866417,0.00001279341,0.02864711,0.01842711,0.0006823089,0.002556472,0.03092317,0.000001771654,0.0001791256,0.00002831233,0.9011082,0.017047],"study_design_scores_gemma":[0.001876397,0.001522504,0.001102699,0.06508621,0.0006683677,0.0001024522,0.009598684,0.000007368574,0.0008206722,0.00008644882,0.9188379,0.0002902641],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.06012779,0.6449172,0.0001026976,0.2389364,0.003791793,0.000779292,0.0005999671,0.0001434144,0.0506014],"genre_scores_gemma":[0.479368,0.02468832,0.00236434,0.4322087,0.04156885,0.000138438,0.003168467,0.0003879289,0.01610697],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.6202289,"threshold_uncertainty_score":0.99985,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07807679204409454,"score_gpt":0.3974794932900721,"score_spread":0.3194027012459776,"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."}}