{"id":"W4404991905","doi":"10.1016/j.jtcvs.2024.11.033","title":"Zenker per-oral endoscopic myotomy (Z-POEM): The ideal first-line therapy for treatment of Zenker diverticulum","year":2024,"lang":"en","type":"article","venue":"Journal of Thoracic and Cardiovascular Surgery","topic":"Dysphagia Assessment and Management","field":"Health Professions","cited_by":8,"is_retracted":false,"has_abstract":true,"ca_institutions":"Research Manitoba; Memorial University of Newfoundland; University of Manitoba; Western University","funders":"","keywords":"Zenker's diverticulum; Myotomy; Medicine; Diverticulum (mollusc); Ideal (ethics); Surgery; Achalasia; Philosophy; Esophagus; Dysphagia","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":[0.002793005,0.0002280222,0.0009113236,0.000198697,0.0003642815,0.00004325946,0.0001322337,0.0001105362,0.0001448056],"category_scores_gemma":[0.00005273244,0.0001253847,0.001655853,0.0001794476,0.00006684176,0.0002033855,0.00006037459,0.0001863744,0.00001056098],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001024903,"about_ca_system_score_gemma":0.0002438678,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0000911247,"about_ca_topic_score_gemma":0.000009551798,"domain_scores_codex":[0.9976115,0.0004770918,0.000797872,0.0002204908,0.0005187389,0.0003743707],"domain_scores_gemma":[0.9980692,0.001002397,0.0002410434,0.0003531799,0.0002215012,0.0001126382],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.001045526,0.0004807436,0.1190181,0.002078564,0.02354488,0.0002894196,0.004128096,0.0002424459,0.00009796063,0.0007172827,0.05250901,0.795848],"study_design_scores_gemma":[0.001181551,0.0004451345,0.04020729,0.0005898356,0.002085518,0.00001832351,0.001428965,0.0003202271,0.000303479,0.00049181,0.9527203,0.0002074945],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7984811,0.1763368,0.01515048,0.003107253,0.004461137,0.001750097,0.000026768,0.00004791253,0.0006384125],"genre_scores_gemma":[0.9631795,0.03386993,0.000404095,0.000182709,0.0008577067,0.0001339653,0.00000770285,0.00003869613,0.001325724],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9002113,"threshold_uncertainty_score":0.5113041,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06329659576858503,"score_gpt":0.3961544066808695,"score_spread":0.3328578109122845,"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."}}