{"id":"W4405998646","doi":"10.1016/j.mayocp.2024.11.015","title":"Difficult Chronic Pain Clinical Encounters Are Common and Not Easy for the Clinician","year":2025,"lang":"en","type":"editorial","venue":"Mayo Clinic Proceedings","topic":"Musculoskeletal pain and rehabilitation","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":false,"ca_institutions":"McGill University; Toronto General Hospital","funders":"Health Canada; University of Toronto; Canadian Rheumatology Association","keywords":"Medicine; Chronic pain; Intensive care medicine; MEDLINE; Physical therapy","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":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","metaepi_narrow","research_integrity"],"consensus_categories":["research_integrity"],"category_scores_codex":[0.0115701,0.000624578,0.001737546,0.0001803873,0.0003563805,0.0001387999,0.0005012759,0.002161892,0.00004541444],"category_scores_gemma":[0.04260342,0.0004104391,0.0009775121,0.0003212849,0.0007707701,0.00009758441,0.0002163554,0.002579415,0.00002810856],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002891836,"about_ca_system_score_gemma":0.0008574474,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00004019476,"about_ca_topic_score_gemma":0.00007649546,"domain_scores_codex":[0.994955,0.0001701314,0.002165898,0.001250533,0.0008503359,0.0006081163],"domain_scores_gemma":[0.9720678,0.02468905,0.001224319,0.0005283512,0.001207707,0.0002827907],"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":[0.0009217846,0.0002053759,0.005168824,0.007957564,0.000369531,0.000001440714,0.0001444935,9.980069e-8,0.00001330094,0.00004137986,0.9594727,0.02570353],"study_design_scores_gemma":[0.00429187,0.002834094,0.01668139,0.004375045,0.0008953381,8.900269e-7,0.0008946264,0.0009966514,0.00000235392,0.0001805998,0.9683985,0.0004486254],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"editorial","genre_gemma":"editorial","genre_scores_codex":[0.01299689,0.003694642,0.000213384,0.01808386,0.954283,0.007555209,0.0003683338,0.0003943303,0.002410336],"genre_scores_gemma":[0.02294582,0.005656069,0.0003900885,0.004702516,0.9390124,0.0008712449,0.0005025898,0.0001604655,0.02575877],"genre_candidate":"editorial","genre_consensus":"editorial","teacher_disagreement_score":0.03103332,"threshold_uncertainty_score":0.9998347,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02095574163137758,"score_gpt":0.3657496285159686,"score_spread":0.3447938868845911,"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."}}