{"id":"W4406934741","doi":"10.1016/j.clon.2025.103773","title":"Impact of Delay in Healthcare Access on Anal Cancer Diagnosis","year":2025,"lang":"en","type":"article","venue":"Clinical Oncology","topic":"Colorectal and Anal Carcinomas","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary; Sunnybrook Health Science Centre","funders":"","keywords":"Medicine; Anal cancer; Health care; Cancer; Intensive care medicine; Oncology; General surgery; 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":[{"model":"gemma","categories":[],"domain":null,"study_design":"observational","genre":"empirical","about_ca_system":false,"about_ca_topic":false,"confidence":"low","status":"direct model label, unvalidated"},{"model":"gpt","categories":[],"domain":null,"study_design":"observational","genre":"empirical","about_ca_system":false,"about_ca_topic":false,"confidence":"low","status":"direct model label, unvalidated"}],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003460738,0.00008651372,0.0006715439,0.0001470129,0.00001554055,0.000002381247,0.0001140318,0.0002359028,0.0002780561],"category_scores_gemma":[0.0006708038,0.00006110933,0.0002825967,0.0003852342,0.0001290087,0.0000220328,0.00007950782,0.0004417044,0.000006678096],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000335208,"about_ca_system_score_gemma":0.001179693,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004576405,"about_ca_topic_score_gemma":0.005667372,"domain_scores_codex":[0.9987381,0.0001636075,0.0005977888,0.0002301296,0.00008100866,0.0001894437],"domain_scores_gemma":[0.9983163,0.001184075,0.0001155634,0.0001480233,0.00009995024,0.0001360468],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001617579,0.0008302848,0.8915015,0.00004283705,0.00006429323,0.0001037489,0.00001455833,0.000009596731,0.000008950194,0.0001938234,0.005431846,0.100181],"study_design_scores_gemma":[0.001979329,0.005811021,0.9889383,0.0001496625,0.00005199207,0.000002610763,0.00000927242,0.00008714139,0.00003694123,0.0003328647,0.002555051,0.0000457934],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9753377,0.0005537586,0.000001328667,0.01930011,0.0003774202,0.0002045038,0.00001693397,0.00001018089,0.004198053],"genre_scores_gemma":[0.9942955,0.000690879,0.00001466425,0.004506949,0.0001685209,0.00009030424,0.000006639605,0.000004862714,0.0002216539],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1001352,"threshold_uncertainty_score":0.6918185,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1837624087350173,"score_gpt":0.5911854135247532,"score_spread":0.4074230047897359,"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."}}