{"id":"W4408063660","doi":"10.1016/j.surg.2025.109265","title":"Response to letter to the editor on “The effect of surgical management in mitigating fragility fracture risk among individuals with primary hyperparathyroidism”","year":2025,"lang":"en","type":"letter","venue":"Surgery","topic":"Parathyroid Disorders and Treatments","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"University Health Network","funders":"","keywords":"Medicine; Primary hyperparathyroidism; Fragility; Fragility fracture; Intensive care medicine; Surgery; Osteoporosis; Internal medicine; Bone mineral","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00239495,0.0008143682,0.001610236,0.0008436409,0.002891972,0.002740191,0.001721063,0.03704406,0.009182194],"category_scores_gemma":[0.02189074,0.0006358484,0.001122045,0.0007170858,0.00141184,0.001663266,0.0008880278,0.02302379,0.005466648],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.003758168,"about_ca_system_score_gemma":0.005459547,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01019321,"about_ca_topic_score_gemma":0.01570215,"domain_scores_codex":[0.9978099,0.0006816984,0.0002989115,0.0002485206,0.0006023388,0.0003586009],"domain_scores_gemma":[0.9930382,0.003761662,0.0006041296,0.0001384732,0.001349713,0.001107765],"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":[0.00007295004,0.00003605043,0.0006170011,0.00004432215,0.00001622662,0.00120971,0.0000536248,0.00004346762,0.00005639523,0.0004585703,0.9939882,0.003403372],"study_design_scores_gemma":[0.0003693886,0.0001563395,0.003916175,0.0008000951,0.0001125524,0.002764019,0.0006665047,0.0005911472,0.0002969774,0.003511525,0.9867076,0.0001077241],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0003819667,0.0008808204,0.00004189249,0.9618725,0.0344015,0.00001326336,0.00008840376,0.00002097302,0.002298712],"genre_scores_gemma":[0.003155474,0.001055606,0.0001071216,0.9345332,0.05558369,0.00003373183,0.00004185984,0.00002059725,0.005468732],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.03704406,"threshold_uncertainty_score":0.03071749,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.006570985278893475,"score_gpt":0.2461652235557821,"score_spread":0.2395942382768887,"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."}}