{"id":"W4408511436","doi":"10.1016/s2468-1253(25)00012-3","title":"Per-oral endoscopic myotomy versus laparoscopic Heller's myotomy plus Dor fundoplication in patients with idiopathic achalasia: 5-year follow-up of a multicentre, randomised, open-label, non-inferiority trial","year":2025,"lang":"en","type":"article","venue":"The Lancet. Gastroenterology & hepatology","topic":"Gastroesophageal reflux and treatments","field":"Medicine","cited_by":26,"is_retracted":false,"has_abstract":false,"ca_institutions":"Université de Montréal","funders":"European Clinical Research Infrastructure Network; National Center for Advancing Translational Sciences; Georg und Jürgen Rickertsen Stiftung; Harvard Catalyst; Hamburgischen Stiftung für Wissenschaften, Entwicklung und Kultur Helmut und Hannelore Greve; Olympus; Harvard University","keywords":"Achalasia; Medicine; Myotomy; Surgery; Heller myotomy; Randomized controlled trial; Esophagus","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":[0.002140701,0.002126567,0.00482522,0.000362809,0.0004173667,0.001467993,0.001089359,0.002240922,0.004980199],"category_scores_gemma":[0.002663266,0.0007808923,0.00318884,0.0004102335,0.00136286,0.001514579,0.0005945406,0.003052471,0.0008543179],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001064019,"about_ca_system_score_gemma":0.000738589,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001340262,"about_ca_topic_score_gemma":0.002357584,"domain_scores_codex":[0.9990398,0.0004973594,0.00008004735,0.0001586421,0.00006853221,0.0001556807],"domain_scores_gemma":[0.9986671,0.0005558347,0.0003247447,0.0001341172,0.00007163622,0.0002465236],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9898469,0.001102417,0.000368546,0.0005854656,0.001485004,0.00003177989,0.00002603717,0.0001269074,0.0006103659,0.00005847413,0.0002501735,0.005507911],"study_design_scores_gemma":[0.9674924,0.02790438,0.002379841,0.00006183919,0.001320463,0.00003898854,0.0000381432,0.0002435464,0.0001455756,0.0001324061,0.0002267999,0.00001564057],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9850146,0.009914968,0.0003692711,0.0008711224,0.0009729489,0.0006401569,0.0005706298,0.00006091819,0.001585476],"genre_scores_gemma":[0.9908469,0.003566315,0.0006425602,0.000822323,0.0007311403,0.0007896329,0.0006126633,0.00001484541,0.001973651],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.004980199,"threshold_uncertainty_score":0.01666045,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02505102231804721,"score_gpt":0.3071874620060875,"score_spread":0.2821364396880403,"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."}}