{"id":"W4410201812","doi":"10.1016/j.lana.2025.101115","title":"Twenty years of breast cancer epidemiology and treatment patterns in São Paulo, Brazil—observed versus expected treatment utilization in a retrospective cohort","year":2025,"lang":"en","type":"article","venue":"The Lancet Regional Health - Americas","topic":"Global Cancer Incidence and Screening","field":"Medicine","cited_by":7,"is_retracted":false,"has_abstract":true,"ca_institutions":"Cancer Care South East; Queen's University","funders":"","keywords":"Medicine; Interquartile range; Breast cancer; Retrospective cohort study; Cancer registry; Cohort; Cancer; Epidemiology; Radiation therapy; Relative survival; Stage (stratigraphy); 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":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003478883,0.000148278,0.0008681493,0.0001083812,0.00004286543,0.000002663223,0.00006985845,0.00005739501,0.00002455495],"category_scores_gemma":[0.00005834641,0.0001062386,0.00005837575,0.0004289541,0.0001282052,0.00003481523,0.00002442847,0.0001237485,0.000001022416],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001809607,"about_ca_system_score_gemma":0.0003856241,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.06052945,"about_ca_topic_score_gemma":0.02902734,"domain_scores_codex":[0.9984757,0.0002791757,0.0004139797,0.0003214788,0.0001444086,0.0003652146],"domain_scores_gemma":[0.9990937,0.0002916203,0.0002182811,0.000261933,0.00005398566,0.00008044326],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002792342,0.0001317741,0.9519178,0.00003716518,0.00008978399,0.00001625182,0.001028205,0.00006559354,0.000004992093,0.000211972,0.0005632211,0.04314092],"study_design_scores_gemma":[0.00403549,0.0008823752,0.9923407,0.0004123209,0.00003936436,0.00001391253,0.0008683487,0.0004211069,0.000006489306,0.0001053329,0.0008097196,0.00006485519],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9728718,0.003132634,0.00005938663,0.02296155,0.0001082461,0.0006982322,0.00007982906,0.0000189522,0.00006937655],"genre_scores_gemma":[0.9830446,0.01375226,0.0001197133,0.002641617,0.0001054066,0.000188398,0.00006091893,0.000007857516,0.00007927177],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04307606,"threshold_uncertainty_score":0.9886904,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2995168775281293,"score_gpt":0.4712257173568931,"score_spread":0.1717088398287637,"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."}}