{"id":"W4411431438","doi":"10.1016/j.ard.2025.05.188","title":"OP0175 ESTABLISHING DEFINITIONS FOR DIFFICULT-TO-TREAT PSORIATIC ARTHRITIS (D2T-PsA) AND COMPLEX-TO-MANAGE PSORIATIC ARTHRITIS (C2M-PsA): INSIGHTS FROM THE GROUP FOR RESEARCH AND ASSESSMENT OF PSORIASIS AND PSORIATIC ARTHRITIS (GRAPPA) INITIATIVE","year":2025,"lang":"en","type":"article","venue":"Annals of the Rheumatic Diseases","topic":"Musculoskeletal Disorders and Rehabilitation","field":"Medicine","cited_by":7,"is_retracted":false,"has_abstract":true,"ca_institutions":"Research Canada; University of Toronto; Women's College Hospital","funders":"","keywords":"Psoriatic arthritis; Medicine; Psoriasis; Arthritis; Dermatology; Immunology","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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0007642695,0.0003699985,0.001076559,0.0004052072,0.0007591032,0.0002134091,0.0002882304,0.0001170167,0.00001913384],"category_scores_gemma":[0.006070034,0.0002564544,0.0002752139,0.0009038501,0.0006355542,0.0003083873,0.0002821664,0.0002072675,9.393812e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0000368143,"about_ca_system_score_gemma":0.0001656321,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0005227714,"about_ca_topic_score_gemma":0.0008044023,"domain_scores_codex":[0.9967,0.0004717938,0.001041636,0.0006243905,0.0006744735,0.0004877327],"domain_scores_gemma":[0.9906169,0.007269918,0.0003399505,0.0006727998,0.0007901468,0.0003103286],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.000963753,0.002271223,0.004488394,0.007492847,0.001481077,0.000003455449,0.00891564,0.00005600957,0.0002945164,0.1032869,0.01781267,0.8529335],"study_design_scores_gemma":[0.007152563,0.002059888,0.7118248,0.0120378,0.0006300641,0.000003144605,0.009117846,0.002114846,0.00008081031,0.2538175,0.0007757641,0.0003849923],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9526377,0.0211835,0.00372623,0.01378487,0.0003629191,0.006306121,0.001668827,0.00004057756,0.0002892319],"genre_scores_gemma":[0.9772538,0.01592995,0.004315531,0.0007284057,0.00007977492,0.001381544,0.0002394299,0.00004236323,0.00002923407],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8525485,"threshold_uncertainty_score":0.9999888,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1077037049159908,"score_gpt":0.387177100043849,"score_spread":0.2794733951278582,"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."}}