{"id":"W4411582287","doi":"10.1007/s10620-025-09123-7","title":"Prophylactic Rectal ESD (Endoscopic Submucosal Dissection) Defect Closure and Post-ESD Clinical Outcomes: An International Multi-Center Study (with Video)","year":2025,"lang":"en","type":"article","venue":"Digestive Diseases and Sciences","topic":"Gastric Cancer Management and Outcomes","field":"Medicine","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"Kingston Health Sciences Centre; Queen's University","funders":"","keywords":"Medicine; Endoscopic submucosal dissection; Surgery; Perforation; Single Center; Adverse effect; Hepatology; Retrospective cohort study; Endoscopy; 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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0009345231,0.0003561594,0.000367127,0.0006109518,0.0002615661,0.0005736032,0.0002994084,0.0003714527,0.001584756],"category_scores_gemma":[0.001471359,0.0002982259,0.0007551094,0.0009412617,0.0002339955,0.0004934187,0.0004855805,0.0004806114,0.0002107542],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000194495,"about_ca_system_score_gemma":0.0002497754,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0006218256,"about_ca_topic_score_gemma":0.0006865901,"domain_scores_codex":[0.9995776,0.0001016379,0.00006362856,0.0001319903,0.0000643192,0.00006079661],"domain_scores_gemma":[0.9981763,0.0001880225,0.001113863,0.0001530105,0.0001142391,0.0002545371],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001059537,0.0001094784,0.9966695,0.00003759115,0.0001709702,0.00008033736,0.00004257336,0.00003058188,0.0001933373,0.00001588054,0.00009987054,0.001490371],"study_design_scores_gemma":[0.00006429895,0.0007510766,0.9981562,0.0000170879,0.0001221562,0.00039791,0.00008883678,0.0001157408,0.0000727713,0.00001314192,0.0001963368,0.000004341978],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9992181,0.0003147738,0.00007983244,0.00001652797,0.000005868172,0.000009845698,0.0002060427,0.000001706742,0.000147353],"genre_scores_gemma":[0.9991874,0.0001763505,0.00009075103,0.00002183684,0.00001786875,0.00001650179,0.0004130852,0.000001765938,0.00007442684],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.001584756,"threshold_uncertainty_score":0.005301595,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03086524767514169,"score_gpt":0.3756830219076286,"score_spread":0.3448177742324869,"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."}}