{"id":"W4414123075","doi":"10.1097/brs.0000000000005496","title":"Medicare’s Benchmarking Spinal DRGs Have Limited Capacity in Capturing the Nuances of Surgical Invasiveness, Hospital Length of Stay, Discharge Disposition, Key Quality Metrics, and Reimbursement Costs for Adult Spinal Deformity","year":2025,"lang":"en","type":"article","venue":"Spine","topic":"Scoliosis diagnosis and treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Reimbursement; Benchmarking; Spinal deformity; Quality (philosophy); Key (lock); Patient care; Deformity; MEDLINE","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"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":[0.01457247,0.0005096734,0.0006416616,0.001966447,0.000742797,0.001753834,0.001005094,0.0004491347,0.001488317],"category_scores_gemma":[0.02247094,0.0005189122,0.0008094029,0.003970105,0.0005775347,0.001344017,0.00132947,0.0005006488,0.0003205577],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001450763,"about_ca_system_score_gemma":0.001865479,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.007294106,"about_ca_topic_score_gemma":0.01500448,"domain_scores_codex":[0.9915316,0.003207188,0.00129655,0.00114779,0.002126449,0.0006904582],"domain_scores_gemma":[0.9701489,0.004837804,0.01863513,0.003077647,0.002419574,0.0008809387],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001279186,0.00002482065,0.9974775,0.00002429579,0.0000909543,0.00001705231,0.0000335965,0.00006747428,0.00003745616,0.00006528864,0.0001865209,0.001847008],"study_design_scores_gemma":[0.00005176517,0.0003783499,0.9967756,0.00008215429,0.000155392,0.0003393666,0.0002452667,0.0008467655,0.000124923,0.0001305619,0.0008595941,0.00001030492],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9939092,0.0005834313,0.001451264,0.0001331543,0.00002082993,0.0002037093,0.003077451,0.0000135529,0.0006073625],"genre_scores_gemma":[0.9955055,0.0002279152,0.001257817,0.0001424299,0.00004564376,0.0002213356,0.002483106,0.000005986279,0.0001102151],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01457247,"threshold_uncertainty_score":0.07706749,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03601170912625866,"score_gpt":0.3283727187142213,"score_spread":0.2923610095879626,"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."}}