{"id":"W4414654521","doi":"10.31661/gmj.v14i.4007","title":"Early Versus Late Pediatric Palliative Care in Oncology: A Systematic Review of Outcomes, Disparities, and Implementation Barriers","year":2025,"lang":"en","type":"review","venue":"Galen Medical Journal","topic":"Childhood Cancer Survivors' Quality of Life","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Palliative care; Randomized controlled trial; Pediatric oncology; Quality of life (healthcare); MEDLINE; Systematic review; Clinical trial; End-of-life care; Narrative review","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.003427945,0.0004410744,0.005583201,0.0004964446,0.00007262974,0.00002259585,0.0003500186,0.0004599873,0.0004415852],"category_scores_gemma":[0.007303313,0.0003169294,0.0006462396,0.0005627548,0.0001161988,0.00007570424,0.000144757,0.001771335,0.000006858479],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0009265832,"about_ca_system_score_gemma":0.007549551,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001701709,"about_ca_topic_score_gemma":0.0002810073,"domain_scores_codex":[0.9927229,0.00168224,0.003158843,0.0003575342,0.001681697,0.0003968119],"domain_scores_gemma":[0.9948249,0.002148686,0.001690037,0.0003302538,0.0002416116,0.0007644694],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"systematic_review","study_design_scores_codex":[0.0000468967,0.00003278661,0.003337078,0.9467539,0.0005580729,0.0001901611,0.0008852844,5.250263e-9,6.652112e-10,0.00001757641,0.001029604,0.04714859],"study_design_scores_gemma":[0.00355662,0.0005994885,0.001647828,0.9596021,0.01061132,0.00009928319,0.0009079502,2.257465e-7,9.138468e-9,0.0000128493,0.02270467,0.000257611],"study_design_candidate":"systematic_review","study_design_consensus":"systematic_review","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.0001283497,0.9949291,0.00001129659,0.0013612,0.0007904161,0.002446086,0.0001234476,0.00001436765,0.0001957018],"genre_scores_gemma":[0.00003306545,0.9979849,0.0001099075,0.00122858,0.000300562,0.0001559656,0.00009934816,0.00003022914,0.00005741182],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.04689097,"threshold_uncertainty_score":0.9999283,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04192171111093677,"score_gpt":0.4411210823231817,"score_spread":0.3991993712122449,"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."}}