{"id":"W4415813219","doi":"10.1530/eor-2024-0131","title":"Comparative outcomes of internal fixation versus prosthetic reconstruction in the treatment of proximal femoral metastases: a systematic review and meta-analysis","year":2025,"lang":"en","type":"review","venue":"EFORT Open Reviews","topic":"Management of metastatic bone disease","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Internal fixation; Prospective cohort study; Prosthesis; Fixation (population genetics); Selection (genetic algorithm)","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_broad"],"consensus_categories":[],"category_scores_codex":[0.00311741,0.000558775,0.01975109,0.000474317,0.00002851195,0.0000421587,0.0004570025,0.00005486475,0.0002868117],"category_scores_gemma":[0.0004222291,0.0002427312,0.003290682,0.001266437,0.0000931197,0.0001237907,0.0001016866,0.0001310217,0.000007782854],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001270643,"about_ca_system_score_gemma":0.0001846515,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00008796828,"about_ca_topic_score_gemma":0.00006662861,"domain_scores_codex":[0.9931793,0.002448393,0.003337541,0.0004833195,0.0003958502,0.000155578],"domain_scores_gemma":[0.995039,0.0004259564,0.003229775,0.001130706,0.0001157462,0.00005878691],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"meta_analysis","study_design_scores_codex":[0.00004056016,0.000476097,0.00002977298,0.8747662,0.1022179,0.000006631315,0.0001709456,1.090918e-7,3.085307e-9,0.00009118794,0.00008088593,0.02211964],"study_design_scores_gemma":[0.000736362,0.000420818,0.00001672209,0.08601175,0.8845787,0.00001507521,0.0001281596,0.000004780233,1.532989e-7,0.000006365343,0.02793627,0.0001448384],"study_design_candidate":"meta_analysis","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.000004611303,0.9607798,0.00002922715,0.0001033994,0.00003637055,0.03817528,0.0001805112,0.000003775305,0.0006869518],"genre_scores_gemma":[0.00001124793,0.9896046,0.001773759,0.0001273755,0.000003571796,0.007244947,0.0002782291,0.00001174684,0.0009445183],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.7887545,"threshold_uncertainty_score":0.9948018,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2541013483556873,"score_gpt":0.468622290261605,"score_spread":0.2145209419059177,"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."}}