{"id":"W4416556355","doi":"10.1016/j.jpainsymman.2025.11.016","title":"Validation of a Claims-Based Algorithm for Specialist Palliative Care Delivery in Metastatic Cancer","year":2025,"lang":"en","type":"article","venue":"Journal of Pain and Symptom Management","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Columbia College","funders":"National Cancer Institute; National Institute on Aging","keywords":"Receipt; Palliative care; Cancer; Simple (philosophy); MEDLINE","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":[0.01906994,0.0008119638,0.001350698,0.00506136,0.00117009,0.00408339,0.002764337,0.002040477,0.005055811],"category_scores_gemma":[0.08409851,0.0005031439,0.002057372,0.003474245,0.0004824796,0.002282862,0.002800835,0.001653688,0.001321353],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.003502412,"about_ca_system_score_gemma":0.005117323,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01244799,"about_ca_topic_score_gemma":0.01226296,"domain_scores_codex":[0.9823017,0.007204136,0.003801437,0.002132512,0.003795024,0.0007651635],"domain_scores_gemma":[0.9467027,0.03045272,0.009462521,0.002471907,0.009673809,0.001236496],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"simulation_or_modeling","study_design_scores_codex":[0.001541313,0.001494355,0.946506,0.0003186885,0.0005260997,0.0001232874,0.0003474633,0.009025548,0.0002616221,0.002063327,0.008577969,0.02921442],"study_design_scores_gemma":[0.0009647853,0.001587462,0.7332883,0.0005734378,0.0006466014,0.0007097326,0.001090846,0.2476499,0.001321104,0.004408492,0.007639995,0.0001194032],"study_design_candidate":"simulation_or_modeling","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9272019,0.0009481226,0.03074983,0.003690085,0.0003094144,0.004592677,0.02051665,0.0007187728,0.01127256],"genre_scores_gemma":[0.9473416,0.0001777811,0.03831658,0.0004330341,0.0000645926,0.001556729,0.01121079,0.00006681225,0.0008320754],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01906994,"threshold_uncertainty_score":0.1008527,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06543863958652793,"score_gpt":0.4097843925740377,"score_spread":0.3443457529875098,"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."}}