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Record W4413140005 · doi:10.1111/aogs.70043

Endometriosis and chronic pelvic pain management: Between a rock (denial) and a hard place (overdiagnosis)

2025· letter· en· W4413140005 on OpenAlexaboutno aff
Paolo Vercellini, Noemi Salmeri, Veronica Bandini, Paola Viganò, Edgardo Somigliana

Bibliographic record

VenueActa Obstetricia Et Gynecologica Scandinavica · 2025
Typeletter
Languageen
FieldMedicine
TopicEndometriosis Research and Treatment
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineOverdiagnosisEndometriosisPelvic painDenialPain managementGynecologyGeneral surgeryChronic painIntensive care medicineSurgeryPhysical therapyInternal medicinePsychotherapist

Abstract

fetched live from OpenAlex

Endometriosis and chronic pelvic pain management: Between a rock (denial) and a hard place (overdiagnosis) Sir, In their thought-provoking commentary, Hudelist et al. 1 highlightedthe inconsistent association between endometriosis and chronic pelvic pain.They warned that the origin of symptoms may be multifactorial and not always due to the presence of ectopic endometrium.For the inexperienced clinician, it could be easier to attribute pain to endometriosis than to delve into a challenging differential diagnosis that includes several potential causes, some of which may be unfamiliar.The authors emphasize the risk of misdiagnosis, especially in patients with noncyclic pelvic pain and with superficial peritoneal endometriosis, as well as the risk of overdiagnosis of adenomyosis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.074
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.030
Threshold uncertainty score0.075

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.074
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.001
Science and technology studies0.0040.013
Scholarly communication0.0040.009
Open science0.0030.004
Research integrity0.0300.036
Insufficient payload (model declined to judge)0.0040.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.022
GPT teacher head0.290
Teacher spread0.268 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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