Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
J Bone Joint Surg Am. 2023 Oct 4;105(19):1519-1526. doi: 10.2106/JBJS.23.00209. Epub 2023 Jul 17.
The contemporary patient has access to numerous resources on common orthopaedic procedures before ever presenting for a clinical evaluation. Recently, artificial intelligence (AI)-driven chatbots have become mainstream, allowing patients to engage with interfaces that supply convincing, human-like responses to prompts. ChatGPT (OpenAI), a recently developed AI-based chat technology, is one such application that has garnered rapid growth in popularity. Given the likelihood that patients may soon call on this technology for preoperative education, we sought to determine whether ChatGPT could appropriately answer frequently asked questions regarding total hip arthroplasty (THA).
Ten frequently asked questions regarding total hip arthroplasty were posed to the chatbot during a conversation thread, with no follow-up questions or repetition. Each response was analyzed for accuracy with use of an evidence-based approach. Responses were rated as "excellent response not requiring clarification," "satisfactory requiring minimal clarification," "satisfactory requiring moderate clarification," or "unsatisfactory requiring substantial clarification."
Of the responses given by the chatbot, only 1 received an "unsatisfactory" rating; 2 did not require any correction, and the majority required either minimal (4 of 10) or moderate (3 of 10) clarification. Although several responses required nuanced clarification, the chatbot's responses were generally unbiased and evidence-based, even for controversial topics.
The chatbot effectively provided evidence-based responses to questions commonly asked by patients prior to THA. The chatbot presented information in a way that most patients would be able to understand. This resource may serve as a valuable clinical tool for patient education and understanding prior to orthopaedic consultation in the future.
当代患者在接受临床评估之前,可以访问大量关于常见骨科手术的资源。最近,人工智能(AI)驱动的聊天机器人已经成为主流,允许患者与提供令人信服的、类似人类的响应提示的界面进行交互。ChatGPT(OpenAI)是一种最近开发的基于 AI 的聊天技术,是一种应用程序,其受欢迎程度迅速增长。鉴于患者可能很快会将这项技术用于术前教育,我们试图确定 ChatGPT 是否能够正确回答有关全髋关节置换术(THA)的常见问题。
在对话线程中向聊天机器人提出了 10 个关于全髋关节置换术的常见问题,没有后续问题或重复。每个回复都使用基于证据的方法进行准确性分析。回复的评分标准为“不需要澄清的优秀回复”、“需要最小澄清的满意回复”、“需要中等澄清的满意回复”或“需要大量澄清的不满意回复”。
聊天机器人给出的回复中,只有 1 个被评为“不满意”;不需要任何更正的有 2 个,而大多数需要轻微(10 个中的 4 个)或中等(10 个中的 3 个)澄清。尽管一些回复需要细微的澄清,但聊天机器人的回复通常是公正且基于证据的,即使是针对有争议的话题。
聊天机器人有效地为接受 THA 治疗的患者提供了常见问题的基于证据的回复。聊天机器人以大多数患者能够理解的方式呈现信息。该资源将来可能成为骨科咨询前患者教育和理解的有价值的临床工具。