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ChatGPT 和最常见的泌尿科疾病:分析信息质量和患者潜在风险。

ChatGPT and most frequent urological diseases: analysing the quality of information and potential risks for patients.

机构信息

Department of Urology, Getafe University Hospital, Carretera Madrid-Toledo km 12,500 Getafe, 28905, Madrid, Spain.

Faculty of Medicine, University of Salamanca, C. Alfonso X el Sabio, s/n, 37007, Salamanca, Spain.

出版信息

World J Urol. 2023 Nov;41(11):3149-3153. doi: 10.1007/s00345-023-04563-0. Epub 2023 Aug 26.

Abstract

PURPOSE

Artificial intelligence (AI) is a set of systems or combinations of algorithms, which mimic human intelligence. ChatGPT is software with artificial intelligence which was recently developed by OpenAI. One of its potential uses could be to consult the information about pathologies and treatments. Our objective was to assess the quality of the information provided by AI like ChatGPT and establish if it is a secure source of information for patients.

METHODS

Questions about bladder cancer, prostate cancer, renal cancer, benign prostatic hypertrophy (BPH), and urinary stones were queried through ChatGPT 4.0. Two urologists analysed the responses provided by ChatGPT using DISCERN questionary and a brief instrument for evaluating the quality of informed consent documents.

RESULTS

The overall information provided in all pathologies was well-balanced. In each pathology was explained its anatomical location, affected population and a description of the symptoms. It concluded with the established risk factors and possible treatment. All treatment answers had a moderate quality score with DISCERN (3 of 5 points). The answers about surgical options contain the recovery time, type of anaesthesia, and potential complications. After analysing all the responses related to each disease, all pathologies except BPH achieved a DISCERN score of 4.

CONCLUSIONS

ChatGPT information should be used with caution since the chatbot does not disclose the sources of information and may contain bias even with simple questions related to the basics of urologic diseases.

摘要

目的

人工智能(AI)是一组系统或算法的组合,模拟人类智能。ChatGPT 是由 OpenAI 最近开发的具有人工智能的软件。其潜在用途之一可能是咨询有关病理和治疗的信息。我们的目的是评估像 ChatGPT 这样的人工智能提供的信息的质量,并确定其是否是患者安全的信息来源。

方法

通过 ChatGPT 4.0 询问了有关膀胱癌、前列腺癌、肾癌、良性前列腺增生(BPH)和尿路结石的问题。两名泌尿科医生使用 DISCERN 问卷和评估知情同意文件质量的简短工具分析了 ChatGPT 提供的回复。

结果

所有病理的整体信息都平衡良好。在每种病理中,都解释了其解剖位置、受影响人群以及症状描述。最后是确定的危险因素和可能的治疗方法。所有治疗答案的 DISCERN 评分(5 分中的 3 分)均为中等质量。关于手术选择的答案包含恢复时间、麻醉类型和潜在并发症。在分析了与每种疾病相关的所有回复后,除 BPH 外,所有疾病的 DISCERN 评分均达到 4 分。

结论

由于聊天机器人不披露信息来源,并且即使是与泌尿科疾病基础知识相关的简单问题也可能存在偏见,因此应谨慎使用 ChatGPT 信息。

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