Garg Ravindra Kumar, Urs Vijeth L, Agarwal Akshay Anand, Chaudhary Sarvesh Kumar, Paliwal Vimal, Kar Sujita Kumar
Department of Neurology, King George's Medical University, Lucknow, India.
Department of Surgery, King George's Medical University, Lucknow, India.
Health Promot Perspect. 2023 Sep 11;13(3):183-191. doi: 10.34172/hpp.2023.22. eCollection 2023.
ChatGPT is an artificial intelligence based tool developed by OpenAI (California, USA). This systematic review examines the potential of ChatGPT in patient care and its role in medical research.
The systematic review was done according to the PRISMA guidelines. Embase, Scopus, PubMed and Google Scholar data bases were searched. We also searched preprint data bases. Our search was aimed to identify all kinds of publications, without any restrictions, on ChatGPT and its application in medical research, medical publishing and patient care. We used search term "ChatGPT". We reviewed all kinds of publications including original articles, reviews, editorial/ commentaries, and even letter to the editor. Each selected records were analysed using ChatGPT and responses generated were compiled in a table. The word table was transformed in to a PDF and was further analysed using ChatPDF.
We reviewed full texts of 118 articles. ChatGPT can assist with patient enquiries, note writing, decision-making, trial enrolment, data management, decision support, research support, and patient education. But the solutions it offers are usually insufficient and contradictory, raising questions about their originality, privacy, correctness, bias, and legality. Due to its lack of human-like qualities, ChatGPT's legitimacy as an author is questioned when used for academic writing. ChatGPT generated contents have concerns with bias and possible plagiarism.
Although it can help with patient treatment and research, there are issues with accuracy, authorship, and bias. ChatGPT can serve as a "clinical assistant" and be a help in research and scholarly writing.
ChatGPT是美国加利福尼亚州OpenAI开发的一种基于人工智能的工具。本系统评价探讨了ChatGPT在患者护理中的潜力及其在医学研究中的作用。
本系统评价按照PRISMA指南进行。检索了Embase、Scopus、PubMed和谷歌学术数据库。我们还检索了预印本数据库。我们的检索旨在识别关于ChatGPT及其在医学研究、医学出版和患者护理中的应用的各类出版物，无任何限制。我们使用检索词“ChatGPT”。我们审查了各类出版物，包括原创文章、综述、社论/评论，甚至给编辑的信。使用ChatGPT对每条选定记录进行分析，并将生成的回复整理成表格。将该表格转换为PDF格式，并使用ChatPDF进一步分析。
我们审查了118篇文章的全文。ChatGPT可以协助患者咨询、记录撰写、决策、试验入组、数据管理、决策支持、研究支持和患者教育。但其提供的解决方案通常不充分且相互矛盾，引发了对其原创性、隐私性、正确性、偏差和合法性的质疑。由于缺乏类人特质，ChatGPT用于学术写作时作为作者的合法性受到质疑。ChatGPT生成的内容存在偏差和可能的抄袭问题。
尽管它可以帮助患者治疗和研究，但在准确性、作者身份和偏差方面存在问题。ChatGPT可以作为“临床助手”，在研究和学术写作中提供帮助。
