评估ChatGPT在评估肾病患者非处方药和补充剂安全性方面的功效。
Evaluating ChatGPT's efficacy in assessing the safety of non-prescription medications and supplements in patients with kidney disease.
作者信息
Sheikh Mohammad S, Barreto Erin F, Miao Jing, Thongprayoon Charat, Gregoire James R, Dreesman Benjamin, Erickson Stephen B, Craici Iasmina M, Cheungpasitporn Wisit
机构信息
Department of Nephrology, Mayo Clinic Minnesota, Rochester, MN, USA.
Department of Pharmacy, Mayo Clinic Minnesota, Rochester, MN, USA.
出版信息
Digit Health. 2024 Apr 17;10:20552076241248082. doi: 10.1177/20552076241248082. eCollection 2024 Jan-Dec.
BACKGROUND
This study investigated the efficacy of ChatGPT-3.5 and ChatGPT-4 in assessing drug safety for patients with kidney diseases, comparing their performance to Micromedex, a well-established drug information source. Despite the perception of non-prescription medications and supplements as safe, risks exist, especially for those with kidney issues. The study's goal was to evaluate ChatGPT's versions for their potential in clinical decision-making regarding kidney disease patients.
METHOD
The research involved analyzing 124 common non-prescription medications and supplements using ChatGPT-3.5 and ChatGPT-4 with queries about their safety for people with kidney disease. The AI responses were categorized as "generally safe," "potentially harmful," or "unknown toxicity." Simultaneously, these medications and supplements were assessed in Micromedex using similar categories, allowing for a comparison of the concordance between the two resources.
RESULTS
Micromedex identified 85 (68.5%) medications as generally safe, 35 (28.2%) as potentially harmful, and 4 (3.2%) of unknown toxicity. ChatGPT-3.5 identified 89 (71.8%) as generally safe, 11 (8.9%) as potentially harmful, and 24 (19.3%) of unknown toxicity. GPT-4 identified 82 (66.1%) as generally safe, 29 (23.4%) as potentially harmful, and 13 (10.5%) of unknown toxicity. The overall agreement between Micromedex and ChatGPT-3.5 was 64.5% and ChatGPT-4 demonstrated a higher agreement at 81.4%. Notably, ChatGPT-3.5's suboptimal performance was primarily influenced by a lower concordance rate among supplements, standing at 60.3%. This discrepancy could be attributed to the limited data on supplements within ChatGPT-3.5, with supplements constituting 80% of medications identified as unknown.
CONCLUSION
ChatGPT's capabilities in evaluating the safety of non-prescription drugs and supplements for kidney disease patients are modest compared to established drug information resources. Neither ChatGPT-3.5 nor ChatGPT-4 can be currently recommended as reliable drug information sources for this demographic. The results highlight the need for further improvements in the model's accuracy and reliability in the medical domain.
背景
本研究调查了ChatGPT-3.5和ChatGPT-4在评估肾病患者药物安全性方面的功效，并将它们的表现与成熟的药物信息来源Micromedex进行比较。尽管非处方药和补充剂被认为是安全的，但仍存在风险，尤其是对肾病患者而言。该研究的目标是评估ChatGPT的不同版本在针对肾病患者的临床决策中的潜力。
方法
该研究使用ChatGPT-3.5和ChatGPT-4分析了124种常见的非处方药和补充剂，并询问它们对肾病患者的安全性。人工智能的回答被归类为“一般安全”、“潜在有害”或“毒性未知”。同时，使用类似的类别在Micromedex中对这些药物和补充剂进行评估，以便比较这两种资源之间的一致性。
结果
Micromedex将85种（68.5%）药物鉴定为一般安全，35种（28.2%）为潜在有害，4种（3.2%）毒性未知。ChatGPT-3.5将89种（71.8%）鉴定为一般安全，11种（8.9%）为潜在有害，24种（19.3%）毒性未知。ChatGPT-4将82种（66.1%）鉴定为一般安全，29种（23.4%）为潜在有害，13种（10.5%）毒性未知。Micromedex和ChatGPT-3.5之间的总体一致性为64.5%，ChatGPT-4的一致性更高，为81.4%。值得注意的是，ChatGPT-3.5的表现欠佳主要是受补充剂中较低的一致性率影响，为60.3%。这种差异可能归因于ChatGPT-3.5中关于补充剂的数据有限，补充剂占被鉴定为未知毒性药物的80%。
结论
与成熟的药物信息资源相比，ChatGPT在评估肾病患者非处方药和补充剂安全性方面的能力有限。目前，ChatGPT-3.5和ChatGPT-4都不能被推荐为这一人群可靠的药物信息来源。研究结果凸显了在医学领域进一步提高该模型准确性和可靠性的必要性。
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