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评估 ChatGPT 对甲状腺癌相关医疗回复的准确性和可靠性。

Assessing the accuracy and reliability of ChatGPT's medical responses about thyroid cancer.

机构信息

Department of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Turkey.

Department of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Turkey.

出版信息

Int J Med Inform. 2024 Nov;191:105593. doi: 10.1016/j.ijmedinf.2024.105593. Epub 2024 Aug 13.

Abstract

PURPOSE

ChatGPT has the potential to offer patient-friendly support. Thyroid carcinoma has become increasingly prevalent in recent years. This study aimed to assess ChatGPT's accuracy and adequacy in answering questions about information, management, and emotional support related to thyroid cancer.

METHODS

We conducted a three-step study. In the first step, ChatGPT responded to 30 questions about thyroid cancer. In the second step, we presented three different cases of thyroid cancer patients and asked ChatGPT about their diagnosis, treatment management, and follow-up. In the third step, we inquired about emotional support for patients and their families. Three expert endocrinologists graded these responses according to ATA guidelines.

RESULTS

We showed that ChatGPT regurgitated extensive knowledge of thyroid cancer (76.66% correct), but only small proportions (6.66%) were labeled as mixed with correct and incorrect/outdated data. However, it was inadequate in the evaluation of clinical cases of thyroid cancer. It mentioned treatment and follow-up recommendations in a general framework, not patient-specific. Also, it provided practical and multifaceted emotional support advice to patients and caregivers regarding the next steps and adjusting to a new diagnosis.

CONCLUSION

Our study is the first to evaluate the competence and reliability of ChatGPT in thyroid cancer. Although ChatGPT is moderately competent in obtaining information about thyroid cancer, it has not yet been determined to be sufficiently competent and reliable in case management. It has been found effective in guiding patients and their relatives regarding emotional support.

摘要

目的

ChatGPT 有潜力为患者提供友好的支持。近年来,甲状腺癌的发病率越来越高。本研究旨在评估 ChatGPT 在回答与甲状腺癌相关的信息、管理和情感支持方面的问题的准确性和充分性。

方法

我们进行了三步研究。在第一步中,ChatGPT 回答了 30 个关于甲状腺癌的问题。在第二步中,我们提出了三种不同的甲状腺癌患者病例,并询问 ChatGPT 关于他们的诊断、治疗管理和随访的情况。在第三步中,我们询问了患者及其家属的情感支持。三位内分泌专家根据 ATA 指南对这些回答进行了评分。

结果

我们发现 ChatGPT 大量重复了甲状腺癌的知识(正确 76.66%),但只有很小的比例(6.66%)被标记为包含正确和错误/过时的数据。然而,它在评估甲状腺癌的临床病例方面是不足的。它在一般框架中提到了治疗和随访建议,而不是针对特定患者的建议。此外,它为患者和照顾者提供了关于下一步和适应新诊断的实用和多方面的情感支持建议。

结论

我们的研究首次评估了 ChatGPT 在甲状腺癌方面的能力和可靠性。虽然 ChatGPT 在获取甲状腺癌信息方面具有中等能力,但在病例管理方面还没有确定其具有足够的能力和可靠性。它在指导患者及其亲属的情感支持方面已经被证明是有效的。

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