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了解人工智能在子宫内膜异位症患者教育中的作用并评估其信息及准确性:系统评价

Understanding AI's Role in Endometriosis Patient Education and Evaluating Its Information and Accuracy: Systematic Review.

作者信息

Oliveira Juliana Almeida, Eskandar Karine, Kar Emre, de Oliveira Flávia Ribeiro, Filho Agnaldo Lopes da Silva

机构信息

Department of Women's Health, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Department of Medicine, Pontifical Catholic University of Paraná, Curitiba, Brazil.

出版信息

JMIR AI. 2024 Oct 30;3:e64593. doi: 10.2196/64593.

Abstract

BACKGROUND

Endometriosis is a chronic gynecological condition that affects a significant portion of women of reproductive age, leading to debilitating symptoms such as chronic pelvic pain and infertility. Despite advancements in diagnosis and management, patient education remains a critical challenge. With the rapid growth of digital platforms, artificial intelligence (AI) has emerged as a potential tool to enhance patient education and access to information.

OBJECTIVE

This systematic review aims to explore the role of AI in facilitating education and improving information accessibility for individuals with endometriosis.

METHODS

This review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines to ensure rigorous and transparent reporting. We conducted a comprehensive search of PubMed; Embase; the Regional Online Information System for Scientific Journals of Latin America, the Caribbean, Spain and Portugal (LATINDEX); Latin American and Caribbean Literature in Health Sciences (LILACS); Institute of Electrical and Electronics Engineers (IEEE) Xplore, and the Cochrane Central Register of Controlled Trials using the terms "endometriosis" and "artificial intelligence." Studies were selected based on their focus on AI applications in patient education or information dissemination regarding endometriosis. We included studies that evaluated AI-driven tools for assessing patient knowledge and addressed frequently asked questions related to endometriosis. Data extraction and quality assessment were conducted independently by 2 authors, with discrepancies resolved through consensus.

RESULTS

Out of 400 initial search results, 11 studies met the inclusion criteria and were fully reviewed. We ultimately included 3 studies, 1 of which was an abstract. The studies examined the use of AI models, such as ChatGPT (OpenAI), machine learning, and natural language processing, in providing educational resources and answering common questions about endometriosis. The findings indicated that AI tools, particularly large language models, offer accurate responses to frequently asked questions with varying degrees of sufficiency across different categories. AI's integration with social media platforms also highlights its potential to identify patients' needs and enhance information dissemination.

CONCLUSIONS

AI holds promise in advancing patient education and information access for endometriosis, providing accurate and comprehensive answers to common queries, and facilitating a better understanding of the condition. However, challenges remain in ensuring ethical use, equitable access, and maintaining accuracy across diverse patient populations. Future research should focus on developing standardized approaches for evaluating AI's impact on patient education and exploring its integration into clinical practice to enhance support for individuals with endometriosis.

摘要

背景

子宫内膜异位症是一种慢性妇科疾病,影响着很大一部分育龄女性,会导致如慢性盆腔疼痛和不孕等使人衰弱的症状。尽管在诊断和治疗方面取得了进展,但患者教育仍然是一项严峻的挑战。随着数字平台的迅速发展,人工智能(AI)已成为增强患者教育和信息获取的潜在工具。

目的

本系统评价旨在探讨人工智能在促进子宫内膜异位症患者教育和改善信息获取方面的作用。

方法

本评价遵循系统评价和Meta分析的首选报告项目(PRISMA)指南,以确保报告的严谨性和透明度。我们对PubMed、Embase、拉丁美洲、加勒比地区、西班牙和葡萄牙科学期刊区域在线信息系统(LATINDEX)、拉丁美洲和加勒比地区卫生科学文献(LILACS)、电气和电子工程师协会(IEEE)Xplore以及Cochrane对照试验中央注册库进行了全面检索,使用了“子宫内膜异位症”和“人工智能”等术语。根据研究对人工智能在患者教育或子宫内膜异位症信息传播中的应用的关注程度来选择研究。我们纳入了评估人工智能驱动工具以评估患者知识并解答与子宫内膜异位症相关常见问题的研究。数据提取和质量评估由两位作者独立进行,如有分歧通过协商解决。

结果

在400条初始检索结果中,11项研究符合纳入标准并进行了全面审查。我们最终纳入了3项研究,其中1项是摘要。这些研究考察了ChatGPT(OpenAI)、机器学习和自然语言处理等人工智能模型在提供教育资源和回答关于子宫内膜异位症的常见问题方面的应用。研究结果表明,人工智能工具,尤其是大型语言模型,能对不同类别的常见问题提供不同程度充分性的准确回答。人工智能与社交媒体平台的整合也凸显了其识别患者需求和加强信息传播的潜力。

结论

人工智能有望推进子宫内膜异位症患者的教育和信息获取,为常见问题提供准确全面的答案,并促进对该疾病的更好理解。然而,在确保道德使用、公平获取以及在不同患者群体中保持准确性方面仍存在挑战。未来的研究应侧重于开发评估人工智能对患者教育影响的标准化方法,并探索将其整合到临床实践中,以加强对子宫内膜异位症患者的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3637/11561426/b196588a0888/ai_v3i1e64593_fig1.jpg

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