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在胰腺癌问题上ChatGPT与外科医生的对比:患者和专家对准确性及同理心的评估

ChatGPT vs. surgeons on pancreatic cancer queries: accuracy & empathy evaluated by patients and experts.

作者信息

Klotz Rosa, Pausch Thomas M, Kaiser Jörg, Joos Maximilian C, Hecktor Rüdiger, Ahmed Azaz, Dörr-Harim Colette, Mehrabi Arianeb, Loos Martin, Roth Susanne, Michalski Christoph W, Kahlert Christoph

机构信息

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; The Study Centre of the German Surgical Society, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany.

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany.

出版信息

HPB (Oxford). 2025 Mar;27(3):311-317. doi: 10.1016/j.hpb.2024.11.012. Epub 2024 Dec 3.

Abstract

BACKGROUND

Artificial intelligence (AI) offers potential support in patient-clinician interactions, but its impact on such communication remains unexplored.

METHODS

In this study, ChatGPT was compared with two pancreatic surgeons in responding to ten pancreatic cancer surgery-related questions, co-designed with the Patient Advisory Board of the Surgical Society's Study Center. A blind evaluation of these responses, considering content congruency and clarity for non-specialists, was conducted by patients and surgeons.

RESULTS

From June 23 to July 21, 2023, 24 patients and 25 surgeons participated, of which eleven patients and ten surgeons completed the survey in full. Utilizing a quantitative scale from 1 (strong-disagreement) to 5 (full-agreement), consensus was observed among patients and specialists concerning the content delivered by ChatGPT. The metrics for comprehensibility to a non-specialist audience consistently showed positive reception. In the evaluation of empathetic resonance, ChatGPT's responses mirrored those of the surgeons in the patient's view. A significant proportion ranked Surgeon 1's contributions foremost, followed closely by ChatGPT.

DISCUSSION

This study demonstrates that surgeons and ChatGPT answer common queries from patients regarding pancreatic cancer surgery comparable regarding reliability, lay comprehension and empathy as evaluated by patients and surgical experts. These findings highlight the potential of AI in enhancing patient-provider interactions.

摘要

背景

人工智能(AI)在患者与临床医生的互动中提供了潜在支持,但其对这种沟通的影响仍未得到探索。

方法

在本研究中,将ChatGPT与两位胰腺外科医生进行比较,以回答与胰腺癌手术相关的十个问题,这些问题是与外科协会研究中心的患者咨询委员会共同设计的。患者和外科医生对这些回答进行了盲评,评估内容的一致性以及对非专业人士的清晰度。

结果

2023年6月23日至7月21日,24名患者和25名外科医生参与其中,其中11名患者和10名外科医生完整完成了调查。使用从1(强烈不同意)到5(完全同意)的定量量表,患者和专家对ChatGPT提供的内容达成了共识。针对非专业受众的可理解性指标始终显示出积极的接受度。在共情共鸣的评估中,患者认为ChatGPT的回答与外科医生的回答相似。很大一部分人将外科医生1的贡献排在首位,紧随其后的是ChatGPT。

讨论

本研究表明,外科医生和ChatGPT在回答患者关于胰腺癌手术的常见问题时,在可靠性、外行理解和共情方面,经患者和外科专家评估具有可比性。这些发现凸显了人工智能在加强患者与医疗服务提供者互动方面的潜力。

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