Ragsdale Louisa B, Kareh Aurora M, Gupta Rohun, Firouzbakht Peter K, Plikaitis Christina M, Rodby Katherine A
Aesthet Surg J Open Forum. 2024 Oct 22;6:ojae093. doi: 10.1093/asjof/ojae093. eCollection 2024.
Recently, mandated FDA patient decision checklists were developed with the goal of improving the informed decision-making process for patients considering breast implants. However, these checklists are written at reading levels far higher than recommended by the National Institutes of Health and the American Medical Association. This study aims to improve the accessibility, and therefore, the utility of the mandated FDA patient literature for the average breast implant patient using the assistance of artificial intelligence (AI). Patient decision checklists were obtained from the 3 most utilized breast implant manufacturers in the United States-Allergan, Mentor, and Sientra. A novel patient decision checklist was synthesized by AI, written at the sixth grade reading level, using these checklists as source material. The AI-assisted checklist was edited by plastic surgeons for both formatting and content. The overall readability of Allergan, Mentor, and Sientra patient checklists correlated with the college reading level. These documents were of a statistically significantly higher reading level than the AI-assisted checklist, which was written at the recommended sixth grade level. Text composition analysis similarly demonstrated substantial differences between the AI-assisted and FDA-mandated literature. The currently mandated breast implant patient checklists are written at a college reading level and are inaccessible to the average patient. The authors propose a new patient decision checklist, generated with the assistance of AI, to improve healthcare access within plastic surgery. This simplified material can be used as an adjunct to the current checklists to improve shared decision making.
最近，美国食品药品监督管理局（FDA）规定的患者决策清单得以制定，目的是改善考虑植入乳房假体的患者的知情决策过程。然而，这些清单的阅读难度远超美国国立卫生研究院和美国医学协会的建议水平。本研究旨在借助人工智能（AI）提高FDA规定的患者资料对普通乳房植入患者的易获取性，进而提高其实用性。患者决策清单取自美国使用最多的三家乳房植入物制造商——艾尔建（Allergan）、曼托（Mentor）和仙特拉（Sientra）。以这些清单为素材，人工智能合成了一份新的患者决策清单，其阅读难度为六年级水平。整形外科医生对这份由人工智能辅助生成的清单的格式和内容进行了编辑。艾尔建、曼托和仙特拉患者清单的整体可读性与大学阅读水平相当。这些文件的阅读水平在统计学上显著高于人工智能辅助清单，后者是按照建议的六年级水平编写的。文本构成分析同样表明，人工智能辅助文献与FDA规定的文献之间存在显著差异。目前规定的乳房植入患者清单是按照大学阅读水平编写的，普通患者难以理解。作者提议借助人工智能生成一份新的患者决策清单，以改善整形外科的医疗服务可及性。这份简化后的材料可作为当前清单的补充，以促进共同决策。
