Li Austin W, Adelstein Jeremy M, Li Lambert T, Sinkler Margaret A, Mistovich R Justin
Case Western Reserve University School of Medicine.
Department of Orthopaedic Surgery, University Hospitals, Case Western Reserve University.
J Pediatr Orthop. 2025 Jul 1;45(6):327-331. doi: 10.1097/BPO.0000000000002923. Epub 2025 Feb 7.
The internet and standard search engines are commonly used resources for patients seeking medical information online. With the advancement and increasing usage of artificial intelligence (AI) in health information, online AI chatbots such as ChatGPT may surpass traditional web search engines as the next go-to online resource for medical information. This study aims to assess the ability of ChatGPT to answer frequently asked questions regarding pediatric supracondylar humerus (SCH) fractures.
Seven (7) frequently asked questions (FAQs) regarding SCH fractures were presented to ChatGPT. Initial responses were recorded and rated as either "excellent requiring no clarification (0 items need clarification)," "satisfactory requiring minimal clarification (1 to 2 items need clarification)," "satisfactory requiring moderate clarification (3 to 4 items need clarification)," or "unsatisfactory requiring substantial clarification (>4 items need clarification or response contains false information)."
While 4 responses met satisfactory ratings with either moderate (2 responses) or minimal (2 responses) clarification, 3 of the 7 FAQs yielded a response from ChatGPT that were unsatisfactory. There were no responses that required no further clarification.
ChatGPT provided some satisfactory responses to FAQs regarding pediatric SCH fractures, but required substantial clarification about treatment algorithms, casting and return to sport timelines, and the utility of physical therapy. Therefore, ChatGPT is an unreliable resource for information on treating SCH fractures. Parents of children who experience SCH fractures should continue to communicate with their doctors for the most accurate medical information.
Level V-expert opinion on ChatGPT responses.
互联网和标准搜索引擎是患者在线寻求医疗信息时常用的资源。随着人工智能（AI）在健康信息领域的进步和使用增加，诸如ChatGPT之类的在线AI聊天机器人可能会超越传统网络搜索引擎，成为医疗信息的下一个首选在线资源。本研究旨在评估ChatGPT回答有关小儿肱骨髁上骨折（SCH）常见问题的能力。
向ChatGPT提出了7个有关SCH骨折的常见问题（FAQs）。记录初始回复，并将其评为“优秀，无需澄清（0项需要澄清）”、“满意，只需最少澄清（1至2项需要澄清）”、“满意，需要适度澄清（3至4项需要澄清）”或“不满意，需要大量澄清（>4项需要澄清或回复包含错误信息）”。
虽然4个回复获得了满意评级，其中2个需要适度澄清，2个只需最少澄清，但7个常见问题中有3个ChatGPT的回复不满意。没有无需进一步澄清的回复。
ChatGPT对有关小儿SCH骨折的常见问题提供了一些满意的回复，但在治疗算法、石膏固定和恢复运动时间以及物理治疗的效用方面需要大量澄清。因此，ChatGPT是治疗SCH骨折信息的不可靠资源。小儿SCH骨折患儿的家长应继续与医生沟通以获取最准确的医疗信息。
关于ChatGPT回复的V级专家意见。
