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Impact of large language model (ChatGPT) in healthcare: an umbrella review and evidence synthesis.

作者信息

Iqbal Usman, Tanweer Afifa, Rahmanti Annisa Ristya, Greenfield David, Lee Leon Tsung-Ju, Li Yu-Chuan Jack

机构信息

Institute for Evidence-Based Healthcare, Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Australia.

Evidence-Based Practice Professorial Unit, Gold Coast Hospital & Health Service (GCHHS), Gold Coast, QLD, Australia.

出版信息

J Biomed Sci. 2025 May 7;32(1):45. doi: 10.1186/s12929-025-01131-z.


DOI:10.1186/s12929-025-01131-z
PMID:40335969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12057020/
Abstract

BACKGROUND: The emergence of Artificial Intelligence (AI), particularly Chat Generative Pre-Trained Transformer (ChatGPT), a Large Language Model (LLM), in healthcare promises to reshape patient care, clinical decision-making, and medical education. This review aims to synthesise research findings to consolidate the implications of ChatGPT integration in healthcare and identify research gaps. MAIN BODY: The umbrella review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Cochrane Library, PubMed, Scopus, Web of Science, and Google Scholar were searched from inception until February 2024. Due to the heterogeneity of the included studies, no quantitative analysis was performed. Instead, information was extracted, summarised, synthesised, and presented in a narrative form. Two reviewers undertook title, abstract, and full text screening independently. The methodological quality and overall rating of the included reviews were assessed using the A Measurement Tool to Assess systematic Reviews (AMSTAR-2) checklist. The review examined 17 studies, comprising 15 systematic reviews and 2 meta-analyses, on ChatGPT in healthcare, revealing diverse focuses. The AMSTAR-2 assessment identified 5 moderate and 12 low-quality reviews, with deficiencies like study design justification and funding source reporting. The most reported theme that emerged was ChatGPT's use in disease diagnosis or clinical decision-making. While 82.4% of studies focused on its general usage, 17.6% explored unique topics like its role in medical examinations and conducting systematic reviews. Among these, 52.9% targeted general healthcare, with 41.2% focusing on specific domains like radiology, neurosurgery, gastroenterology, public health dentistry, and ophthalmology. ChatGPT's use for manuscript review or writing was mentioned in 17.6% of reviews. Promising applications include enhancing patient care and clinical decision-making, though ethical, legal, and accuracy concerns require cautious integration. CONCLUSION: We summarise the identified areas in reviews regarding ChatGPT's transformative impact in healthcare, highlighting patient care, decision-making, and medical education. Emphasising the importance of ethical regulations and the involvement of policymakers, we urge further investigation to ensure the reliability of ChatGPT and to promote trust in healthcare and research.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4df/12057020/77356ecdda77/12929_2025_1131_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4df/12057020/77356ecdda77/12929_2025_1131_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4df/12057020/77356ecdda77/12929_2025_1131_Fig1_HTML.jpg

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本文引用的文献

[1]
Can large language models provide secondary reliable opinion on treatment options for dermatological diseases?

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[2]
The application and challenges of ChatGPT in educational transformation: New demands for teachers' roles.

Heliyon. 2024-1-8

[3]
Assessing the Prevalent Myths and Misconceptions Among Caregivers of Patients With Cancer: A Cross-Sectional Study.

Cureus. 2023-12-30

[4]
ChatGPT in healthcare: A taxonomy and systematic review.

Comput Methods Programs Biomed. 2024-3

[5]
Current applications and future potential of ChatGPT in radiology: A systematic review.

J Med Imaging Radiat Oncol. 2024-4

[6]
A Systematic Review and Meta-Analysis of Artificial Intelligence Tools in Medicine and Healthcare: Applications, Considerations, Limitations, Motivation and Challenges.

Diagnostics (Basel). 2024-1-4

[7]
Review of emerging trends and projection of future developments in large language models research in ophthalmology.

Br J Ophthalmol. 2024-9-20

[8]
Evaluating the role of ChatGPT in gastroenterology: a comprehensive systematic review of applications, benefits, and limitations.

Therap Adv Gastroenterol. 2023-12-25

[9]
A systematic review and meta-analysis on ChatGPT and its utilization in medical and dental research.

Heliyon. 2023-11-29

[10]
Digitally Assisted Mindfulness in Training Self-Regulation Skills for Sustainable Mental Health: A Systematic Review.

Behav Sci (Basel). 2023-12-10

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