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Comparative analysis of three chatbot responses on pediatric primary nocturnal enuresis
Asya Eylem Boztas1, Esra Ensari2
1Health and Science University Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Department of Pediatric Surgery, Kultur mh. Dr.Mustafa Enver Bey cd. No:32 D:10 Konak, Izmir, Turkey.
Background:
The purpose of the study was to evaluate both the accuracy and reproducibility of the answers given by ChatGPT-4o®, Gemini® and Copilot® to frequently asked questions about pediatric primary enuresis nocturna.
Methods:
Forty frequently asked questions about primary nocturnal enuresis were asked twice, one week apart, on ChatGPT-4o, Gemini and Copilot. One of each pediatric surgeon and nephrologist independently scored the answers into 4 groups: comprehensive/correct (1), incomplete/partially correct (2), a mix of accurate and inaccurate/misleading (3), and completely inaccurate/irrelevant (4). The accuracy and reproducibility of each chatbot's answers were evaluated.
Results:
In comparison of these most commonly used chatbots, the order of completely correct response rates from highest to lowest was ChatGPT-4o and followed by Copilot and Gemini. With an accuracy percentage of 92.5 %, ChatGPT-4o gave the most accurate responses of any AI chatbot. Gemini answered 50 % of questions correctly. Copilot was the weakest successful chatbot in answering questions about enuresis nocturna with 45 % of completely accurate answer ratio. Besides Copilot had a ratio of 2.5 % for completely inaccurate/irrelevant response. Reproducibility of ChatGPT-4o, Gemini and Copilots were 85 %, 77.5 %, 70 % respectively.
Conclusion:
ChatGPT-4o is more successful in providing a high percentage of accurate responses regarding nocturnal enuresis. Both patients and their parents can use it, especially for simple, low-complexity medical questions. However, it should be used alongside expert healthcare proffesional.

