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Accuracy and safety of ChatGPT-4o responses in rhinoplasty postoperative counseling: a panel-based study
Mustafa Ibas1, Songul Dursun2, Muruvvet Paksoy1
1Department of Otorhinolaryngology, Atlas University, Faculty of Medicine, Istanbul, Turkey.
Background:
ChatGPT and other large language models have emerged as new tools for patient education, yet their clinical safety and reliability remain unclear.
Objective:
To assess the accuracy and safety of ChatGPT-4o's responses to common postoperative questions following rhinoplasty.
Methods:
Ten consensus-based postoperative questions were identified via a modified Delphi process. ChatGPT-4o responses were generated and evaluated by three independent otolaryngologists using a 10-point Likert scale. Reviewers also assessed the presence of critical errors.
Results:
The average Likert score across responses was 8.87 (95% CI, 8.39 to 9.34), No critical errors were detected. Inter-rater reliability was high (ICC(2,k) = 0.876).
Conclusions:
ChatGPT-4o provided clinically accurate and safe answers to common rhinoplasty postoperative questions.
Significance:
These findings suggest that ChatGPT-4o may serve as a useful adjunct for postoperative patient counseling in structured settings, particularly when physician access is limited.
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