与ECCO指南相比,ChatGPT为患有炎症性肠病的患者提供的信息的准确性
Martina Sciberras1, Yvette Farrugia1, Hannah Gordon2,3
1Department of Medicine, Division of Gastroenterology, Mater Dei Hospital, Msida, Malta.
像ChatGPT这样的人工智能 (AI) 平台可以回答患者关于炎症性肠病 (IBD) 的问题. 虽然通常准确,但人工智能反应可能缺乏完整性,并可能偏离专业领域的专家指导.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 胃肠病学 胃肠病学
背景情况:
- 人工智能 (AI) 平台的患者接受度越来越高,需要评估它们作为信息来源的可靠性.
- 目前尚不清楚ChatGPT3.5对炎症性肠病 (IBD) 查询的准确性和完整性.
- 了解AI在IBD中的能力对于患者教育和临床支持至关重要.
研究的目的:
- 为了前性地评估ChatGPT3.5对患者生成的关于炎症性肠病 (IBD) 问题的答案的准确性和完整性.
- 将人工智能生成的答案与已建立的欧洲克罗恩氏炎和结肠炎组织 (ECCO) 准则进行比较.
- 评估不同IBD相关主题的AI性能,包括克罗恩病,性结肠炎,恶性瘤,产妇医学,感染,疫苗接种和补充医学.
主要方法:
- 38个IBD患者生成的问题被输入到ChatGPT3.5.5.中.
- 14名胃肠病学专家对答案的准确性 (1-5级) 和完整性 (1-3级) 进行了评估.
- 数据分析包括与相关ECCO指导方针进行比较和统计测试 (Kruskal-Wallis),以评估各类问题和个别问题的差异.
主要成果:
- 大多数ChatGPT3.5响应显示高准确度 (84.2%的中位数≥4),平均准确度为3.87.
- 完整度得分较低,平均评分为2.24;34.2%的回答获得了3.3的中位数完整度得分.
- 在个别问题中发现了准确性和完整性的显著差异 (p<0.001),与吸烟相关的查询得分最高,恶性瘤/疫苗接种查询得分最低.
结论:
- 聊天GPT3.5显示了为真实世界IBD患者的查询提供准确答案的能力,表明作为补充工具的潜力.
- 人工智能产生的反应可能会偏离专业领域的基于证据的指导方针,需要更明确的建议.
- 需要进一步的研究来完善AI在IBD患者护理中的作用,确保它补充而不是取代标准的医疗建议.
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