聊天GPT作为知情同意和术前患者教育的支持工具,在阴茎假肢植入之前
Jacob Schmidt1, Isabel Lichy1, Thomas Kurz2
1Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Urology, Charitéplatz 1, 10117 Berlin, Germany.
Journal of clinical medicine
|January 8, 2025
概括
聊天GPT为阴茎假体植入 (PPI) 的知情同意提供了中等质量的信息,但缺乏可理解性. 人工智能工具需要进一步改进,以充分支持患者教育和治疗勃起功能障碍 (ED) 的决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 人工智能 (AI),特别是像ChatGPT这样的自然语言处理 (NLP) 模型,为增强患者教育和知情同意过程提供了潜力.
- 这项研究研究了ChatGPT作为在进行阴茎假体植入 (PPI) 之前获得知情同意的补充工具的实用性,在发生勃起功能障碍 (ED) 后的急性前列腺切除术的患者中.
研究的目的:
- 评估ChatGPT-4提供的关于为勃起功能障碍 (ED) 患者进行阴茎假体植入 (PPI) 的信息的质量和可读性.
- 评估人工智能生成的内容是否适用于支持泌尿外科手术的知情同意.
主要方法:
- 聊天GPT-4生成了对四个领域的20个常见问题的答案:ED/治疗,手术,并发症和术后护理.
- 三位泌尿科医生使用DISCERN仪器 (1-5级) 评价了信息质量.
- 使用Flesch阅读易度 (FRE) 和Flesch-Kincaid等级水平 (FKGL) 评估可读性;使用类内相关系数计算评审者之间的可靠性.
主要成果:
- 质量评估的评审者间可靠性强,为0.76.
- 平均DISCERN分数显示所有类别的信息质量均为中等 (2.57-2.79).
- 清晰度和相关性得分高,但风险和替代品等复杂主题得分低 (<2). 可读性得分 (FRE 9.8-28.39,FKGL 14.04-17.41) 表示了大学水平的理解要求.
结论:
- 目前,ChatGPT提供了质量可变的信息,这些信息往往不足以使患者做出明智的决策.
- 在AI工具可以可靠地用于患者教育之前,需要在信息质量和可读性方面取得重大改进.
- 这些发现强调了需要仔细验证和完善人工智能产生的医疗信息,以确保患者的安全和理解.
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