评估聊天GPT和双子座在关节关节炎管理方面的观点
Michael Megafu1, Omar Guerrero2, Rafay Hasan2
1Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
JSES international
|September 17, 2025
概括
像ChatGPT和Gemini这样的人工智能 (AI) 工具在为关节骨关节炎提供准确的医疗建议方面存在局限性,因为它们并不完全符合既定的临床实践指南 (CPG). 医疗保健提供者应该提醒患者不要仅仅依靠人工智能获得医疗建议.
科学领域:
- 整形外科 整形外科 整形外科
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 机器学习和人工智能正在改变医疗保健,但将它们整合到骨科环境中需要进一步发展.
- 这项研究解决了评估人工智能在骨科患者护理中的作用的需要,特别是在关节骨关节炎管理方面.
研究的目的:
- 评估ChatGPT和Gemini为关节骨关节炎提供的医疗建议的准确性.
- 将人工智能生成的建议与美国骨科外科医生学会 (AAOS) 临床实践指南 (CPG) 进行比较.
主要方法:
- 根据2020年AAOS CPGs评估,对关节关节骨关节炎的20种治疗方法进行了评估.
- 聊天GPT和双子座的反应被分类为与AAOS CPGs (推,不推,共识陈述) 的一致性.
- 使用科恩的卡帕系数评估了Interrater的可靠性.
主要成果:
- 对于推的治疗方法,ChatGPT与AAOS CPG显示了100%的一致性,而Gemini显示了50%的一致性.
- 对于非推的治疗方法,ChatGPT达到了80%的一致性,而Gemini达到了100%的一致性.
- 科恩的卡帕值为0.90,表明在对AI反应进行分类时,评价者之间的可靠性很高.
结论:
- 目前的人工智能模型,如ChatGPT和Gemini,尚未可靠地仅提供基于CPG的建议,用于关节骨关节炎.
- 医疗保健提供者应建议患者在使用人工智能平台获得医疗建议时谨慎使用,因为可能存在不准确性.
- 需要进一步的研究来提高AI在骨科护理环境中的临床实用性.
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