人工智能对慢性病患者经常提出的问题所产生的答案的可靠性
Emi Furukawa1, Tsuyoshi Okuhara1,2, Hiroko Okada1,2
1University Hospital Medical Information Network Center, The University of Tokyo Hospital, Tokyo, Japan.
Health informatics journal
|September 24, 2025
概括
人工智能工具为慢性病 (CKD) 患者提供了普遍可接受的信息. 然而,在像ChatGPT,Copilot和Gemini这样的工具中,准确性和资源提供有很大差异,需要仔细评估人工智能生成的健康内容.
科学领域:
- 医疗人工智能 医疗人工智能
- 医疗信息学 医疗信息学
- 患者教育 患者教育
背景情况:
- 慢性病患者越来越多地使用人工智能 (AI) 工具作为主要信息来源.
- 人工智能产生的健康信息的真实准确性和可靠性存在担忧.
- 评估人工智能反应的可靠性对于患者安全和知情决策至关重要.
研究的目的:
- 评估人工智能对有关慢性病 (CKD) 的常见问题所产生的答案的可靠性和准确性.
- 为了比较不同的AI工具 (ChatGPT,Copilot,Gemini) 在提供CKD信息方面的性能.
- 通过使用标准化工具评估AI提供的医疗信息的质量.
主要方法:
- 人工智能生成的对23个提示的响应,其中包括顶级CKD相关的关键词,从使用日语的ChatGPT,Copilot和Gemini中收集.
- 医疗人工智能质量分析 (QAMAI) 工具被用来评估207个人工智能生成的响应的可靠性.
- 进行了统计分析,以比较不同AI模型中的QAMAI得分和资源可用性.
主要成果:
- 人工智能工具通常提供可靠的信息,QAMAI的中位数为30分之23分.
- 在AI工具中观察到信息准确性和资源可用性的显著差异 (p < 0.01).
- 聊天GPT的准确性较低,没有提供资源,而Copilot和Gemini的准确性更高,资源提供更好.
结论:
- 关于慢性病 (CKD) 的AI产生的反应的整体质量是可以接受的.
- 虽然大多数人工智能提供的信息都是可靠的,但一些答案的准确性不一致和缺乏引用突出了需要改进的领域.
- 患者应该批判性地评估人工智能产生的健康信息,考虑潜在的不准确性和缺乏支持资源.
相关概念视频
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
190
Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
190
Chronic Kidney Disease III: Interprofessional Care
344
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
344
Chronic Kidney Disease IV: Nursing Management
321
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
321
Chronic Kidney Disease I: Introduction
573
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
573
Acute Kidney Injury IV: Diagnostic Studies and Prevention
271
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
271
Acute Kidney Injury III: Clinical Manifestations
827
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
827


