The utility of ChatGPT in gender-affirming mastectomy education

IF 2 3区医学 Q2 SURGERY Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-10-16 DOI:10.1016/j.bjps.2024.10.020

Isabel Snee , Christian X. Lava , Karen R. Li , Gabriel Del Corral

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Abstract

Introduction

The integration of AI such as ChatGPT in medicine has been showing promise in enhancing patient education. Gender-affirming mastectomy (GAM) is a surgical procedure designed to help individuals transition to their self-identified gender, playing a crucial role in mitigating psychological distress for many transmasculine and non-binary (TNB) patients. With increased demand and attention towards GAM, plastic and reconstructive surgeons may rely on AI-driven chatbots as an accessible, accurate, and patient-driven model for relevant details on this procedure.

Specific Aim(s)

This study aimed to assess the quality and readability of information provided by ChatGPT in response to frequently asked questions (FAQs) related to GAM.

Methods

Inspired by online forums and physician websites, 10 frequently asked questions (FAQs) about pre- and postoperative topics were submitted to ChatGPT and assessed using validated readability score measures and expert interpretation.

Results

The average readability score was 16.0 ± 1, indicating a college or graduate reading level. Mean accuracy, comprehensiveness, and danger scores were 8.8 ± 0.5, 7.8 ± 0.7, and 2.2 ± 0.4, respectively. Although physicians appreciated ChatGPT's tone, patient autonomy, and advice to seek professional medical and mental help, they also cited instance of generic information, misinformation, support of debated techniques, and pathologization of gender dysphoria.

Conclusion

Even with its promise in providing accurate and comprehensive information on GAM, ChatGPT’s current limitations suggest caution as a supplementary tool to physician consultation.

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ChatGPT 在性别确认乳房切除术教育中的实用性。

导言将人工智能（如 ChatGPT）融入医疗领域，在加强患者教育方面大有可为。性别确认乳房切除术（GAM）是一种外科手术，旨在帮助个人过渡到自我认定的性别，在减轻许多跨性别和非二元（TNB）患者的心理压力方面发挥着至关重要的作用。随着对 GAM 的需求和关注的增加，整形和重建外科医生可能会依赖人工智能驱动的聊天机器人，将其作为一个可访问的、准确的和以患者为导向的模型，以了解该手术的相关细节：本研究旨在评估 ChatGPT 在回答与 GAM 相关的常见问题（FAQs）时所提供信息的质量和可读性：受在线论坛和医生网站的启发，我们向 ChatGPT 提交了 10 个关于术前和术后主题的常见问题（FAQ），并使用经过验证的可读性评分标准和专家解释进行了评估：结果：平均可读性分数为 16.0 ± 1，表明阅读水平为大学或研究生水平。准确性、全面性和危险性的平均得分分别为 8.8 ± 0.5、7.8 ± 0.7 和 2.2 ± 0.4。虽然医生们对 ChatGPT 的语气、患者自主性以及寻求专业医疗和心理帮助的建议表示赞赏，但他们也提到了一些通用信息、错误信息、对有争议的技术的支持以及性别焦虑症病理化的情况：结论：尽管 ChatGPT 有希望提供准确、全面的 GAM 信息，但其目前的局限性表明，将其作为医生咨询的辅助工具还需谨慎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.