人工智能在患者教育中的作用:使用 ChatGPT 进行膀胱癌咨询

Allen Ao Guo, Basil Razi, Paul Kim, Ashan Canagasingham, Justin Vass, Venu Chalasani, Krishan Rasiah, Amanda Chung
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摘要

目标ChatGPT 是一种大型语言模型,能够生成类人文本。本研究的目的是评估 ChatGPT 作为泌尿科临床实践潜在补充的能力,探索其在提供膀胱癌患者常见问题信息时的能力、功效和准确性。方法:我们向 ChatGPT 提出了 10 个假设性问题,以模拟医生与最近被诊断为膀胱癌的患者之间的问诊。然后由泌尿科专家使用两个预定义的准确性和完整性量表对回复进行评估。结果:ChatGPT 提供了简明易懂的连贯答案。总体而言,10 个问题的平均准确性得分在 3.7 到 6.0 之间,中位数为 5.0。完整度的平均分在 1.3 到 2.3 之间,中位数为 1.8。ChatGPT 也认识到自身的局限性,建议所有患者应严格遵守医疗保健提供者的医疗建议。结论本研究进一步揭示了 ChatGPT 作为辅助咨询工具在回答膀胱癌患者常见问题方面的作用。虽然它能以简洁连贯的方式提供信息,但所传达信息的完整性仍令人担忧。要确定 ChatGPT 等人工智能模型对泌尿外科和更广泛的医疗保健领域的潜在影响,还需要对这一快速发展的工具进行进一步的开发和研究。
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The Role of Artificial Intelligence in Patient Education: A Bladder Cancer Consultation with ChatGPT
Objectives: ChatGPT is a large language model that is able to generate human-like text. The aim of this study was to evaluate ChatGPT as a potential supplement to urological clinical practice by exploring its capacity, efficacy and accuracy when delivering information on frequently asked questions from patients with bladder cancer. Methods: We proposed 10 hypothetical questions to ChatGPT to simulate a doctor–patient consultation for patients recently diagnosed with bladder cancer. The responses were then assessed using two predefined scales of accuracy and completeness by Specialist Urologists. Results: ChatGPT provided coherent answers that were concise and easily comprehensible. Overall, mean accuracy scores for the 10 questions ranged from 3.7 to 6.0, with a median of 5.0. Mean completeness scores ranged from 1.3 to 2.3, with a median of 1.8. ChatGPT was also cognizant of its own limitations and recommended all patients should adhere closely to medical advice dispensed by their healthcare provider. Conclusions: This study provides further insight into the role of ChatGPT as an adjunct consultation tool for answering frequently asked questions from patients with bladder cancer diagnosis. Whilst it was able to provide information in a concise and coherent manner, there were concerns regarding the completeness of information conveyed. Further development and research into this rapidly evolving tool are required to ascertain the potential impacts of AI models such as ChatGPT in urology and the broader healthcare landscape.
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