标题：ChatGPT 4.0 能否可靠地回答患者关于拳击手骨折的常见问题？

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI:10.1016/j.hansur.2025.102082

Christopher A. White, Jamie L. Kator, Hannah S. Rhee, Thomas Boucher, Rachel Glenn, Amanda Walsh, Jaehon M. Kim

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引用次数: 0

摘要

背景：患者越来越多地通过互联网以及最近的人工智能引擎（如 ChatGPT）来寻求常见医疗问题的答案。关于骨科手外科，最近的文献主要关注 ChatGPT 回答患者常见问题（FAQ）的能力，如腕管综合征、桡骨远端骨折等。本研究旨在确定 ChatGPT 能否准确回答患者围绕第五掌骨颈骨折等简单骨折模式提出的常见问题：方法：根据五家值得信赖的医疗机构提供的信息，通过互联网查询确定了有关拳击手骨折的十大常见问题。将这十个问题提交给 ChatGPT 4.0，并记录聊天机器人的回复。然后，两名经过研究员培训的骨科手外科医生和一名骨科手外科研究员按照字母分级表（即 A-F）对 ChatGPT 的回答进行了分级，并对每个回答进行了补充评论。描述性统计用于报告问题、评分者和 ChatGPT 答复的总体等级：结果：ChatGPT 的累计评分为 B，表明聊天机器人在回答拳击手骨折常见问题时可以提供充分的回答，只需稍加说明即可。各评分员分别给出了 B、B 和 B + 的可比总分。ChatGPT 在 7/10 个回答中听从了医疗专业人员的意见。一般问题的评分为 A-。结论：总的来说，ChatGPT 4.0 在拳击手骨折相关的患者常见问题方面提供了足够到完整的回答，评级为 B。

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Can ChatGPT 4.0 reliably answer patient frequently asked questions about boxer’s fractures?

Background

Patients are increasingly turning to the internet, and recently artificial intelligence engines (e.g., ChatGPT), for answers to common medical questions. Regarding orthopedic hand surgery, recent literature has focused on ChatGPT’s ability to answer patient frequently asked questions (FAQs) regarding subjects such as carpal tunnel syndrome, distal radius fractures, and more. The present study seeks to determine how accurately ChatGPT can answer patient FAQs surrounding simple fracture patterns such as fifth metacarpal neck fractures.

Methods

Internet queries were used to identify the ten most FAQs regarding boxer’s fractures based on information from five trusted healthcare institutions. These ten questions were posed to ChatGPT 4.0, and the chatbot’s responses were recorded. Two fellowship trained orthopedic hand surgeons and one orthopedic hand surgery fellow then graded ChatGPT’s responses on an alphabetical grading scale (i.e., A–F); additional commentary was then provided for each response. Descriptive statistics were used to report question, grader, and overall ChatGPT response grades.

Results

ChatGPT achieved a cumulative grade of a B, indicating that the chatbot can provide adequate responses with only minor need for clarification when answering FAQs for boxer’s fractures. Individual graders provided comparable overall grades of B, B, and B+ respectively. ChatGPT deferred to a medical professional in 7/10 responses. General questions were graded at an A−. Management questions were graded at a C+.

Conclusion

Overall, with a grade of B, ChatGPT 4.0 provides adequate-to- complete responses as it pertains to patient FAQs surrounding boxer’s fractures.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.