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29-04-2024 | Artificial Intelligence | Original Articles

Performance of ChatGPT in Answering Clinical Questions on the Practical Guideline of Blepharoptosis

Authors: Makoto Shiraishi, Yoko Tomioka, Ami Miyakuni, Saaya Ishii, Asei Hori, Hwayoung Park, Jun Ohba, Mutsumi Okazaki

Published in: Aesthetic Plastic Surgery

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Abstract

Background

ChatGPT is a free artificial intelligence (AI) language model developed and released by OpenAI in late 2022. This study aimed to evaluate the performance of ChatGPT to accurately answer clinical questions (CQs) on the Guideline for the Management of Blepharoptosis published by the American Society of Plastic Surgeons (ASPS) in 2022.

Methods

CQs in the guideline were used as question sources in both English and Japanese. For each question, ChatGPT provided answers for CQs, evidence quality, recommendation strength, reference match, and answered word counts. We compared the performance of ChatGPT in each component between English and Japanese queries.

Results

A total of 11 questions were included in the final analysis, and ChatGPT answered 61.3% of these correctly. ChatGPT demonstrated a higher accuracy rate in English answers for CQs compared to Japanese answers for CQs (76.4% versus 46.4%; p = 0.004) and word counts (123 words versus 35.9 words; p = 0.004). No statistical differences were noted for evidence quality, recommendation strength, and reference match. A total of 697 references were proposed, but only 216 of them (31.0%) existed.

Conclusions

ChatGPT demonstrates potential as an adjunctive tool in the management of blepharoptosis. However, it is crucial to recognize that the existing AI model has distinct limitations, and its primary role should be to complement the expertise of medical professionals.

Level of Evidence V

Observational study under respected authorities. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Metadata
Title
Performance of ChatGPT in Answering Clinical Questions on the Practical Guideline of Blepharoptosis
Authors
Makoto Shiraishi
Yoko Tomioka
Ami Miyakuni
Saaya Ishii
Asei Hori
Hwayoung Park
Jun Ohba
Mutsumi Okazaki
Publication date
29-04-2024
Publisher
Springer US
Published in
Aesthetic Plastic Surgery
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-024-04005-1