Evidence map›Paper›PMID 37389908›Full record

ArticleJournal of medical Internet research2023

Reliability of Medical Information Provided by ChatGPT: Assessment Against Clinical Guidelines and Patient Information Quality Instrument.

Harriet Louise Walker, Shahi Ghani, Christoph Kuemmerli, Christian Andreas Nebiker, Beat Peter Müller, Dimitri Aristotle Raptis, Sebastian Manuel Staubli

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 160 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. An expert-led benchmark using common patient questions: evaluating large language models for adolescent idiopathic scoliosis education.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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100 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Harriet Louise WalkerRoyal Free London NHS Foundation Trust, London, United Kingdom.ORCID 0009-0009-6278-6399
Shahi GhaniRoyal Free London NHS Foundation Trust, London, United Kingdom.ORCID 0000-0001-7366-296X
Christoph KuemmerliClarunis - University Center for Gastrointestinal and Liver Diseases, Basel, Switzerland.ORCID 0000-0002-7109-3545
Christian Andreas NebikerDepartement Chirurgie, Kantonsspital Aarau, Aarau, Switzerland.ORCID 0000-0002-7493-2850
Beat Peter MüllerClarunis - University Center for Gastrointestinal and Liver Diseases, Basel, Switzerland.ORCID 0000-0002-8552-8538
Dimitri Aristotle RaptisOrgan Transplant Center of Excellence, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.ORCID 0000-0002-0898-3270
Sebastian Manuel StaubliRoyal Free London NHS Foundation Trust, London, United Kingdom.ORCID 0000-0002-0818-9835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChatGPT-4 is the latest release of a novel artificial intelligence (AI) chatbot able to answer freely formulated and complex questions. In the near future, ChatGPT could become the new standard for health care professionals and patients to access medical information. However, little is known about the quality of medical information provided by the AI.

objectiveWe aimed to assess the reliability of medical information provided by ChatGPT.

methodsMedical information provided by ChatGPT-4 on the 5 hepato-pancreatico-biliary (HPB) conditions with the highest global disease burden was measured with the Ensuring Quality Information for Patients (EQIP) tool. The EQIP tool is used to measure the quality of internet-available information and consists of 36 items that are divided into 3 subsections. In addition, 5 guideline recommendations per analyzed condition were rephrased as questions and input to ChatGPT, and agreement between the guidelines and the AI answer was measured by 2 authors independently. All queries were repeated 3 times to measure the internal consistency of ChatGPT.

resultsFive conditions were identified (gallstone disease, pancreatitis, liver cirrhosis, pancreatic cancer, and hepatocellular carcinoma). The median EQIP score across all conditions was 16 (IQR 14.5-18) for the total of 36 items. Divided by subsection, median scores for content, identification, and structure data were 10 (IQR 9.5-12.5), 1 (IQR 1-1), and 4 (IQR 4-5), respectively. Agreement between guideline recommendations and answers provided by ChatGPT was 60% (15/25). Interrater agreement as measured by the Fleiss κ was 0.78 (P<.001), indicating substantial agreement. Internal consistency of the answers provided by ChatGPT was 100%.

conclusionsChatGPT provides medical information of comparable quality to available static internet information. Although currently of limited quality, large language models could become the future standard for patients and health care professionals to gather medical information.

Indexed as

Artificial IntelligenceHealth PersonnelHumansInternetLanguageReproducibility of Resultsartificial intelligencebilebiliarychatbotchatbotsChatGPTconversational agentconversational agentsEQIP toolgallgallstonehepaticinternal medicineinternet informationlivermedical informationpancreaspancreaticpancreatitispatient information

Identifiers

PMID37389908
PMCPMC10365578

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.