Evidence map›Paper›PMID 38345613›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2024

Exploring the role of ChatGPT in clinical decision-making in otorhinolaryngology: a ChatGPT designed study.

Francisco Teixeira-Marques, Nuno Medeiros, Francisco Nazaré, Sandra Alves, Nuno Lima, Leandro Ribeiro, Rita Gama, Pedro Oliveira

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Article
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  4. Benchmarking next-generation large language models in otorhinolaryngology: a prospective, guideline-anchored, blinded evaluation of ChatGPT-5, Gemini-3, Grok-2, Llama-4, and DeepSeek-4 across case scenarios.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Article
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  7. The Impact of Access to Clinical Guidelines on LLM-Based Treatment Recommendations for Chronic Hepatitis B.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  8. Review
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  10. ChatGPT versus DeepSeek in head and neck cancer staging and treatment planning: guideline-based study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  11. Article
  12. Article
  13. AI in clinical decision-making: ChatGPT-4 vs. Llama2 for otolaryngology cases.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  14. Review
  15. ChatGPT's adherence to otolaryngology clinical practice guidelines.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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  16. Article
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

8 authors.

Francisco Teixeira-MarquesDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal. marquesjfrancisco@gmail.com.ORCID http://orcid.org/0000-0002-3621-2203
Nuno MedeirosDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Francisco NazaréDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Sandra AlvesDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Nuno LimaDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Leandro RibeiroDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Rita GamaDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.
Pedro OliveiraDepartment of Otorhinolaryngology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia (Porto), Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince the beginning of 2023, ChatGPT emerged as a hot topic in healthcare research. The potential to be a valuable tool in clinical practice is compelling, particularly in improving clinical decision support by helping physicians to make clinical decisions based on the best medical knowledge available. We aim to investigate ChatGPT's ability to identify, diagnose and manage patients with otorhinolaryngology-related symptoms.

methodsA prospective, cross-sectional study was designed based on an idea suggested by ChatGPT to assess the level of agreement between ChatGPT and five otorhinolaryngologists (ENTs) in 20 reality-inspired clinical cases. The clinical cases were presented to the chatbot on two different occasions (ChatGPT-1 and ChatGPT-2) to assess its temporal stability.

resultsThe mean score of ChatGPT-1 was 4.4 (SD 1.2; min 1, max 5) and of ChatGPT-2 was 4.15 (SD 1.3; min 1, max 5), while the ENTs mean score was 4.91 (SD 0.3; min 3, max 5). The Mann-Whitney U test revealed a statistically significant difference (p < 0.001) between both ChatGPT's and the ENTs's score. ChatGPT-1 and ChatGPT-2 gave different answers in five occasions.

conclusionsArtificial intelligence will be an important instrument in clinical decision-making in the near future and ChatGPT is the most promising chatbot so far. Despite needing further development to be used with safety, there is room for improvement and potential to aid otorhinolaryngology residents and specialists in making the most correct decision for the patient.

Indexed as

OtolaryngologySurgeonsArtificial IntelligenceClinical Decision-MakingCross-Sectional StudiesHumansProspective StudiesAI (artificial intelligence)Chat-GPTClinical decision supportOtorhinolaryngology

Identifiers

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Registered trials

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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.