Evidence map›Paper›PMID 38816231›Full record

ArticleJournal for immunotherapy of cancer2024

Use of artificial intelligence chatbots in clinical management of immune-related adverse events.

Hannah Burnette, Aliyah Pabani, Mitchell S von Itzstein, Benjamin Switzer, Run Fan, Fei Ye, Igor Puzanov, Jarushka Naidoo, Paolo A Ascierto, David E Gerber and 2 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  7. From supportive care to strategic intervention: toward a multidisciplinary approach to cutaneous adverse events in cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

12 authors.

Hannah BurnetteDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID http://orcid.org/0009-0009-7784-634X
Aliyah PabaniDepartment of Oncology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID http://orcid.org/0009-0006-7605-8497
Mitchell S von ItzsteinHarold C Simmons Comprehensive Cancer Center, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Benjamin SwitzerDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.ORCID http://orcid.org/0000-0001-8150-1963
Run FanDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Fei YeDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Igor PuzanovDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.ORCID http://orcid.org/0000-0002-9803-3497
Jarushka NaidooRCSI Cancer Centre, Beaumont Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0002-3470-8686
Paolo A AsciertoDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Campania, Italy.ORCID http://orcid.org/0000-0002-8322-475X
David E GerberHarold C Simmons Comprehensive Cancer Center, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID http://orcid.org/0000-0002-7812-6741
Marc S ErnstoffImmunoOncology Branch (IOB), Developmental Therapeutics Program, Cancer Therapy and Diagnosis Division, National Cancer Institute (NCI), National Institutes of Health, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-8132-7069
Douglas B JohnsonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA douglas.b.johnson@vumc.org.

Funding

(PQ8) Patient- and tumor-specific biomarkers and mechanisms that predict irAEs resulting from checkpoint inhibitionR01CA227481 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALKO, JUSTIN M, JOHNSON, DOUGLAS B · 2019 to 2023
$2.6M
NCI NIH HHS R01 CA227481
6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) chatbots have become a major source of general and medical information, though their accuracy and completeness are still being assessed. Their utility to answer questions surrounding immune-related adverse events (irAEs), common and potentially dangerous toxicities from cancer immunotherapy, are not well defined.

methodsWe developed 50 distinct questions with answers in available guidelines surrounding 10 irAE categories and queried two AI chatbots (ChatGPT and Bard), along with an additional 20 patient-specific scenarios. Experts in irAE management scored answers for accuracy and completion using a Likert scale ranging from 1 (least accurate/complete) to 4 (most accurate/complete). Answers across categories and across engines were compared.

resultsOverall, both engines scored highly for accuracy (mean scores for ChatGPT and Bard were 3.87 vs 3.5, p<0.01) and completeness (3.83 vs 3.46, p<0.01). Scores of 1-2 (completely or mostly inaccurate or incomplete) were particularly rare for ChatGPT (6/800 answer-ratings, 0.75%). Of the 50 questions, all eight physician raters gave ChatGPT a rating of 4 (fully accurate or complete) for 22 questions (for accuracy) and 16 questions (for completeness). In the 20 patient scenarios, the average accuracy score was 3.725 (median 4) and the average completeness was 3.61 (median 4).

conclusionsAI chatbots provided largely accurate and complete information regarding irAEs, and wildly inaccurate information ("hallucinations") was uncommon. However, until accuracy and completeness increases further, appropriate guidelines remain the gold standard to follow.

Indexed as

Artificial IntelligenceDrug-Related Side Effects and Adverse ReactionsHumansImmunotherapyNeoplasmsColitisImmune Checkpoint InhibitorImmune related adverse event - irAEPneumonitisThyroiditis

Identifiers

PMID38816231
PMCPMC11141185

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.