Evidence map›Paper›PMID 38854312›Full record

ArticleCureus2024

Accuracy and Repeatability of ChatGPT Based on a Set of Multiple-Choice Questions on Objective Tests of Hearing.

Krzysztof Kochanek, Henryk Skarzynski, Wiktor W Jedrzejczak

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Review
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  7. Diagnostic interpretation of pure tone audiograms by multimodal LLMs: A comparative study of ChatGPT-5.0 and Gemini 2.5.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
  8. Article
  9. Review
  10. Reference Accuracy in Large Language Model Chatbots: A Metric for Inherent Misinformation?Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  11. Article
  12. Review
  13. Advances in laboratory medicine · 2025
    Article
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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

3 authors.

Krzysztof KochanekDepartment of Experimental Audiology, Institute of Physiology and Pathology of Hearing, Warsaw, POL.
Henryk SkarzynskiOtorhinolaryngosurgery Clinic, Institute of Physiology and Pathology of Hearing, Warsaw, POL.
Wiktor W JedrzejczakDepartment of Experimental Audiology, Institute of Physiology and Pathology of Hearing, Warsaw, POL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChatGPT has been tested in many disciplines, but only a few have involved hearing diagnosis and none to physiology or audiology more generally. The consistency of the chatbot's responses to the same question posed multiple times has not been well investigated either. This study aimed to assess the accuracy and repeatability of ChatGPT 3.5 and 4 on test questions concerning objective measures of hearing. Of particular interest was the short-term repeatability of responses which was here tested on four separate days extended over one week.

methodsWe used 30 single-answer, multiple-choice exam questions from a one-year course on objective methods of testing hearing. The questions were posed five times to both ChatGPT 3.5 (the free version) and ChatGPT 4 (the paid version) on each of four days (two days one week and two days the following week). The accuracy of the responses was evaluated in terms of a response key. To evaluate the repeatability of the responses over time, percent agreement and Cohen's Kappa were calculated.  Results: The overall accuracy of ChatGPT 3.5 was 48-49%, while that of ChatGPT 4 was 65-69%. ChatGPT 3.5 consistently failed to pass the threshold of 50% correct responses. Within a single day, the percent agreement was 76-79% for ChatGPT 3.5 and 87-88% for ChatGPT 4 (Cohen's Kappa 0.67-0.71 and 0.81-0.84 respectively). The percent agreement between responses from different days was 75-79% for ChatGPT 3.5 and 85-88% for ChatGPT 4 (Cohen's Kappa 0.65-0.69 and 0.80-0.85 respectively).

conclusionChatGPT 4 outperforms ChatGPT 3.5 both in accuracy and higher repeatability over time. However, the great variability of the responses casts doubt on possible professional applications of both versions.

Indexed as

audiologychatgptclinical electrophysiologyconsistencyhearing assessmentlarge language modelrepeatability

Identifiers

PMID38854312
PMCPMC11157293

What OpenQuestion holds

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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.