Evidence map›Paper›PMID 39202267›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Accuracy Evaluation of GPT-Assisted Differential Diagnosis in Emergency Department.

Fatemeh Shah-Mohammadi, Joseph Finkelstein

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: Challenges, opportunities, and future directions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Review
  7. Article
  8. 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

2 authors.

Fatemeh Shah-MohammadiDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT 84112, USA.
Joseph FinkelsteinDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT 84112, USA.ORCID 0000-0002-8084-7441

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Comprehensive Health Informatics Engagement Framework for Pulmonary RehabR33HL143317 · NHLBI · UNIVERSITY OF UTAH · PI FINKELSTEIN, JOSEPH E, STEIN, JOEL · 2020 to 2022
$2.4M
Mentalizing deficits in cocaine addiction, associations with immune dysregulation and childhood maltreatmentK23DA045928 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BACHI, KEREN · 2018 to 2022
$649k
NCATS NIH HHS UM1 TR004409NHLBI NIH HHS R33 HL143317NIDA NIH HHS K23 DA045928NIH HHS 1R33HL143317-22A1
6 · The paper itself

Abstract

In emergency department (ED) settings, rapid and precise diagnostic evaluations are critical to ensure better patient outcomes and efficient healthcare delivery. This study assesses the accuracy of differential diagnosis lists generated by the third-generation ChatGPT (ChatGPT-3.5) and the fourth-generation ChatGPT (ChatGPT-4) based on electronic health record notes recorded within the first 24 h of ED admission. These models process unstructured text to formulate a ranked list of potential diagnoses. The accuracy of these models was benchmarked against actual discharge diagnoses to evaluate their utility as diagnostic aids. Results indicated that both GPT-3.5 and GPT-4 reasonably accurately predicted diagnoses at the body system level, with GPT-4 slightly outperforming its predecessor. However, their performance at the more granular category level was inconsistent, often showing decreased precision. Notably, GPT-4 demonstrated improved accuracy in several critical categories that underscores its advanced capabilities in managing complex clinical scenarios.

Indexed as

differential diagnosisemergency departmentGPTpatient outcomes

Identifiers

PMID39202267
PMCPMC11354035

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.