Evidence map›Paper›PMID 39322837›Full record

ArticleAesthetic plastic surgery2025

Advancement of Generative Pre-trained Transformer Chatbots in Answering Clinical Questions in the Practical Rhinoplasty Guideline.

Makoto Shiraishi, Saori Tsuruda, Yoko Tomioka, Jinwoo Chang, Asei Hori, Saaya Ishii, Rei Fujinaka, Taku Ando, Jun Ohba, Mutsumi Okazaki

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Makoto Shiraishi *Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. shiraishi-kyf@umin.ac.jp.ORCID 0000-0002-3734-2085
Saori TsurudaDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Yoko TomiokaDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.ORCID 0000-0003-2119-6404
Jinwoo ChangDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Asei HoriDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Saaya IshiiDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Rei FujinakaDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Taku AndoDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Jun OhbaDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Mutsumi OkazakiDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Generative Pre-trained Transformer (GPT) series, which includes ChatGPT, is an artificial large language model that provides human-like text dialogue. This study aimed to evaluate the performance of artificial intelligence chatbots in answering clinical questions based on practical rhinoplasty guidelines.

methodsClinical questions (CQs) developed from the guidelines were used as question sources. For each question, we asked GPT-4 and GPT-3.5 (ChatGPT), developed by OpenAI, to provide answers for the CQs, Policy Level, Aggregate Evidence Quality, Level of Confidence in Evidence, and References. We compared the performance of the two types of artificial intelligence (AI) chatbots.

resultsA total of 10 questions were included in the final analysis, and the AI chatbots correctly answered 90.0% of these. GPT-4 demonstrated a lower accuracy rate than GPT-3.5 in answering CQs, although without statistically significant difference (86.0% vs. 94.0%; p = 0.05), whereas GPT-4 showed significantly higher accuracy for the level of confidence in Evidence than GPT-3.5 (52.0% vs. 28.0%; p < 0.01). No statistical differences were observed in Policy Level, Aggregate Evidence Quality, and Reference Match. In addition, GPT-4 rated significantly higher in presenting existing references than GPT-3.5 (36.9% vs. 24.1%; p = 0.01).

conclusionsThe overall performance of GPT-4 was similar to that of GPT-3.5. However, GPT-4 provided existing references at a higher rate than GPT-3.5. GPT-4 has the potential to provide a more accurate reference in professional fields, including rhinoplasty. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Artificial IntelligencePractice Guidelines as TopicRhinoplastyFemaleGenerative Artificial IntelligenceHumansMaleArtificial intelligenceChatGPTOpen AIRhinoplasty

Identifiers

What OpenQuestion holds

Textmetadata
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.