Evidence map›Paper›PMID 39341951›Full record

ArticleEndocrine2024

Artificial intelligence in reproductive endocrinology: an in-depth longitudinal analysis of ChatGPTv4's month-by-month interpretation and adherence to clinical guidelines for diminished ovarian reserve.

Tugba Gurbuz, Oya Gokmen, Belgin Devranoglu, Arzu Yurci, Asena Ayar Madenli

Abstract read
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In one paragraph

Article in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Tugba GurbuzDepartment of Gynecology and Obstetrics Clinic, Vocational School of Health Services, Operating Room Services (Turkish-English) Medical Imaging Techniques (Turkish-English), Medistate Hospital, Istanbul Nişantaşı University, Istanbul, Turkey. tugba.gurbuz@nisantasi.edu.tr.ORCID 0000-0003-3555-3767
Oya GokmenDepartment of Gynecology, Obstetrics and In Vitro Fertilization Clinic, Medistate Hospital, Istanbul, Turkey.ORCID 0009-0004-6185-4381
Belgin DevranogluDepartment of Obstetrics and Gynecology, Zeynep Kamil Maternity/Children, Education and Training Hospital, Istanbul, Turkey.ORCID 0000-0001-6911-2359
Arzu YurciIVF Department, Department of Gynecology and Obstetrics, Memorial Bahçelievler Hospital, Istanbul Arel University, Istanbul, Turkey.ORCID 0000-0003-4808-9019
Asena Ayar MadenliDepartment of Obstetrics and Gynecology, Liv Hospital Vadistanbul, Istanbul, Turkey.ORCID 0000-0003-0129-8710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantitatively assess the performance of ChatGPTv4, an Artificial Intelligence Language Model, in adhering to clinical guidelines for Diminished Ovarian Reserve (DOR) over two months, evaluating the model's consistency in providing guideline-based responses.

designA longitudinal study design was employed to evaluate ChatGPTv4's response accuracy and completeness using a structured questionnaire at baseline and at a two-month follow-up.

settingChatGPTv4 was tasked with interpreting DOR questionnaires based on standardized clinical guidelines.

participantsThe study did not involve human participants; the questionnaire was exclusively administered to the ChatGPT model to generate responses about DOR.

methodsA guideline-based questionnaire with 176 open-ended, 166 multiple-choice, and 153 true/false questions were deployed to rigorously assess ChatGPTv4's ability to provide accurate medical advice aligned with current DOR clinical guidelines. AI-generated responses were rated on a 6-point Likert scale for accuracy and a 3-point scale for completeness. The two-phase design assessed the stability and consistency of AI-generated answers over two months.

resultsChatGPTv4 achieved near-perfect scores across all question types, with true/false questions consistently answered with 100% accuracy. In multiple-choice queries, accuracy improved from 98.2 to 100% at the two-month follow-up. Open-ended question responses exhibited significant positive enhancements, with accuracy scores increasing from an average of 5.38 ± 0.71 to 5.74 ± 0.51 (max: 6.0) and completeness scores from 2.57 ± 0.52 to 2.85 ± 0.36 (max: 3.0). It underscored the improvements as significant (p < 0.001), with positive correlations between initial and follow-up accuracy (r = 0.597) and completeness (r = 0.381) scores. LIMITATIONS: The study was limited by the reliance on a controlled, albeit simulated, setting that may not perfectly mirror real-world clinical interactions.

conclusionChatGPTv4 demonstrated exceptional and improving accuracy and completeness in handling DOR-related guideline queries over the studied period. These findings highlight ChatGPTv4's potential as a reliable, adaptable AI tool in reproductive endocrinology, capable of augmenting clinical decision-making and guideline development.

Indexed as

Artificial IntelligenceEndocrinologyOvarian ReserveAdultFemaleGuideline AdherenceHumansLongitudinal StudiesPractice Guidelines as TopicSurveys and QuestionnairesArtificial IntelligenceChatGPTv4Diminished ovarian reserveReproductive endocrinology

Identifiers

What OpenQuestion holds

Textmetadata
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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.