Evidence map›Paper›PMID 39724239›Full record

ArticleEuropean 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 Surgery2025

Evaluating the quality and readability of ChatGPT-generated patient-facing medical information in rhinology.

Alexander Z Fazilat, Camille Brenac, Danae Kawamoto-Duran, Charlotte E Berry, Jennifer Alyono, Michael T Chang, David T Liu, Zara M Patel, Stéphane Tringali, Derrick C Wan and 1 more

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Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Article
  3. Comment on 'Evaluating the efficacy and readability of advanced large language models in responding to patients' frequently asked questions about chronic rhinosinusitis: a comparative analysis'.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
  4. Article
  5. Comment on 'comparative analysis of artificial intelligence platforms in generating post-operative instructions for endoscopic transnasal skull base surgery'.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
  6. Article
  7. Article
  8. Article
  9. Artificial Intelligence Models for Dysphonia Patient Education.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  10. Review
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

11 authors.

Alexander Z Fazilat *Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Camille Brenac *Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Danae Kawamoto-DuranHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Charlotte E BerryHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Jennifer AlyonoDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Michael T ChangDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
David T LiuDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Zara M PatelDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Stéphane TringaliUniversité de Lyon, Université Lyon 1, Lyon, F-69003, France.
Derrick C WanHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Maxime FieuxUniversité de Lyon, Université Lyon 1, Lyon, F-69003, France. maxime.fieux@chu-lyon.fr.ORCID http://orcid.org/0000-0001-8317-2286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe artificial intelligence (AI) chatbot ChatGPT has become a major tool for generating responses in healthcare. This study assessed ChatGPT's ability to generate French preoperative patient-facing medical information (PFI) in rhinology at a comparable level to material provided by an academic source, the French Society of Otorhinolaryngology (Société Française d'Otorhinolaryngologie et Chirurgie Cervico-Faciale, SFORL).

methodsChatGPT and SFORL French preoperative PFI in rhinology were compared by analyzing responses to 16 questions regarding common rhinology procedures: ethmoidectomy, sphenoidotomy, septoplasty, and endonasal dacryocystorhinostomy. Twenty rhinologists assessed the clarity, comprehensiveness, accuracy, and overall quality of the information, while 24 nonmedical individuals analyzed the clarity and overall quality. Six readability formulas were used to compare readability scores.

resultsAmong rhinologists, no significant difference was found between ChatGPT and SFORL regarding clarity (7.61 ± 0.36 vs. 7.53 ± 0.28; p = 0.485), comprehensiveness (7.32 ± 0.77 vs. 7.58 ± 0.50; p = 0.872), and accuracy (inaccuracies: 60% vs. 40%; p = 0.228), respectively. Non-medical individuals scored the clarity of ChatGPT significantly higher than that of the SFORL (8.16 ± 1.16 vs. 6.32 ± 1.33; p < 0.0001). The non-medical individuals chose ChatGPT as the most informative source significantly more often than rhinologists (62.8% vs. 39.7%, p < 0.001).

conclusionChatGPT-generated French preoperative PFI in rhinology was comparable to SFORL-provided PFI regarding clarity, comprehensiveness, accuracy, readability, and overall quality. This study highlights ChatGPT's potential to increase accessibility to high quality PFI and suggests its use by physicians as a complement to academic resources written by learned societies such as the SFORL.

Indexed as

Artificial IntelligenceComprehensionOtolaryngologyFranceGenerative Artificial IntelligenceHumansAccuracyArtificial intelligencePreoperative informationReadabilityRhinology

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.