Evidence map›Paper›PMID 39741798›Full record

ArticleNature and science of sleep2024

Patient Support in Obstructive Sleep Apnoea by a Large Language Model - ChatGPT 4o on Answering Frequently Asked Questions on First Line Positive Airway Pressure and Second Line Hypoglossal Nerve Stimulation Therapy: A Pilot Study.

Johannes Pordzik, Katharina Bahr-Hamm, Tilman Huppertz, Haralampos Gouveris, Christopher Seifen, Andrew Blaikie, Christoph Matthias, Sebastian Kuhn, Jonas Eckrich, Christoph R Buhr

Abstract read
In one paragraph

Article in Nature and science of sleep, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. A Scoping Review of Large Language Models in Personal Sleep Wellness.Mayo Clinic proceedings. Digital health · 2025
    Review
  3. Article
  4. 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.

Johannes PordzikDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Katharina Bahr-HammDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Tilman HuppertzDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Haralampos GouverisDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0001-7299-7346
Christopher SeifenDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-2356-7494
Andrew BlaikieSchool of Medicine, University of St Andrews, St Andrews, UK.ORCID 0000-0001-7913-6872
Christoph MatthiasDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Sebastian KuhnInstitute for Digital Medicine Philipps-University Marburg and University Hospital of Giessen and Marburg, Marburg, Germany.
Jonas EckrichDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Christoph R BuhrDepartment of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-9551-2310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Obstructive sleep apnoea (OSA) is a common disease that benefits from early treatment and patient support in order to prevent secondary illnesses. This study assesses the capability of the large language model (LLM) ChatGPT-4o to offer patient support regarding first line positive airway pressure (PAP) and second line hypoglossal nerve stimulation (HGNS) therapy. Methods: Seventeen questions, each regarding PAP and HGNS therapy, were posed to ChatGPT-4o. Answers were rated by experienced experts in sleep medicine on a 6-point Likert scale in the categories of medical adequacy, conciseness, coherence, and comprehensibility. Completeness of medical information and potential hazard for patients were rated using a binary system. Results: Overall, ChatGPT-4o achieved reasonably high ratings in all categories. In medical adequacy, it performed significantly better on PAP questions (mean 4.9) compared to those on HGNS (mean 4.6) (p < 0.05). Scores for coherence, comprehensibility and conciseness showed similar results for both HGNS and PAP answers. Raters confirmed completeness of responses in 45 of 51 ratings (88.24%) for PAP answers and 28 of 51 ratings (54.9%) for HGNS answers. Potential hazards for patients were stated in 2 of 52 ratings (0.04%) for PAP answers and none for HGNS answers. Conclusion: ChatGPT-4o has potential as a valuable patient-oriented support tool in sleep medicine therapy that can enhance subsequent face-to-face consultations with a sleep specialist. However, some substantial flaws regarding second line HGNS therapy are most likely due to recent advances in HGNS therapy and the consequent limited information available in LLM training data.

Indexed as

AIChatGPThypoglossal nerve stimulationOSAPAP

Identifiers

PMID39741798
PMCPMC11687119

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.