Evidence map›Paper›PMID 39870788›Full record

ArticleScientific reports2025

Evaluating AI performance in nephrology triage and subspecialty referrals.

Priscilla Koirala, Charat Thongprayoon, Jing Miao, Oscar A Garcia Valencia, Mohammad S Sheikh, Supawadee Suppadungsuk, Michael A Mao, Justin H Pham, Iasmina M Craici, Wisit Cheungpasitporn

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Between the algorithm and clinical reasoning.Jornal brasileiro de nefrologia
    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.

Priscilla KoiralaInternal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Charat ThongprayoonDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Jing MiaoDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Oscar A Garcia ValenciaDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Mohammad S SheikhDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Supawadee SuppadungsukDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Michael A MaoDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Jacksonville, FL, 32224, USA.
Justin H PhamInternal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Iasmina M CraiciDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Wisit CheungpasitpornDivision of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. wcheungpasitporn@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) has shown promise in revolutionizing medical triage, particularly in the context of the rising prevalence of kidney-related conditions with the aging global population. This study evaluates the utility of ChatGPT, a large language model, in triaging nephrology cases through simulated real-world scenarios. Two nephrologists created 100 patient cases that encompassed various aspects of nephrology. ChatGPT's performance in determining the appropriateness of nephrology consultations and identifying suitable nephrology subspecialties was assessed. The results demonstrated high accuracy; ChatGPT correctly determined the need for nephrology in 99-100% of cases, and it accurately identified the most suitable nephrology subspecialty triage in 96-99% of cases across two evaluation rounds. The agreement between the two rounds was 97%. While ChatGPT showed promise in improving medical triage efficiency and accuracy, the study also identified areas for refinement. This included the need for better integration of multidisciplinary care for patients with complex, intersecting medical conditions. This study's findings highlight the potential of AI in enhancing decision-making processes in clinical workflow, and it can inform the development of AI-assisted triage systems tailored to institution-specific practices including multidisciplinary approaches.

Indexed as

Artificial IntelligenceNephrologyReferral and ConsultationTriageFemaleHumansMaleArtificial IntelligenceChatGPTIdentify subspecialtyMedical triageNephrology triage

Identifiers

PMID39870788
PMCPMC11772766

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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.