Evidence map›Paper›PMID 40186826›Full record

ArticleSpine deformity2025

Patient education strategies in pediatric orthopaedics: using ChatGPT to answer frequently asked questions on scoliosis.

Brigitte Lieu, Ethan Crawford, Logan Laubach, Teja Yeramosu, Chester Sharps, Joanna Horstmann, Victoria Kuester

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Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Scoping review: artificial intelligence in patient education for scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  2. An expert-led benchmark using common patient questions: evaluating large language models for adolescent idiopathic scoliosis education.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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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

7 authors.

Brigitte LieuVCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA, 23298, USA. lieuba@vcu.edu.ORCID http://orcid.org/0009-0001-4573-6914
Ethan CrawfordVCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA, 23298, USA.
Logan LaubachUCSF Fresno Department of Orthopaedic Surgery, 155 N. Fresno St., Fresno, CA, 93701 - 2302, USA.
Teja YeramosuRothman Orthopaedic Institute at Adventhealth Orlando, 601 E Rollins St., Orlando, FL, 32803, USA.
Chester SharpsVCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA, 23298, USA.
Joanna HorstmannVCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA, 23298, USA.
Victoria KuesterVCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA, 23298, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients increasingly rely on online resources to better understand their health conditions. ChatGPT could satisfy the demand for reliable and accessible online health education resources, yet few studies have applied this to pediatric orthopaedic counseling. This study quantifies the accuracy and comprehensibility of ChatGPT responses to frequently asked questions (FAQs) regarding scoliosis.

methodsTwelve FAQs regarding scoliosis were compiled following a literature review, and ChatGPT Version 3.5 was utilized to answer them. The responses were analyzed for accuracy and clarity using the Mika et al. scoring system and modified DISCERN score in collaboration with two fellowship-trained pediatric orthopaedic surgeons. Readability was assessed using several published educational-level indices.

resultsThe ChatGPT responses received a Mika et al. average of 2.4 (satisfactory requiring minimal to moderate clarification) and an averaged mean DISCERN score of 45.9. The estimated reading level necessary for comprehension ranged from 11

conclusionsWhen prompted with 12 scoliosis FAQs, ChatGPT produces responses of satisfactory accuracy but require further clarification and are written at an inappropriately high reading level for the scoliosis patient population. Future research should explore strategies to verify the reliability of AI services for counseling on other pediatric orthopaedic conditions.

Indexed as

OrthopedicsPatient Education as TopicScoliosisChildComprehensionGenerative Artificial IntelligenceHealth LiteracyHumansInternetPediatricsReproducibility of ResultsSurveys and QuestionnairesArtificial intelligenceChatGPTPatient informationPediatric orthopaedicsScoliosis

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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.