Evidence map›Paper›PMID 40505086›Full record

ArticleJMIR perioperative medicine2025

Evaluating Large Language Models for Preoperative Patient Education in Superior Capsular Reconstruction: Comparative Study of Claude, GPT, and Gemini.

Yukang Liu, Hua Li, Jianfeng Ouyang, Zhaowen Xue, Min Wang, Hebei He, Bin Song, Xiaofei Zheng, Wenyi Gan

Abstract readComparative Study
In one paragraph

Article in JMIR perioperative medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Capacity of Understanding the Future Approaches in Cancer Treatment by Multiple Models of Artificial Intelligence.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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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

9 authors.

Yukang Liu *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.ORCID 0009-0000-8577-8492
Hua Li *Department of Orthopedics, Beijing Jishuitan Hospital, Beijing, China.ORCID 0009-0006-0966-2977
Jianfeng Ouyang *Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University), 79 Kangning Road, Xiangzhou District, Zhuhai, Guangdong, 519000, China, 86 13076855735.ORCID 0000-0003-2708-8500
Zhaowen XueDepartment of Sports Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.ORCID 0009-0001-5807-9810
Min WangDepartment of Orthopaedics, Guangzhou Red Cross Hospital of Jinan University, Guangzhou, China.ORCID 0009-0001-3413-8441
Hebei HeDepartment of Sports Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.ORCID 0009-0005-3336-7671
Bin SongDepartment of Joint Surgery and Sports Medicine, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-4892-470X
Xiaofei ZhengDepartment of Sports Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.ORCID 0000-0001-7502-6131
Wenyi Gan *Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University), 79 Kangning Road, Xiangzhou District, Zhuhai, Guangdong, 519000, China, 86 13076855735.ORCID 0000-0003-1886-8062

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Large language models (LLMs) are revolutionizing natural language processing, increasingly applied in clinical settings to enhance preoperative patient education. Objective: This study aimed to evaluate the effectiveness and applicability of various LLMs in preoperative patient education by analyzing their responses to superior capsular reconstruction (SCR)-related inquiries. Methods: In total, 10 sports medicine clinical experts formulated 11 SCR issues and developed preoperative patient education strategies during a webinar, inputting 12 text commands into Claude-3-Opus (Anthropic), GPT-4-Turbo (OpenAI), and Gemini-1.5-Pro (Google DeepMind). A total of 3 experts assessed the language models' responses for correctness, completeness, logic, potential harm, and overall satisfaction, while preoperative education documents were evaluated using DISCERN questionnaire and Patient Education Materials Assessment Tool instruments, and reviewed by 5 postoperative patients for readability and educational value; readability of all responses was also analyzed using the cntext package and py-readability-metrics. Results: Between July 1 and August 17, 2024, sports medicine experts and patients evaluated 33 responses and 3 preoperative patient education documents generated by 3 language models regarding SCR surgery. For the 11 query responses, clinicians rated Gemini significantly higher than Claude in all categories (P<.05) and higher than GPT in completeness, risk avoidance, and overall rating (P<.05). For the 3 educational documents, Gemini's Patient Education Materials Assessment Tool score significantly exceeded Claude's (P=.03), and patients rated Gemini's materials superior in all aspects, with significant differences in educational quality versus Claude (P=.02) and overall satisfaction versus both Claude (P<.01) and GPT (P=.01). GPT had significantly higher readability than Claude on 3 R-based metrics (P<.01). Interrater agreement was high among clinicians and fair among patients. Conclusions: Claude-3-Opus, GPT-4-Turbo, and Gemini-1.5-Pro effectively generated readable presurgical education materials but lacked citations and failed to discuss alternative treatments or the risks of forgoing SCR surgery, highlighting the need for expert oversight when using these LLMs in patient education.

Indexed as

Natural Language ProcessingPatient Education as TopicPlastic Surgery ProceduresPreoperative CareAdultFemaleHumansLarge Language ModelsMaleMiddle AgedSurveys and Questionnairesinformed consent processlarge language modelsmassive rotator cuff tearpreoperative patient educationsuperior capsular reconstruction

Identifiers

PMID40505086
PMCPMC12178570

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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.