Evidence map›Paper›PMID 40959025›Full record

ArticleJSES international2025

Evaluating the perspectives of ChatGPT and Gemini on glenohumeral osteoarthritis management.

Michael Megafu, Omar Guerrero, Rafay Hasan, Larry Hunt, Devri Langhelm, Benning Le, Xinning Li, Robert Kelly, Robert L Parisien, Antonio Cusano

Abstract read
In one paragraph

Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Michael MegafuDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Omar GuerreroA.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Rafay HasanA.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Larry HuntA.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Devri LanghelmA.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Benning LeA.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Xinning LiDepartment of Orthopedic Surgery, Boston University School of Medicine, Boston, MA, USA.
Robert KellyDepartment of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Robert L ParisienDepartment of Orthopedic Surgery, Mount Sinai, New York, NY, USA.
Antonio CusanoDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Integrating machine learning and artificial intelligence (AI) technologies has revolutionized various sectors, including health care. However, their application in orthopedic health-care settings still needs to be improved. This study sought to evaluate Chat Generative Pre-Trained Transformer (ChatGPT) and Gemini's capacity to make quality medical recommendations regarding glenohumeral osteoarthritis, weighing them against the recommendations established in the Evidence-Based Clinical Practice Guidelines (CPGs) of the American Academy of Orthopaedic Surgeons (AAOS). Methods: The 2020 AAOS CPGs, a widely recognized and respected source, were the basis for determining recommended and nonrecommended treatments in this study. ChatGPT and Gemini were queried on 20 treatments based on these guidelines; 10 were recommended for managing glenohumeral joint osteoarthritis, five were not recommended for managing glenohumeral joint osteoarthritis, and five were reported as consensus statements. These responses were categorized as "Concordance" or "No Concordance" with the AAOS CPGs. A Cohen's Kappa coefficient was calculated to assess the interrater reliability. Results: Among the 20 treatments examined, ChatGPT and Gemini showed concordance with the AAOS CPGs for 10 (100%) and 5 (50%) treatments, respectively. On the other hand, for treatments that AAOS CPGs did not recommend, ChatGPT had concordance for four out of the five treatments (80%), while Gemini had 100% concordance. The Cohen's Kappa coefficient to assess interrater reliability was found to be 0.90, indicating a very high level of agreement between the two raters in categorizing responses as "Concordance" or "No Concordance" with the AAOS CPGs. Conclusion: The study findings reveal that ChatGPT and Gemini cannot solely recommend CPGs as outlined in AAOS CPGs. As patients increasingly utilize external resources such as AI platforms and the Internet for medical recommendations, providers should advise patients to exercise caution when seeking medical advice from these AI platforms for managing glenohumeral joint osteoarthritis.

Indexed as

AAOS CPGAIArtificial intelligenceChatGPTGeminiGlenohumeral arthritis

Identifiers

PMID40959025
PMCPMC12435021

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.