Evidence map›Paper›PMID 41059182›Full record

ArticleFrontiers in public health2025

Comparative performance of large language models for patient-initiated ophthalmology consultations.

Mingxue Huang, Xiaoyan Wang, Shiqi Zhou, Xinyu Cui, Zilin Zhang, Yanwu Xu, Weihua Yang, Wei Chi

Abstract readComparative Study
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

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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

8 authors.

Mingxue Huang *School of Nursing, Southwest Medical University, Luzhou, China.
Xiaoyan Wang *School of Nursing, Southwest Medical University, Luzhou, China.
Shiqi ZhouSchool of Future Technology, South China University of Technology, Guangzhou, China.
Xinyu CuiSchool of Future Technology, South China University of Technology, Guangzhou, China.
Zilin ZhangSchool of Future Technology, South China University of Technology, Guangzhou, China.
Yanwu XuSchool of Future Technology, South China University of Technology, Guangzhou, China.
Weihua YangShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, China.
Wei ChiShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Large language models (LLMs) are increasingly accessed by lay users for medical advice. This study aims to conduct a comprehensive evaluation of the responses generated by five large language models. Methods: We identified 31 ophthalmology-related questions most frequently raised by patients during routine consultations and subsequently elicited responses from five large language models: ChatGPT-4o, DeepSeek-V3, Doubao, Wenxin Yiyan 4.0 Turbo, and Qwen. A five-point likert scale was employed to assess each model across five domains: accuracy, logical consistency, coherence, safety, and content accessibility. Additionally, textual characteristics, including character, word, and sentence counts, were quantitatively analyzed. Results: ChatGPT-4o and DeepSeek-V3 achieved the highest overall performance, with statistically superior accuracy and logical consistency ( Conclusion: ChatGPT-4o and DeepSeek-V3 demonstrated the highest overall performance and are best suited for laypersons seeking ophthalmic information. Doubao and Qwen, with their richer clinical terminology, better serve users with medical training, whereas Wenxin Yiyan 4.0 Turbo most effectively supports patients' pre-procedural understanding of diagnostic procedures. Prospective randomized controlled trials are required to determine whether integrating the top-performing model into pre-consultation triage improves patient comprehension.

Indexed as

LanguageOphthalmologyReferral and ConsultationHumansLarge Language Modelsconsultationhealthcarelarge language modelophthalmologypatient education

Identifiers

PMID41059182
PMCPMC12497754

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.