Evidence map›Paper›PMID 41169730›Full record

ArticleFrontiers in digital health2025

Artificial intelligence in patient education: evaluating large language models for understanding rheumatology literature.

Claudia Mendoza-Pinto, Pamela Munguía-Realpozo, Ivet Etchegaray-Morales, Edith Ramírez-Lara, Juan Carlos Solis-Poblano, Máximo Alejandro García-Flores, Jorge Ayón-Aguilar

Abstract read
In one paragraph

Article in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Claudia Mendoza-Pinto *Unidad de Enfermedades Reumáticas y Autoinmunes Sistémicas, Unidad Médica de Alta Especialidad- Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, México.
Pamela Munguía-Realpozo *Unidad de Enfermedades Reumáticas y Autoinmunes Sistémicas, Unidad Médica de Alta Especialidad- Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, México.
Ivet Etchegaray-MoralesDepartamento de Reumatología, Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, México.
Edith Ramírez-LaraSystemic Autoimmune Rheumatic Diseases Research Unit, Specialties Hospital Unidad Médica de Alta Especialidad, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Juan Carlos Solis-PoblanoDepartment of Hematology, Specialties Hospital UMAE, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Máximo Alejandro García-FloresCoordination of Health Research, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Jorge Ayón-AguilarCoordination of Health Research, Instituto Mexicano del Seguro Social, Puebla, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inadequate health literacy hinders positive health outcomes, yet medical literature often exceeds the general population's comprehension level. While health authorities recommend patient materials be at a sixth-grade reading level, scientific articles typically require college-level proficiency. Large language models (LLMs) like ChatGPT show potential for simplifying complex text, possibly bridging this gap. Objective: This study evaluated the effectiveness of ChatGPT 4.0 in enhancing the readability of peer-reviewed rheumatology articles for layperson comprehension. Methods: Twelve open-access rheumatology articles authored by the senior investigators were included. Baseline readability was evaluated utilizing Flesch-Kincaid Grade Level (FKGL) and Simple Measure of Gobbledygook (SMOG) indices. Each article was processed by ChatGPT 4.0 with a prompt requesting simplification to a sixth-grade level. Two expert rheumatologists evaluated the generated summaries' appropriateness (accuracy, absence of errors/omissions). Readability changes were analyzed using paired Results: ChatGPT significantly improved readability ( Conclusions: ChatGPT effectively lowered the reading complexity of specialized rheumatology literature, making it more accessible than the original publications. However, the achieved 10th-grade reading level still exceeds the recommended sixth-grade level for patient education materials. While LLMs are a promising tool, their output may require further refinement or expert review to meet optimal health literacy standards and ensure equitable patient understanding in rheumatology.

Indexed as

artificial intelligenceChatGPThealth literacylarge language modelspatient educationpeer-reviewed literaturereadabilityrheumatology

Identifiers

PMID41169730
PMCPMC12568685

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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.