Evidence map›Paper›PMID 41171592›Full record

ArticleClinical rheumatology2026

ChatGPT, Gemini, and Grok on familial mediterranean fever: are they trustworthy?

Selin Cilli Hayıroğlu, Tugce Bozkurt

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

2 authors.

Selin Cilli HayıroğluDepartment of Rheumatology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey. selincilli@hotmail.com.tr.ORCID http://orcid.org/0000-0002-9302-8437
Tugce BozkurtDepartment of Rheumatology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study assessed the accuracy, comprehensiveness, and consistency of three prominent large language model (LLM)-based chatbots-ChatGPT, Gemini, and Grok-in delivering medical information about Familial Mediterranean Fever (FMF), a rare autoinflammatory disorder.

methodsForty-nine frequently asked, patient-focused questions on FMF were categorized into four domains: basic knowledge, diagnosis, treatment, and recovery/risks/complications/follow-up. Each question was submitted individually to ChatGPT, Gemini, and Grok. Two clinical experts independently assessed the responses using a three-point scale: comprehensive/correct, incomplete/partially correct, and mixed/misleading. Response reproducibility was evaluated by repeating the queries 1 week later.

resultsGemini achieved the highest accuracy (87.7% comprehensive/correct responses), followed by Grok (83.6%) and ChatGPT (81.6%). ChatGPT demonstrated the greatest consistency (89.7% reproducibility) and provided no misleading content. Grok was the only model to produce misleading responses (4.0%), primarily in diagnosis-related answers. All chatbots performed best in the recovery/follow-up category; diagnostic performance was notably lower.

conclusionLLM-based chatbots demonstrated promising but varied performance in delivering FMF-related medical information. While overall accuracy was high, inconsistencies and occasional misinformation highlight the need for expert supervision, especially for complex clinical topics. These tools may enhance patient education, but should not replace professional guidance. Future research should assess multilingual capabilities and user comprehension to ensure safe and equitable integration into digital health environments. Key Points • This study is the first to systematically compare ChatGPT, Gemini, and Grok regarding their accuracy, consistency, and trustworthiness in providing information on Familial Mediterranean Fever (FMF). • Gemini demonstrated the highest accuracy, while ChatGPT showed the best reproducibility and produced no misleading information. • The findings highlight the potential and limitations of AI chatbots in patient education for rare autoinflammatory diseases, underscoring the need for expert oversight.

Indexed as

Familial Mediterranean FeverPatient Education as TopicGenerative Artificial IntelligenceHumansReproducibility of ResultsSurveys and QuestionnairesAI in healthcareFamilial mediterranean feverLarge language models

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.