Evidence map›Paper›PMID 41180750›Full record

ArticleAnnals of medicine and surgery (2012)2025

ChatGPT in general surgery: a cross-sectional study assessing its response to patient questions.

Sebastian Lünse, Eric L Wisotzky, Johannes Höhn, Christoph Paasch, Frank Meyer, Richard Hunger, René Mantke

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. 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. Article
  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

7 authors.

Sebastian LünseDepartment of General Surgery, University Hospital Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg, Germany.ORCID https://orcid.org/0000-0002-7611-1802
Eric L WisotzkyVision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, Berlin and Department of Computer Science, Humboldt-University, Berlin, Germany.
Johannes HöhnDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, University Medicine Greifswald, Greifswald, Germany.
Christoph PaaschDepartment of General Surgery, University Hospital Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg, Germany.ORCID https://orcid.org/0000-0003-3104-8288
Frank MeyerDepartment of General, Abdominal, Vascular and Transplant Surgery, University Hospital, Magdeburg, Germany.
Richard HungerDepartment of General Surgery, University Hospital Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg, Germany.ORCID https://orcid.org/0000-0002-4991-9275
René MantkeDepartment of General Surgery, University Hospital Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg, Germany.ORCID https://orcid.org/0000-0001-5590-6019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The artificial intelligence-based large language model ChatGPT (OpenAI, San Francisco/CA, USA) has taken human-machine interaction to the next level since its launch in November 2022. As a program that mimics human conversations over a text-based communication interface, ChatGPT has the potential to be used in a variety of healthcare settings, including patient information. The present study aimed to assess the abilities of ChatGPT in responding to patient questions regarding general surgery. Methods: A questionnaire-based cross-sectional study, comprising a total of 30 commonly asked questions by patients about appendicitis, cholecystitis, and inguinal hernia repair, were submitted to ChatGPT (version 3.5) on April 23, 2024. The responses were assessed by experienced surgeons from three German university hospitals using a modified global quality scale (GQS), which comprises a 5-point scale ranging from 1 ("very poor") to 5 ("excellent"). Readability was assessed by using the Flesch Kincaid Reading Ease (FKRE) score and Simple Measure of Gobbledygook (SMOG). Results: The study included 15 participating surgeons. The mean GQS score for ChatGPT-generated responses to patient questions was 4.2 ± 0.88 (mean ± standard deviation), reflecting good quality. The mean FKRE score was 24.3 ± 7.35 and the mean SMOG score was 13.9 ± 1.22, indicating a difficult to very difficult reading level best suited for university graduates. The majority of participating surgeons ( Conclusion: The artificial intelligence-based large language model ChatGPT has enormous potential to become a useful tool for providing information to patients about general surgery. However, when carefully considering its limitations, such as low readability for general audience and nonevidence-based sources of information, there must be improvements before future implementation in surgery-related patient interactions.

Indexed as

artificial intelligenceChatGPTcross-sectional studyhealthcare documentationnatural language processingsurgical reports

Identifiers

PMID41180750
PMCPMC12577961

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.