ArticlePlastic and reconstructive surgery. Global open2025
Novel Breast Reconstruction Generative Pretrained Transformer Promotes Decisional Confidence and Clinical Efficiency.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Patients undergoing breast reconstruction face many decisions. A generative pretrained transformer (GPT) tool was custom built to assist patients at their initial reconstructive consultation. Twenty patients undergoing immediate breast reconstruction were enrolled, and 10 were randomized to interact with this GPT for 10 minutes at most before seeing the surgeon who was blinded. Patients then completed the 4-item abbreviated Decisional Conflict Scale SURE survey, the 12-item preoperative Consumer Assessment of Healthcare Providers and Systems survey, and a 3-item GPT-specific survey. Patients spent an average of 6.79 minutes asking an average of 6.5 questions, which were most commonly about recovery (34%), autologous reconstruction (23%), and complications (17%). With a 100% response rate (20 of 20), patients in the GPT cohort experienced less decisional conflict (Decisional Conflict Scale SURE-GPT: 3.9 versus control: 3.1,
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