Evidence map›Paper›PMID 42241388›Full record

ArticlePloS one2026

Readability, quality, and reliability of AI-generated ınformation on myofascial pain syndrome: A comparative analysis of ChatGPT, Gemini, and Perplexity.

Yüksel Erkin, Erkan Ozduran, İlhan Celil Özbek, Volkan Hancı

Abstract readComparative Study
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

4 authors.

Yüksel ErkinDokuz Eylul University, Anesthesiology and Reanimation, Pain Medicine, Izmir, Turkey.
Erkan OzduranSivas Numune Hospital, Physical Medicine and Rehabilitation, Pain Medicine, Sivas, Turkey.ORCID https://orcid.org/0000-0003-3425-313X
İlhan Celil ÖzbekHealth Science University, Derince Training and Research Hospital, Physical Medicine and Rehabilitation, Kocaeli, Turkey.ORCID https://orcid.org/0000-0003-0508-8868
Volkan HancıDokuz Eylul University, Anesthesiology and Reanimation, Critical Care Medicine, Izmir, Turkey‌‌.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients seeking information about Myofascial Pain Syndrome (MPS), which affects a large segment of the population, are increasingly turning to AI-based chatbots as an alternative to traditional methods. However, the medical accuracy of the content offered by these digital platforms, as well as its suitability to the "grade 6 reading level" standard, which determines its comprehensibility by patients, is a critical point of uncertainty. This study aims to fill this significant gap in the literature by systematically comparing MPS content generated by different AI models using readability indices, reliability, and quality metrics. The 18 most relevant keywords, derived from 25 keywords identified via Google Trends data, were queried using ChatGPT (GPT-5.2), Gemini 3 Flash, and Perplexity (Sonar-4 Large) models. The readability of the generated responses was analyzed using six different indices (FRES, FKGL, GFOG, CLI, ARI, SMOG), while content quality was assessed using GQS and EQIP scales, and reliability using DISCERN and JAMA scales by two independent observers. The responses generated by all AI models examined were found to be statistically significantly more complex than the suggested 6th-grade reading level (p < 0.001). In inter-model comparisons, ChatGPT exhibited the easiest readability [lowest linguistic difficulty] scores, while Perplexity scored significantly higher than both ChatGPT and Gemini in content quality and reliability metrics (JAMA, DISCERN, GQS, EQIP) (p < 0.05). Correlation analysis revealed a strong and positive relationship between quality and reliability parameters. Artificial intelligence platforms have been observed to exhibit high potential in the production of medical information. However, linguistic barriers exceeding sixth-grade reading comprehension, along with reliability limitations of current models, prevent them from replacing professional medical consultation. Perplexity has been found superior in terms of academic quality, while ChatGPT has been found superior in terms of readability. Nevertheless, positioning these systems as complementary "secondary consultation mechanisms" supporting physician oversight in clinical decision-making processes is critically important for patient safety.

Indexed as

ComprehensionMyofascial Pain SyndromesGenerative Artificial IntelligenceHumansLarge Language ModelsReproducibility of Results

Identifiers

PMID42241388
PMCPMC13235886

What OpenQuestion holds

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LicenceCC BY
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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.