Evidence map›Paper›PMID 42292288›Full record

ArticleBrain & spine2026

Artificial intelligence chatbots in response to patient's common inquiries about chordoma: A cross-sectional study.

Shaohui He, Dongjie Jiang, Runyi Jiang, Mengchen Yin, Shangjiang Yu, Xin Jiang, Lei Zhou, Zhenhua Zhou, Haifeng Wei, Jianru Xiao

Abstract read
In one paragraph

Article in Brain & spine, 2026. 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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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shaohui HeSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Dongjie JiangSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Runyi JiangSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Mengchen YinDepartment of Orthopaedic Surgery, Yueyang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Shangjiang YuJoint Research Center for Musculoskeletal Tumor, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, 200093, China.
Xin JiangDepartment of Anesthesiology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Lei ZhouSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Zhenhua ZhouSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Haifeng WeiSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.
Jianru XiaoSpinal Tumor Center, Department of Orthopaedic Oncology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Artificial intelligence (AI) chatbots has been well studied in many common diseases. However, little was reported for chordoma, which is a rare disease with high rates of recurrence, disability, and mortality. Research question: This study aims to assess the performance of oncologists and state-of-the-art AI chatbots in response to frequently-asked questions (FAQs) of chordoma from real world. The response performance was mainly evaluated by overall quality, empathy, and readability. Material and methods: Sixty chordoma-related FAQs, collected from social media, were addressed by various chatbots and oncologists, and the best-performing chatbot-generated text was further edited and assessed again. Rated scores were ordered for quality and empathy in a blind way. The readability was measured objectively by calculating Flesch-Kincaid Grade Level (FKGL), Automated Readability Index (ARI), and Gunning-Fog Index (GFI). Results: AI chatbots were universally superior to oncologists in response quality (3.86 ± 0.14 vs. 3.12 ± 0.25, p < 0.001) and empathy (3.28 ± 0.41 vs. 2.95 ± 0.48, p < 0.001). DeepSeek-R1 achieved highest rated score in response quality (4.20 ± 0.22), while Claude 3.5 Sonnet was considered as the best chatbots by comprehensive assessments. The chatbot drafted responses were easier to understand from patient's perspective (p < 0.001). Improved response quality (4.09 ± 0.12, p < 0.001), empathy (4.00 ± 0.39, p < 0.001), and readability (FKGL: 11.30 ± 2.42, p < 0.001) were obtained after editing the Claude-3.5-generated responses by oncologists. Discussion and conclusions: AI chatbots reached favorable quality and empathetic performance in response to chordoma-related FAQs, and generated equivalent readability compared to oncologists. With generative chatbot's assistance, oncologists may response more comprehensively and efficiently in addressing chordoma patient's common inquiries.

Indexed as

AI assistanceArtificial intelligenceChordomaLarge language modelPhysician-patient communication

Identifiers

PMID42292288
PMCPMC13262277

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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.