Evidence map›Paper›PMID 42433655›Full record

ArticleJournal of artificial intelligence for medical sciences2025

Artificial Intelligence Chatbots in Surgical Care: A Systematic Review of Clinical Applications.

Anne E Hall, Amanda T Perrotta, Kaavian Shariati, Archi K Patel, Justine C Lee

Abstract read
In one paragraph

Article in Journal of artificial intelligence for medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Anne E HallDivision of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.
Amanda T PerrottaDivision of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.
Kaavian ShariatiDivision of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.
Archi K PatelDivision of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.
Justine C LeeDivision of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
PRECLINICAL EVALUATION OF NANOPARTICULATE MINERALIZED COLLAGEN GLYCOSAMINOGLYCAN MATERIALS IN CALVARIAL REGENERATIONR01DE028098 · NIDCR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEE, JUSTINE CHIA · 2019 to 2023
$1.9M
Osteoclast modulatory biomaterials for skull regenerationR01DE029234 · NIDCR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEE, JUSTINE CHIA · 2020 to 2024
$1.9M
NCATS NIH HHS UL1 TR001881NIDCR NIH HHS R01 DE028098NIDCR NIH HHS R01 DE029234
6 · The paper itself

Abstract

Background: In the context of surgical care where accurate and timely information is essential, artificial intelligence (AI)-driven chatbots offer innovative opportunities for improving patient education and perioperative outcomes. Methods: A systematic review per PRISMA guidelines was conducted to evaluate the application of chatbots within the surgical pathway and assess outcomes relating to patient experience, cost, safety, and clinical recovery. Studies were retrieved from MEDLINE, EMBASE, CENTRAL, and Google Scholar databases (November 2024) and were included if they deployed chatbots in the perioperative timeframe for adult surgical patients. Results: The review encompasses twelve studies totaling 6,619 patients, featuring rule-based, rule-and-frame-based, hybrid, and generative AI chatbots. Chatbots were used for delivering automated information (66%), answering patient queries (66%), symptom monitoring (16%), facilitating clinic communication (16%), and soliciting patient feedback (8%). Chatbots achieved 60-82% satisfaction on Likert scales, engagement rates of 35-83%, and accuracy rates from 79-99% depending on function. Additionally, they reduced healthcare personnel workload, saving 9-39 hours per 100 patients postoperatively. While no shared clinical outcomes were assessed across multiple studies, individual studies found chatbot use was associated with reductions in opioid use, pain, preoperative anxiety and readmissions. Risk of bias was assessed via the ROBINS-I tool with most studies classified as low risk (67%) and 25% as serious risk due to confounding variables, missing data, and measurement biases. Conclusion: Chatbots are emerging as a useful tool in surgical care, improving patient outcomes, satisfaction, and engagement. Future research can further explore chatbot models, delivery methods, and surgery-specific applications on clinical outcomes.

Indexed as

ApplicationArtificial intelligenceChatbotConversational agentsInterventionPerioperativeSurgery

Identifiers

PMID42433655
PMCPMC13354317

What OpenQuestion holds

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LicenceCC BY
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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.