Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support

Carlos M Chiesa-Estomba^{1

2

3

4

5

6}, Jerome R Lechien^{7

8

9

10}, Luigi A Vaira^{11

12

8

9

10}, Aina Brunet^{8

9}, Giovanni Cammaroto^{8

9

13

10}, Miguel Mayo-Yanez^{8

9

14

10}, Alvaro Sanchez-Barrueco^{8

9

15

16}, Carlos Saga-Gutierrez^{17

18

8

9}

Affiliations

¹ Department of Otorhinolaryngology, Donostia University Hospital, Biodonostia Research Institute, Osakidetza, 20014, San Sebastian, Spain. chiesaestomba86@gmail.com.
² Otorhinolaryngology Department, Faculty of Medicine, Deusto University, Bilbo, Spain. chiesaestomba86@gmail.com.
³ Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitari Bellvitge, Barcelona, Spain. chiesaestomba86@gmail.com.
⁴ Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain. chiesaestomba86@gmail.com.
⁵ Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France. chiesaestomba86@gmail.com.
⁶ Young Confederation of European Otorhinolaryngology, Head and Neck Surgery, Vienna, Austria. chiesaestomba86@gmail.com.
⁷ Division of Laryngology and Broncho-Esophagology, Department of Otolaryngology and Head and Neck Surgery, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium.
⁸ Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitari Bellvitge, Barcelona, Spain.
⁹ Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain.
¹⁰ Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
¹¹ Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
¹² Biomedical Sciences Department, School of Biomedical Sciences, University of Sassari, Sassari, Italy.
¹³ Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121, Forlì, Italy.
¹⁴ Otorhinolaryngology, Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), 15006, A Coruña, Galicia, Spain.
¹⁵ ENT and Cervicofacial Surgery Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
¹⁶ Otorhinolaryngology Department, Faculty of Medicine, Universidad Alfonso X el Sabio, Madrid, Spain.
¹⁷ Department of Otorhinolaryngology, Donostia University Hospital, Biodonostia Research Institute, Osakidetza, 20014, San Sebastian, Spain.
¹⁸ Otorhinolaryngology Department, Faculty of Medicine, Deusto University, Bilbo, Spain.

PMID: 37405455
DOI: 10.1007/s00405-023-08104-8

Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support

Carlos M Chiesa-Estomba et al. Eur Arch Otorhinolaryngol. 2024 Apr.

. 2024 Apr;281(4):2081-2086.

doi: 10.1007/s00405-023-08104-8. Epub 2023 Jul 5.

Authors

Affiliations

¹ Department of Otorhinolaryngology, Donostia University Hospital, Biodonostia Research Institute, Osakidetza, 20014, San Sebastian, Spain. chiesaestomba86@gmail.com.
² Otorhinolaryngology Department, Faculty of Medicine, Deusto University, Bilbo, Spain. chiesaestomba86@gmail.com.
³ Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitari Bellvitge, Barcelona, Spain. chiesaestomba86@gmail.com.
⁴ Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain. chiesaestomba86@gmail.com.
⁵ Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France. chiesaestomba86@gmail.com.
⁶ Young Confederation of European Otorhinolaryngology, Head and Neck Surgery, Vienna, Austria. chiesaestomba86@gmail.com.
⁷ Division of Laryngology and Broncho-Esophagology, Department of Otolaryngology and Head and Neck Surgery, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium.
⁸ Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitari Bellvitge, Barcelona, Spain.
⁹ Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain.
¹⁰ Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
¹¹ Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
¹² Biomedical Sciences Department, School of Biomedical Sciences, University of Sassari, Sassari, Italy.
¹³ Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121, Forlì, Italy.
¹⁴ Otorhinolaryngology, Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), 15006, A Coruña, Galicia, Spain.
¹⁵ ENT and Cervicofacial Surgery Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
¹⁶ Otorhinolaryngology Department, Faculty of Medicine, Universidad Alfonso X el Sabio, Madrid, Spain.
¹⁷ Department of Otorhinolaryngology, Donostia University Hospital, Biodonostia Research Institute, Osakidetza, 20014, San Sebastian, Spain.
¹⁸ Otorhinolaryngology Department, Faculty of Medicine, Deusto University, Bilbo, Spain.

PMID: 37405455
DOI: 10.1007/s00405-023-08104-8

Erratum in

Correction: Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support.
Chiesa-Estomba CM, Lechien JR, Vaira LA, Brunet A, Cammaroto G, Mayo-Yanez M, Sanchez-Barrueco A, Saga-Gutierrez C. Chiesa-Estomba CM, et al. Eur Arch Otorhinolaryngol. 2024 May;281(5):2777. doi: 10.1007/s00405-023-08267-4. Eur Arch Otorhinolaryngol. 2024. PMID: 37819549 No abstract available.

Abstract

Introduction: Sialendoscopy has emerged in the last decades as a groundbreaking technique, offering a minimally invasive approach for exploring and managing salivary gland disorders. More recently, the advent of chatbots, powered by advanced natural processing language and artificial intelligence algorithms, has revolutionized the way healthcare professionals and patients access and analyze medical information and potentially will support soon the clinical decision-making process.

Materials and methods: A prospective, cross-sectional study was designed to assess the level of agreement between Chat-GPT and 10 expert sialendoscopists aiming the capabilities of Chat-GPT to further improve the management of salivary gland disorders.

Results: The mean level of agreement was 3.4 (SD: 0.69; Min: 2, Max: 4) for Chat-GPT's answers while it was 4.1 (SD: 0.56; Min: 3, Max: 5) for the group of EESS (p < 0.015). The overall Wilcoxon signed-rank test yielded a significance level of p < 0.026 when comparing the level of agreement between Chat-GPT and EESS. The mean number of therapeutic alternatives suggested by Chat-GPT was 3.33 (SD: 1.2; Min: 2, Max: 5), while it was 2.6 (SD: 0.51; Min: 2, Max: 3) for the group of EESS; p = 0.286 (95% CI - 0.385 to 1.320).

Conclusion: Chat-GPT represents a promising tool in the clinical decision-making process within the salivary gland clinic, particularly for patients who are candidates for sialendoscopy treatment. Additionally, it serves as a valuable source of information for patients. However, further development is necessary to enhance the reliability of these tools and ensure their safety and optimal use in the clinical setting.

Keywords: Chat-GPT; Chatbot; Gland; Salivary; Sialendoscopy.

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References

1. Roland LT, Skillington SA, Ogden MA (2017) Sialendoscopy-assisted transfacial removal of parotid sialoliths: a systematic review and meta-analysis. Laryngoscope 127:2510–2516 - DOI - PubMed - PMC
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1. ChatGPT: Optimizing Language Models for Dialogue (2023) OpenAI. Published November 30, 2022. https://openai.com/blog/chatgpt/ . Accessed 10 May 2023
1. Parviainen J, Rantala J (2022) Chatbot breakthrough in the 2020s? An ethical reflection on the trend of automated consultations in health care. Med Health Care Philos 25:61–71 - DOI - PubMed

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Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support

Affiliations

Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support

Authors

Affiliations

Erratum in

Abstract

References

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Medical