Abstract
Background
With the increasing integration of artificial intelligence (AI) in health care, AI chatbots like ChatGPT-4 are being used to deliver health information.
Objectives
This study aimed to assess the capability of ChatGPT-4 in answering common questions related to abdominoplasty, evaluating its potential as an adjunctive tool in patient education and preoperative consultation.
Methods
A variety of common questions about abdominoplasty were submitted to ChatGPT-4. These questions were sourced from a question list provided by the American Society of Plastic Surgery to ensure their relevance and comprehensiveness. An experienced plastic surgeon meticulously evaluated the responses generated by ChatGPT-4 in terms of informational depth, response articulation, and competency to determine the proficiency of the AI in providing patient-centered information.
Results
The study showed that ChatGPT-4 can give clear answers, making it useful for answering common queries. However, it struggled with personalized advice and sometimes provided incorrect or outdated references. Overall, ChatGPT-4 can effectively share abdominoplasty information, which may help patients better understand the procedure. Despite these positive findings, the AI needs more refinement, especially in providing personalized and accurate information, to fully meet patient education needs in plastic surgery.
Conclusions
Although ChatGPT-4 shows promise as a resource for patient education, continuous improvements and rigorous checks are essential for its beneficial integration into healthcare settings. The study emphasizes the need for further research, particularly focused on improving the personalization and accuracy of AI responses.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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Haug CJ, Drazen JM (2023) Artificial intelligence and machine learning in clinical medicine, 2023. N Engl J Med 388(13):1201–1208
Noorbakhsh-Sabet N, Zand R, Zhang Y, Abedi V (2019) Artificial intelligence transforms the future of health care. Am J Med 132(7):795–801
Li W, Zhang Y, Chen F (2023) ChatGPT in colorectal surgery: a promising tool or a passing fad? Ann Biomed Eng 51:1892
Li W, Fu M, Liu S, Yu H (2023) Revolutionizing neurosurgery with GPT-4: a leap forward or ethical conundrum? Ann Biomed Eng 51(10):2105–2112
Wang DQ, Feng LY, Ye JG, Zou JG, Zheng YF (2023) Accelerating the integration of ChatGPT and other large-scale AI models into biomedical research and healthcare. MedComm-Future Med 2(2):e43
Boudreault DJ, Sieber DA (2019) Getting the best results in abdominoplasty: current advanced concepts. Plast Reconstr Surg 143(3):628e–636e
Shestak KC, Rios L, Pollock TA, Aly A (2019) Evidenced-based approach to abdominoplasty update. Aesthet Surg J 39(6):628–642
Edmondson SJ, Ross DA (2021) The postpartum abdomen: psychology, surgery and quality of life. Hernia 25(4):939–950
Farouk M, Hegazy AM, Aziz WNT, Aziz MF-H, Shehata YNH (2021) Following ISAPS recommendations, Does it really help? Aesthet Plast Surg 45(4):1888–1894
Ahadzadeh AS, Sharif SP, Ong FS (2017) Self-schema and self-discrepancy mediate the influence of Instagram usage on body image satisfaction among youth. Comput Hum Behav 68:8–16
Rosenfield LK, Davis CR (2019) Evidence-based abdominoplasty review with body contouring algorithm. Aesthet Surg J 39(6):643–661
Davis K (2013) Reshaping the female body: The dilemma of cosmetic surgery. Routledge
Ghorbanibirgani A, Fallahi-Khoshknab M, Zarea K, Abedi H (2016) The lived experience of psoriasis patients from social stigma and rejection: a qualitative study. Iran Red Crescent Med J 18(7)
Gordon C, Beresin EV (2016) The doctor–patient relationship. Mass Gen Hosp Compr Clin Psychiatry pp 1–7
Stewart MA (1995) Effective physician-patient communication and health outcomes: a review. CMAJ 152(9):1423–1433
Stewart MA, McWhinney IR, Buck CW (1979) The doctor/patient relationship and its effect upon outcome. J R Coll Gen Pract 29(199):77–81
Ray PP (2023) ChatGPT: a comprehensive review on background, applications, key challenges, bias, ethics, limitations and future scope. Internet Things Cyber-Phys Syst 3:121–154
Frosolini A, Gennaro P, Cascino F, Gabriele G (2023) In reference to “role of Chat GPT in public health”, to highlight the AI’S incorrect reference generation. Ann Biomed Eng 51(10):2120–2122
Gupta R, Pande P, Herzog I, Weisberger J, Chao J, Chaiyasate K, Lee ES (2023) Application of ChatGPT in cosmetic plastic surgery: ally or antagonist. Aesthet Surg J 43:NP587–NP590
Najafali D, Hinson C, Camacho JM, Galbraith LG, Gupta R, Reid CM (2023) Can chatbots assist with grant writing in plastic surgery? Utilizing ChatGPT to start an R01 grant. Aesthet Surg J 43:NP663–NP665
Najafali D, Reiche E, Camacho JM, Morrison SD, Dorafshar AH (2023) Let’s chat about chatbots: additional thoughts on ChatGPT and its role in plastic surgery along with its ability to perform systematic reviews. Aesthet Surg J 43:NP591–NP592
Sadeghi P, Duarte-Bateman D, Ma W, Khalaf R, Fodor R, Pieretti G, Ciccarelli F, Harandi H, Cuomo R (2022) Post-bariatric plastic surgery: abdominoplasty, the state of the art in body contouring. J Clin Med 11(15):4315
Bjørklund G, Semenova Y, Pivina L, Costea D-O (2020) Follow-up after bariatric surgery: a review. Nutrition 78:110831
Deos MF, Arnt RA, Gus EI (2009) Tensioned reverse abdominoplasty. Plast Reconstr Surg 124(6):2134–2141
Stevens WG, Repta R, Pacella SJ, Tenenbaum MJ, Cohen R, Vath SD, Stoker DA (2009) Safe and consistent outcomes of successfully combining breast surgery and abdominoplasty: an update. Aesthet Surg J 29(2):129–134
Zienowicz RJ, Karacaoglu E (2009) Augmentation mammaplasty by reverse abdominoplasty (AMBRA). Plast Reconstr Surg 124(5):1662–1672
Gutowski KA (2018) Evidence-based medicine: abdominoplasty. Plast Reconstr Surg 141(2):286e–299e
Sirota M, Weiss A, Billig A, Hassidim A, Zaga J, Adler N (2021) Abdominoplasty complications: What additional risks do postbariatric patients carry? J Plast Reconstr Aesthet Surg 74(12):3415–3420
Averbuch Sagie R, Wiser I, Heller L, Klein D, Hadad E (2022) Pregnancy reverses abdominoplasty aesthetic outcome: myth or misconception? A Cross-Sectional Study. Aesthet Surg J 42(1):NP20–NP26
Janes LE, Fracol ME, Dumanian GA (2019) Appreciation of postpartum changes of the rectus muscles in primary and repeated abdominoplasty. Plast Reconstr Surg 144(2):197e–204e
Chang IA, Wells MW, Chang IA, Arquette CP, Tang CJ, Gatherwright JR, Furnas HJ (2022) The positive patient experience: a comprehensive analysis of plastic surgery online reviews. Aesthet Surg J 42(9):1083–1093
Chervenak J, Lieman H, Blanco-Breindel M, Jindal S (2023) The promise and peril of using a large language model to obtain clinical information: ChatGPT performs strongly as a fertility counseling tool with limitations. Fertil Steril 120:575–583
World Health Organization (2018) WHO guideline on health policy and system support to optimize community health worker programmes
Kalla D, Smith N (2023) Study and analysis of Chat GPT and its impact on different fields of study. Int J Innov Sci Res Technol 8(3)
Paul J, Ueno A, Dennis C (2023) ChatGPT and consumers: benefits, pitfalls and future research Agenda. Int J Consum Stud 47(4):1213–1225
Oviedo-Trespalacios O, Peden AE, Cole-Hunter T, Costantini A, Haghani M, Rod JE, Kelly S, Torkamaan H, Tariq A, Newton JDA, Gallagher T et al (2023) The risks of using ChatGPT to obtain common safety-related information and advice. Safety Science 167:106244
Sandeep Ganesh G, Kolusu AS, Prasad K, Samudrala PK, Nemmani KVS (2022) Advancing health care via artificial intelligence: from concept to clinic. Eur J Pharmacol 934:175320
Humar P, Asaad M, Bengur FB, Nguyen V (2023) ChatGPT is equivalent to first year plastic surgery residents: evaluation of ChatGPT on the plastic surgery in-service exam. Aesthet Surg J
Sng GGR, Tung JYM, Lim DYZ, Bee YM (2023) Potential and pitfalls of ChatGPT and Natural-language artificial intelligence models for diabetes education. Diabetes Care 46(5):e103–e105
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Li, W., Chen, J., Chen, F. et al. Exploring the Potential of ChatGPT-4 in Responding to Common Questions About Abdominoplasty: An AI-Based Case Study of a Plastic Surgery Consultation. Aesth Plast Surg 48, 1571–1583 (2024). https://doi.org/10.1007/s00266-023-03660-0
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DOI: https://doi.org/10.1007/s00266-023-03660-0