Can the ChatGPT and other Large Language Models with internet-connected database solve the questions and concerns of patient with prostate cancer?

Abstract

Large language models (LLMs), such as ChatGPT, have shown impressive natural language processing capabilities in various fields, including medicine. However, the answers provided by these models may sometimes be incorrect, and they may not have access to the latest data. In this study, we aimed to evaluate the performance of five state-of-the-art LLMs in providing correct and comprehensive information on common questions raised by prostate cancer patients. We also examined whether LLMs with internet-connected databases could provide more up-to-date information than ChatGPT. We designed a set of 22 questions covering various aspects of prostate cancer and evaluated the accuracy, comprehensiveness, patient readability, and inclusion of humanistic care in the answers provided by each model. Our findings suggest that although the performance of different LLMs varied, these LLMs could provide accurate basic knowledge and have the ability to analyze specific situations to a certain extent. We also found that the overall performance of the LLM model with internet-connected dataset was not superior to ChatGPT, and the paid version of ChatGPT did not show superiority over the free version. Our study highlights the potential of LLMs in bridging the gap between patients and healthcare providers. Current LLMs have the potential to be applied for patient education and consultation, providing patient-friendly information. Shared decision-making with the doctors and patients could be achieved easier. We believed that with the rapid development of AI technology, LLMs have unlimited potential.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study is supported by the Rising-Star Program of Science and Technology Commission of Shanghai Municipality (21QA1411500), Natural Science Foundation of Science and Technology Commission of Shanghai (22ZR1478000), and the National Natural Science Foundation of China (82272905)

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

The data that support the findings of this study are available on request from the corresponding author upon reasonable request.

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