Evaluation of GPT-4's Performance in Orthopaedic Case Consultation and Guideline Interpretation

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Quantitative evaluation of GPT-4’s performance on US and Chinese osteoarthritis treatment guideline interpretation and orthopaedic case consultation

1. http://orcid.org/0000-0003-1487-4297 Juntan Li1,2, 2. Xiang Gao3,

3. Tianxu Dou4, 4. Yuyang Gao4, 5. Xu Li3,

6. Wannan Zhu1

1. Correspondence to Dr Wannan Zhu; [email protected]

Abstract

Objectives To evaluate GPT-4’s performance in interpreting osteoarthritis (OA) treatment guidelines from the USA and China, and to assess its

ability to diagnose and manage orthopaedic cases.

Setting The study was conducted using publicly available OA treatment guidelines and simulated orthopaedic case scenarios.

Participants No human participants were involved. The evaluation focused on GPT-4’s responses to clinical guidelines and case questions, assessed by two orthopaedic specialists.

Outcomes Primary outcomes included the accuracy and completeness of GPT-4’s responses to guideline-based queries and case scenarios. Metrics included the correct match rate, completeness score and stratification of case responses into predefined tiers of correctness.

Results In interpreting the American Academy of Orthopaedic Surgeons and Chinese OA guidelines, GPT-4 achieved a correct match rate of 46.4%

and complete agreement with all score-2 recommendations. The accuracy score for guideline interpretation was 4.3±1.6 (95%

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o

Quantitative evaluation of GPT-4s performance on US and Chinese osteoarthritis treatment guideline

interpretation and orthopaedic case consultation

Objectives To evaluate GPT-4’s performance in interpreting

osteoarthritis (OA) treatment guidelines from the USA and China, and to assess its ability to diagnose and manage orthopaedic cases. Setting The study was conducted using publicly available OA treatment

guidelines and simulated orthopaedic case scenarios.

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