{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:39:59Z","timestamp":1792453199146,"version":"4.5.0"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diabetic foot ulcer (DFU) care represents a significant challenge in plastic and reconstructive surgery. Oftentimes, patients encounter complex articles and websites to answer questions about their surgeries, including anterolateral thigh (ALT) flaps. Artificial intelligence (AI) represents a new and simplified resource for DFU patients seeking information regarding their care. To assess ChatGPT's utility as a patient resource, we evaluated the accuracy, comprehensiveness, and safety of AI-generated responses to frequently asked questions (FAQs) related to ALT flap surgery for DFU.<\/jats:p>\n                  <jats:p>Ten DFU and ALT flap care FAQs were posed to ChatGPT Model 3.5 in June 2024. Four plastic surgeons evaluated responses using a 10-point Likert scale for accuracy, comprehensiveness, and danger of ChatGPT's answers. Surgeons also provided qualitative feedback. Response readability was assessed using 10 readability indexes, averaged to produce a reading grade level for each response.<\/jats:p>\n                  <jats:p>Overall, ChatGPT answered patient questions with a mean accuracy of 9.1\u2009\u00b1\u20091.2, comprehensiveness of 8.2\u2009\u00b1\u20091.5, and danger of 2.0\u2009\u00b1\u20091.0. ChatGPT answered at a mean grade level of 19.8\u2009\u00b1\u200920.1. Qualitatively, physician reviewers complimented the organizational clarity of the responses (n\u2009=\u20094\/10) and the AI's ability to provide information on possible surgical complications (n\u2009=\u20094\/10). While one response was noted to present explicitly incorrect information about preoperative preparation protocols and when they should be initiated, the majority of responses (n\u2009=\u20096\/10) left out key postoperative information, notably dangle protocols and compression.<\/jats:p>\n                  <jats:p>ChatGPT provides accurate and comprehensive responses to FAQs related to patients undergoing ALT flap surgery for the treatment of DFUs. The AI-generated responses were praised for organizational clarity and informative content regarding surgical complications, but lacked essential postoperative care details. Therefore, while ChatGPT is a valuable informational tool, further refinement is necessary to ensure that fully comprehensive information is provided to DFU patients.<\/jats:p>","DOI":"10.1055\/a-2737-5287","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T23:40:41Z","timestamp":1762386041000},"page":"810-817","source":"Crossref","is-referenced-by-count":0,"title":["The Use of Artificial Intelligence in Responding to Patient Questions About Anterolateral Thigh Flap Surgery for Diabetic Foot Ulcers"],"prefix":"10.1055","volume":"42","author":[{"given":"Luke J.","family":"Llaurado","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishan S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel A.","family":"Snee","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel N.","family":"Rohrich","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Bender","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole C.","family":"Episalla","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard C.","family":"Youn","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen K.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/BPO.0000000000002923","article-title":"Assessing ChatGPT responses to frequently asked questions regarding pediatric supracondylar humerus 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