{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:06:55Z","timestamp":1774364815906,"version":"3.50.1"},"reference-count":25,"publisher":"World Scientific Pub Co Pte Ltd","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p> Background: Due to the rapid evolution of generative artificial intelligence (AI) and its implications on patient education, there is a pressing need to evaluate AI responses to patients\u2019 medical questions. This study assessed the quality and usability of responses received from two prominent AI platforms to common patient-centric hand and wrist surgery questions. <\/jats:p><jats:p> Methods: Twelve commonly encountered hand and wrist surgery patient questions were inputted twice into both Gemini and ChatGPT, generating 48 responses. Each response underwent a content analysis, followed by assessment for quality and usability with three scoring tools: DISCERN, Suitability Assessment of Materials (SAM) and the AI Response Metric (AIRM). Statistical analyses compared the features and scores of the outputs when stratified by platform, question type and response order. <\/jats:p><jats:p> Results: Responses earned mean overall scores of 55.7 (\u2018good\u2019), 57.2% (\u2018adequate\u2019) and 4.4 for DISCERN, SAM and AIRM, respectively. No responses provided citations. Wrist question responses had significantly higher DISCERN (p &lt; 0.01) and AIRM (p = 0.02) scores compared to hand responses. Second responses had significantly higher AIRM (p &lt; 0.01), but similar DISCERN (p = 0.76) and SAM (p = 0.11), scores compared to the first responses. Gemini\u2019s DISCERN (p = 0.04) and SAM (p &lt; 0.01) scores were significantly higher than ChatGPT\u2019s corresponding metrics. <\/jats:p><jats:p> Conclusions: Although responses are generally \u2018good\u2019 and \u2018adequate\u2019, there is variable quality with respect to platform used, type of question and response order. Given the diversity of publicly available AI platforms, it is important to understand the quality and usability of information patients may encounter during their search for answers to common hand and wrist surgery questions. <\/jats:p><jats:p> Level of Evidence: Level IV (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835525500171","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T08:57:54Z","timestamp":1736326674000},"page":"205-212","source":"Crossref","is-referenced-by-count":1,"title":["Generative Artificial Intelligence Responses to Common Patient-Centric Hand and Wrist Surgery Questions: A Quality and Usability Analysis"],"prefix":"10.1142","volume":"30","author":[{"given":"Benjamin","family":"PAUTLER","sequence":"first","affiliation":[{"name":"Department of Pathology and Anatomical Sciences, Kansas City University College of Medicine, Kansas City, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"MARCHESE","sequence":"additional","affiliation":[{"name":"Department of Pathology and Anatomical Sciences, Kansas City University College of Medicine, Kansas City, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makayla","family":"SWANCUTT","sequence":"additional","affiliation":[{"name":"Department of Pathology and Anatomical Sciences, Kansas City University College of Medicine, Kansas City, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan G.","family":"BEUTEL","sequence":"additional","affiliation":[{"name":"Department of Primary Care, Kansas City University College of Medicine, Kansas City, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2025,1,5]]},"reference":[{"key":"S2424835525500171BIB001","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13283"},{"key":"S2424835525500171BIB002","doi-asserted-by":"publisher","DOI":"10.1016\/j.artmed.2024.102779"},{"key":"S2424835525500171BIB003","doi-asserted-by":"publisher","DOI":"10.1148\/ryai.220119"},{"key":"S2424835525500171BIB004","doi-asserted-by":"publisher","DOI":"10.1142\/S2424835524300019"},{"key":"S2424835525500171BIB005","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr2214184"},{"key":"S2424835525500171BIB006","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-024-01083-y"},{"issue":"4","key":"S2424835525500171BIB007","first-page":"249","volume":"73","author":"Beutel BG","year":"2015","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"S2424835525500171BIB008","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-023-04698-z"},{"key":"S2424835525500171BIB009","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16209"},{"key":"S2424835525500171BIB010","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1303319"},{"key":"S2424835525500171BIB011","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.49764"},{"key":"S2424835525500171BIB012","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2023.11.019"},{"key":"S2424835525500171BIB013","doi-asserted-by":"publisher","DOI":"10.1177\/24730114231209919"},{"key":"S2424835525500171BIB014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2023.09.009"},{"key":"S2424835525500171BIB015","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000001600"},{"key":"S2424835525500171BIB016","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-024-00218-5"},{"key":"S2424835525500171BIB017","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2023.08.003"},{"key":"S2424835525500171BIB018","doi-asserted-by":"publisher","DOI":"10.1177\/15589447241238372"},{"key":"S2424835525500171BIB024","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.2.105"},{"key":"S2424835525500171BIB025","doi-asserted-by":"crossref","unstructured":"Doak CC, Doak LG, Root JH. 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