{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:09:18Z","timestamp":1777662558018,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) program, is widely used for information compilation. This study sought to analyze the quality and consistency of the information generated by ChatGPT regarding common procedures for wrist arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>32 standardized questions regarding wrist osteoarthritis and related procedures (4-corner-fusion [4CF], proximal row carpectomy [PRC], resurfacing capitate pyrocarbon implant, wrist denervation, and total wrist arthrodesis and arthroplasty) were presented to the ChatGPT-3.5 interface 3 separate times, without feedback. ChatGPT\u2019s answers were evaluated for medical accuracy by 3 reviewers and rated as \u201cappropriate,\u201d \u201cappropriate but incomplete,\u201d or \u201cinappropriate.\u201d Ratings were then converted to numerical values to calculate an intraclass correlation coefficient (ICC). A DISCERN score was used to assess quality, and Flesch-Kincade Grade Level and Flesch Reading Ease Score for readability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>75% of the responses were deemed \u201cappropriate,\u201d with 23 questions receiving unanimous appropriate ratings across all responses. The ICC was 0.97 (95% CI [0.46, 0.98]), indicating excellent reliability. DISCERN score was 60 (good). The Flesch-Kincaid Grade Level was 14.6 \u00b1 1.9, and the Flesch Reading Ease Score was 25.3 \u00b1 6.7, implying a college reading level. The information that ChatGPT provided for PRC and total wrist arthrodesis and arthroplasty, appeared to be more reliable than for 4CF and denervation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ChatGPT\u2019s reliability and accuracy of information varied across procedures, possibly due to unknown and diverse sources. Furthermore, while some answers were factually correct, many provided generic information across differing questions, limiting usefulness. ChatGPT must be used cautiously, and the limitations understood.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241265519","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T04:30:18Z","timestamp":1721795418000},"page":"910-916","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Caution Regarding ChatGPT\u2019s Appropriateness and Reliability Regarding Surgery for Wrist Arthritis"],"prefix":"10.1177","volume":"20","author":[{"given":"Keegan","family":"Hones","sequence":"first","affiliation":[{"name":"University of Florida, Gainesville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Krisanda","sequence":"additional","affiliation":[{"name":"University of Florida, Gainesville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6139-8708","authenticated-orcid":false,"given":"Harvey","family":"Chim","sequence":"additional","affiliation":[{"name":"University of Florida, Gainesville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-818438-7.00002-2"},{"key":"e_1_3_2_3_2","unstructured":"Grand View Research. AI in healthcare market size share & growth report 2030. Accessed February 7 2024. https:\/\/www.grandviewresearch.com\/industry-analysis\/artificial-intelligence-ai-healthcare-market"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-023-04698-z"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.7861\/futurehosp.6-2-94"},{"key":"e_1_3_2_6_2","volume-title":"Artificial Intelligence: A Modern Approach","author":"Russell SJ","year":"2010","unstructured":"Russell SJ, Norvig P, Davis E. Artificial Intelligence: A Modern Approach. 3rd ed. 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