ChatGPT in the development of medical questionnaires. The example of the low back pain

Submitted: 21 November 2023
Accepted: 4 December 2023
Published: 15 December 2023
Abstract Views: 1143
PDF: 800
HTML: 5
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

In the last year, Chat Generative Pre-Trained Transformer (ChatGPT), a web software based on artificial intelligence has been showing high potential in every field of knowledge. In the medical area, its possible application is an object of many studies with promising results. We performed the current study to investigate the possible usefulness of ChatGPT in assessing low back pain. We asked ChatGPT to generate a questionnaire about this clinical condition and we compared the obtained questions and results with the ones obtained by other validated questionnaires: Oswestry Disability Index, Quebec Back Pain Disability Scale, Roland-Morris Disability Questionnaire, and Numeric Rating Scale for pain. We enrolled 20 subjects with low back pain and we found important consistencies among the validated questionnaires. The ChatGPT questionnaire showed an acceptable significant correlation only with Oswestry Disability Index and Quebec Back Pain Disability Scale. ChatGPT showed some peculiarities, especially in the assessment of quality of life and medical consultation and treatments. Our study shows that ChatGPT can help evaluate patients, including multilevel perspectives. However, its power is limited, and further research and validation are required.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Plaudit

Dave T, Athaluri SA, Singh S. ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations. Front Artif Intell. 2023 May 4;6:1169595. PMID: 37215063; PMCID: PMC10192861. DOI: https://doi.org/10.3389/frai.2023.1169595
Sallam M. ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns. Healthcare (Basel). 2023 Mar 19;11(6):887. PMID: 36981544; PMCID: PMC10048148. DOI: https://doi.org/10.3390/healthcare11060887
Dergaa I, Chamari K, Zmijewski P, Ben Saad H. From human writing to artificial intelligence generated text: examining the prospects and potential threats of ChatGPT in academic writing. Biol Sport. 2023 Apr;40(2):615-622. Epub 2023 Mar 15. PMID: 37077800; PMCID: PMC10108763. DOI: https://doi.org/10.5114/biolsport.2023.125623
Luo Y, Hu N. Can ChatGPT be a new educational tool in medicine? Med Clin (Barc). 2023 Oct 27;161(8):363-364. English, Spanish. Epub 2023 Jul 10. PMID: 37438191. DOI: https://doi.org/10.1016/j.medcle.2023.05.023
Gordon EB, Towbin AJ, Wingrove P, Shafique U, Haas B, Kitts AB, Feldman J, Furlan A. Enhancing patient communication with Chat-GPT in radiology: evaluating the efficacy and readability of answers to common imaging-related questions. J Am Coll Radiol. 2023 Oct 18:S1546-1440(23)00775-5. Epub ahead of print. PMID: 37863153. DOI: https://doi.org/10.1016/j.jacr.2023.09.011
Khan U. Revolutionizing Personalized Protein Energy Malnutrition Treatment: Harnessing the Power of Chat GPT. Ann Biomed Eng. 2023 Sep 20. Epub ahead of print. PMID: 37728811. DOI: https://doi.org/10.1007/s10439-023-03331-w
Ballester PL. Open Science and Software Assistance: Commentary on "Artificial Intelligence Can Generate Fraudulent but Authentic-Looking Scientific Medical Articles: Pandora's Box Has Been Opened". J Med Internet Res. 2023 May 31;25:e49323. PMID: 37256656; PMCID: PMC10267777. DOI: https://doi.org/10.2196/49323
Maboloc CR. Chat GPT: the need for an ethical framework to regulate its use in education. J Public Health (Oxf). 2023 Jul 13:fdad125. Epub ahead of print. PMID: 37442556. DOI: https://doi.org/10.1093/pubmed/fdad125
Yaddanapudi S, Yaddanapudi LN. How to design a questionnaire. Indian J Anaesth. 2019 May;63(5):335-337. PMID: 31142875; PMCID: PMC6530282. DOI: https://doi.org/10.4103/ija.IJA_334_19
Coraci D, Loreti C, Fusco A, Giovannini S, Padua L. Peripheral Neuropathies Seen by Ultrasound: A Literature Analysis through Lexical Evaluation, Geographical Assessment and Graph Theory. Brain Sci. 2021 Jan 16;11(1):113. PMID: 33467095; PMCID: PMC7829799. DOI: https://doi.org/10.3390/brainsci11010113
Monticone M, Baiardi P, Ferrari S, Foti C, Mugnai R, Pillastrini P, Vanti C, Zanoli G. Development of the Italian version of the Oswestry Disability Index (ODI-I): A cross-cultural adaptation, reliability, and validity study. Spine (Phila Pa 1976). 2009 Sep 1;34(19):2090-5. PMID: 19730216. DOI: https://doi.org/10.1097/BRS.0b013e3181aa1e6b
Monticone M, Frigau L, Mola F, Rocca B, Franchignoni F, Simone Vullo S, Foti C, Chiarotto A. The Italian version of the Quebec Back Pain Disability Scale: cross-cultural adaptation, reliability and validity in patients with chronic low back pain. Eur Spine J. 2020 Mar;29(3):530-539. Epub 2019 Sep 26. PMID: 31559506. DOI: https://doi.org/10.1007/s00586-019-06153-4
Padua R, Padua L, Ceccarelli E, Romanini E, Zanoli G, Bondì R, Campi A. Italian version of the Roland Disability Questionnaire, specific for low back pain: cross-cultural adaptation and validation. Eur Spine J. 2002 Apr;11(2):126-9. Epub 2001 Jul 17. PMID: 11956918; PMCID: PMC3610499. DOI: https://doi.org/10.1007/s005860100262
Maselli F, Ciuro A, Mastrosimone R, Cannone M, Nicoli P, Signori A, Testa M. Low back pain among Italian rowers: A cross-sectional survey. J Back Musculoskelet Rehabil. 2015;28(2):365-76. PMID: 25271199. DOI: https://doi.org/10.3233/BMR-140529
Coraci D, Capobianco SV, Romano M, Calvaruso S, Vecchio M, Giovannini S, Loreti C, Fusco A, Masiero S, Santilli V, Padua L. Neuropathic Pain and Ultrasonography: A Multiperspective Literature Evaluation. Diagnostics (Basel). 2021 Sep 17;11(9):1705. PMID: 34574046; PMCID: PMC8470278. DOI: https://doi.org/10.3390/diagnostics11091705
Garg A, Pathak H, Churyukanov MV, Uppin RB, Slobodin TM. Low back pain: critical assessment of various scales. Eur Spine J. 2020 Mar;29(3):503-518. Epub 2020 Jan 8. PMID: 31916001. DOI: https://doi.org/10.1007/s00586-019-06279-5
Coraci D, Tognolo L, Gottardello F, Posanti E, Masiero S. The use of pain drawing in medicine. A literature analysis based on graph theory. Pain Pract. 2023 Feb;23(2):220-221. Epub 2022 Oct 21. PMID: 36227649.
Coraci D, Tognolo L, Gottardello F, Posanti E, Masiero S. The use of pain drawing in medicine. A literature analysis based on graph theory. Pain Pract. 2023 Feb;23(2):220-221. Epub 2022 Oct 21. PMID: 36227649. DOI: https://doi.org/10.1111/papr.13170
Coletti C, Acosta GF, Keslacy S, Coletti D. Exercise-mediated reinnervation of skeletal muscle in elderly people: An update. Eur J Transl Myol. 2022 Feb 28;32(1):10416. PMID: 35234025; PMCID: PMC8992679. DOI: https://doi.org/10.4081/ejtm.2022.10416
Greene J, Wolfson D. Physician Perspectives on Building Trust with Patients. Hastings Cent Rep. 2023 Sep;53 Suppl 2:S86-S90. DOI: https://doi.org/10.1002/hast.1528
Ravara B, Giuriati W, Maccarone MC, Kern H, Masiero S, Carraro U. Optimized progression of Full-Body In-Bed Gym workout: an educational case report. Eur J Transl Myol. 2023 Jun 23;33(2):11525. PMID: 37358234; PMCID: PMC10388607. DOI: https://doi.org/10.4081/ejtm.2023.11525
Abdelwahed AE, Abd-Elkader MM, Mahfouz A, Abdelmawla MO, Kabeel M, Elkot AG, Hamad MR, Ibrahim RAE, Ghallab MMI; Collaborators group; Hamza N. Prevalence and influencing factors of self-medication during the COVID-19 pandemic in the Arab region: a multinational cross-sectional study. BMC Public Health. 2023 Jan 27;23(1):180. PMID: 36707840; PMCID: PMC9880368. DOI: https://doi.org/10.1186/s12889-023-15025-y
Masiero S, Maccarone MC. Health resort therapy interventions in the COVID-19 pandemic era: what next? Int J Biometeorol. 2021 Nov;65(11):1995-1997. Epub 2021 Apr 21. PMID: 33880643; PMCID: PMC8057917. DOI: https://doi.org/10.1007/s00484-021-02134-9
Shah S, Godhardt L, Spofford C. Acupuncture and Postoperative Pain Reduction. Curr Pain Headache Rep. 2022 Jun;26(6):453-458. Epub 2022 Apr 28. PMID: 35482244. DOI: https://doi.org/10.1007/s11916-022-01048-4
Gevers-Montoro C, Provencher B, Descarreaux M, Ortega de Mues A, Piché M. Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain. Eur J Pain. 2021 Aug;25(7):1429-1448. Epub 2021 Apr 15. PMID: 33786932. DOI: https://doi.org/10.1002/ejp.1773
Iyengar KP, Yousef MMA, Nune A, Sharma GK, Botchu R. Perception of Chat Generative Pre-trained Transformer (Chat-GPT) AI tool amongst MSK clinicians. J Clin Orthop Trauma. 2023 Sep 23;44:102253. PMID: 37822477; PMCID: PMC10562840. DOI: https://doi.org/10.1016/j.jcot.2023.102253
Diebo BG, Challier V, Shah NV, Kim D, Murray DP, Kelly JJ, Lafage R, Paulino CB, Passias PG, Schwab FJ, Lafage V. The Dubousset Functional Test is a Novel Assessment of Physical Function and Balance. Clin Orthop Relat Res. 2019 Oct;477(10):2307-2315. PMID: 31135543; PMCID: PMC6999954. DOI: https://doi.org/10.1097/CORR.0000000000000820
Waxman SE, Tripp DA, Flamenbaum R. The mediating role of depression and negative partner responses in chronic low back pain and relationship satisfaction. J Pain. 2008 May;9(5):434-42. Epub 2008 Mar 3. PMID: 18313363. DOI: https://doi.org/10.1016/j.jpain.2007.12.007
Moriki K, Ogihara H, Yoshikawa K, Kikuchi K, Endo R, Sato T. Effects of sleep quality on pain, cognitive factors, central sensitization, and quality of life in patients with chronic low back pain. J Back Musculoskelet Rehabil. 2023 Aug 26. Epub ahead of print. PMID: 37694349. DOI: https://doi.org/10.3233/BMR-220429

How to Cite

Coraci, D., Maccarone, M. C., Regazzo, G., Accordi, G., Papathanasiou, J. V., & Masiero, S. (2023). ChatGPT in the development of medical questionnaires. The example of the low back pain. European Journal of Translational Myology, 33(4). https://doi.org/10.4081/ejtm.2023.12114

Similar Articles

You may also start an advanced similarity search for this article.