Abstract：
OBJECTIVE: The market and application possibilities for artificial intelligence are currently growing at high speed and are increasingly finding their way into gynecology. While the medical side is highly represented in the current literature, the patient\'s perspective is still lagging behind. Therefore, the aim of this study was to evaluate the recommendations of ChatGPT regarding patient inquiries about the possible therapy of gynecological leading symptoms in a palliative situation by experts.
METHODS: Case vignettes were constructed for 10 common concomitant symptoms in gynecologic oncology tumors in a palliative setting, and patient queries regarding therapy of these symptoms were generated as prompts for ChatGPT. Five experts in palliative care and gynecologic oncology evaluated the responses with respect to guideline adherence and applicability and identified advantages and disadvantages.
RESULTS: The overall rating of ChatGPT responses averaged 4.1 (5 = strongly agree; 1 = strongly disagree). The experts saw an average guideline conformity of the therapy recommendations with a value of 4.0. ChatGPT sometimes omits relevant therapies and does not provide an individual assessment of the suggested therapies, but does indicate that a physician consultation is additionally necessary.
CONCLUSIONS: Language models, such as ChatGPT, can provide valid and largely guideline-compliant therapy recommendations in their freely available and thus in principle accessible version for our patients. For a complete therapy recommendation, an evaluation of the therapies, their individual adjustment as well as a filtering of possible wrong recommendations, a medical expert\'s opinion remains indispensable.
METHODS: Case vignettes were constructed for 10 common concomitant symptoms in gynecologic oncology tumors in a palliative setting, and patient queries regarding therapy of these symptoms were generated as prompts for ChatGPT. Five experts in palliative care and gynecologic oncology evaluated the responses with respect to guideline adherence and applicability and identified advantages and disadvantages.
RESULTS: The overall rating of ChatGPT responses averaged 4.1 (5 = strongly agree; 1 = strongly disagree). The experts saw an average guideline conformity of the therapy recommendations with a value of 4.0. ChatGPT sometimes omits relevant therapies and does not provide an individual assessment of the suggested therapies, but does indicate that a physician consultation is additionally necessary.
CONCLUSIONS: Language models, such as ChatGPT, can provide valid and largely guideline-compliant therapy recommendations in their freely available and thus in principle accessible version for our patients. For a complete therapy recommendation, an evaluation of the therapies, their individual adjustment as well as a filtering of possible wrong recommendations, a medical expert\'s opinion remains indispensable.
摘要：
目标：人工智能的市场和应用可能性目前正在高速增长，并且越来越多地进入妇科。虽然医疗方面在当前文献中具有很高的代表性，病人的观点仍然落后。因此,这项研究的目的是评估ChatGPT关于患者询问专家在姑息情况下可能治疗妇科主要症状的建议。
方法：在姑息治疗的背景下，针对妇科肿瘤中的10种常见伴随症状构建病例插图，和关于这些症状的治疗的患者查询作为ChatGPT的提示。姑息治疗和妇科肿瘤学的五位专家评估了有关指南依从性和适用性的反应，并确定了优缺点。
结果：ChatGPT反应的总体评分平均为4.1（5=强烈同意；1=强烈不同意）。专家认为治疗建议的平均指南符合值为4.0。ChatGPT有时会忽略相关疗法，并且不会对建议的疗法进行单独评估。但确实表明医生咨询是额外必要的。
结论：语言模型，比如ChatGPT,可以免费提供有效且基本符合指南的治疗建议，因此原则上可以为我们的患者提供。对于完整的治疗建议，对治疗方法的评估，他们的个人调整以及可能的错误建议的过滤，医学专家的意见仍然不可或缺。
方法：在姑息治疗的背景下，针对妇科肿瘤中的10种常见伴随症状构建病例插图，和关于这些症状的治疗的患者查询作为ChatGPT的提示。姑息治疗和妇科肿瘤学的五位专家评估了有关指南依从性和适用性的反应，并确定了优缺点。
结果：ChatGPT反应的总体评分平均为4.1（5=强烈同意；1=强烈不同意）。专家认为治疗建议的平均指南符合值为4.0。ChatGPT有时会忽略相关疗法，并且不会对建议的疗法进行单独评估。但确实表明医生咨询是额外必要的。
结论：语言模型，比如ChatGPT,可以免费提供有效且基本符合指南的治疗建议，因此原则上可以为我们的患者提供。对于完整的治疗建议，对治疗方法的评估，他们的个人调整以及可能的错误建议的过滤，医学专家的意见仍然不可或缺。
