Cited by 56Artificial Intelligence in Healthcare and EducationInformation Retrieval and Search BehaviorMeta-analysis and systematic reviews

Examining the Validity of ChatGPT in Identifying Relevant Nephrology Literature: Findings and Implications

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Suppadungsuk, Supawadee, Thongprayoon, Charat, Krisanapan, Pajaree, Tangpanithandee, Supawit, Garcia Valencia, Oscar, Miao, Jing, Mekraksakit, Poemlarp, Kashani, Kianoush +1 more·2023·Journal of Clinical Medicine

Abstract

Literature reviews are valuable for summarizing and evaluating the available evidence in various medical fields, including nephrology. However, identifying and exploring the potential sources requires focus and time devoted to literature searching for clinicians and researchers. ChatGPT is a novel artificial intelligence (AI) large language model (LLM) renowned for its exceptional ability to generate human-like responses across various tasks. However, whether ChatGPT can effectively assist medical professionals in identifying relevant literature is unclear. Therefore, this study aimed to assess the effectiveness of ChatGPT in identifying references to literature reviews in nephrology. We keyed the prompt “Please provide the references in Vancouver style and their links in recent literature on… name of the topic” into ChatGPT-3.5 (03/23 Version). We selected all the results provided by ChatGPT and assessed them for existence, relevance, and author/link correctness. We recorded each resource’s citations, authors, title, journal name, publication year, digital object identifier (DOI), and link. The relevance and correctness of each resource were verified by searching on Google Scholar. Of the total 610 references in the nephrology literature, only 378 (62%) of the references provided by ChatGPT existed, while 31% were fabricated, and 7% of citations were incomplete references. Notably, only 122 (20%) of references were authentic. Additionally, 256 (68%) of the links in the references were found to be incorrect, and the DOI was inaccurate in 206 (54%) of the references. Moreover, among those with a link provided, the link was correct in only 20% of cases, and 3% of the references were irrelevant. Notably, an analysis of specific topics in electrolyte, hemodialysis, and kidney stones found that >60% of the references were inaccurate or misleading, with less reliable authorship and links provided by ChatGPT. Based on our findings, the use of ChatGPT as a sole resource for identifying references to literature reviews in nephrology is not recommended. Future studies could explore ways to improve AI language models’ performance in identifying relevant nephrology literature.

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  • When ChatGPT and other AI chatbots were challenged to authenticate their outputs with references, they generated multiple citations with detailed bibliographic data that seemed authentic, but most were fabricated, contained at least one falsified citation datum, or were completely erroneous when verified through medical literature resources.

    “Even when ChatGPT and other AI chatbots were challenged to authenticate their outputs with references [13,14], they generated multiple citations with detailed bibliographic data that seemed perfectly authentic, but most were actually fabricated, contained at least one falsified citation data, or were completely erroneous when verified through medical literature resources [13-16].”

    From Reference Hallucination Score for Medical Artificial Intelligence Chatbots: Development and Usability Study (2024) · cites this paper as [14]

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Authors
Suppadungsuk, S., Thongprayoon, C., Krisanapan, P., Tangpanithandee, S., Garcia Valencia, O., Miao, J., Mekraksakit, P., Kashani, K., & Cheungpasitporn, W.
Affiliations
  • Mayo Clinic (US)
  • Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
Corresponding author
Cheungpasitporn, Wisit
Venue
Journal of Clinical Medicine
Publisher
MDPI AG
Published
2023-08-25
Volume
12
Issue
17
Pages
5550
ISSN
2077-0383 (ISSN-L)
OpenAlex
W4386224103
Cited by
56
References
43
Citations by year
2026: 13 · 2025: 11 · 2024: 20 · 2023: 12
FWCI
2.23
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Physical Sciences › Computer Science › Information Systems › Information Retrieval and Search Behavior
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords
ChatGPT, large language models, literature searching, citation accuracy, AI-generated references, hemodialysis, kidney stones, electrolyte imbalance, prompt engineering

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