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Brenac et al. Art Int Surg 2024;4:296-315  https://dx.doi.org/10.20517/ais.2024.49                                                                                                                                                       Page 304



 Table 2. Description of primary research studies analyzed

 Section  Author           Title  Year Journal  Main aim  Main finding
 [28]
 AI-enhanced   Wang et al.  Artificial intelligence in plastic  2024 Plastic and   (1) Evaluate the readability of 10 online sources of  (1) ChatGPT generally improved readability, but only one
 readability of patient   surgery: ChatGPT as a tool to  Reconstructive   breast reconstruction information against those   website showed statistically significant improvement
 education  address disparities in health literacy  Surgery  modified by ChatGPT   (2) Readability scores still exceeded the 5th-grade level,
 (2) Assess ChatGPT’s ability to improve the   indicating a need for more simplification of patient
 readability of patient-facing medical information  information
 [19]
 Baldwin et al.  An artificial intelligence language   2024 Burns  (1) Assess the effectiveness of ChatGPT in   (1) After ChatGPT modifications, 18% of webpages met
 model improves readability of burn   improving the readability of burn first aid   an 11-year-old literacy level, compared to only 4% prior
 first aid information  information         to ChatGPT modifications
 (2) Evaluate the changes in the readability of   (2) ChatGPT significantly improved readability scores
 online patient education materials after ChatGPT   across all readability formulas (P < 0.001)
 modification
 [17]
 Browne et al.  ChatGPT-4 can help hand surgeons  2024 Journal of Hand   (1) Evaluate ChatGPT’s ability to improve the   (1) ChatGPT significantly improved the readability of
 communicate better with patients  Surgery Global   readability of hand surgery information provided   hand surgery information (P < 0.001) across all
 Online  by the American Society of Surgery of Hand and   readability tests
 the British Society of Surgery of the Hand   (2) ChatGPT-modified information achieved a mean
 (2) Use multiple readability formulas to compare   sixth-grade readability level on multiple readability tests
 pre and post-ChatGPT modified readability scores
 of hand surgery content
 [20]
 Evaluation of AI-  Berry et al.  Both patients and plastic surgeons  2024 Journal of   (1) Compare the quality of ChatGPT-generated   (1) Surgeons preferred ChatGPT’s responses 70.7% of
 generated patient-  prefer artificial intelligence -   Reconstructive   responses to microsurgery questions against those  the time and rated ChatGPT higher in terms of
 facing information  generated microsurgical   Microsurgery  provided by the ASRM   comprehensiveness (P < 0.001) and clarity (P < 0.05)
 information  (2) Assess the comprehensiveness, clarity, and   (2) ChatGPT’s responses had significantly worse
 readability of ChatGPT’s responses against ASRM  readability scores across multiple readability formulas
 content                                    compared to ASRM content
 Grippaudo   Quality of the information provided  2024 JPRAS Open  (1) Assess the quality of ChatGPT-generated   (1) ChatGPT produced high-quality information for
 [21]
 et al.  by ChatGPT for patients in breast   breast plastic surgery information using the EQIP   breast reconstruction (19/36), reduction (19/36), and
 plastic surgery: are we already in   scale   augmentation (20/36), scoring above 18 on the EQIP
 the future?  (2) Evaluate ChatGPT’s generated patient-facing   scale
 breast surgery information across content,   (2) ChatGPT information lacked identification since the
 identification, and structure data         information did not contain bibliography references or
                                            proper validation
 [22]
 Seth et al.  Evaluating chatbot efficacy for   2023 Aesthetic Surgery   (1) Evaluate ChatGPT’s ability to create accurate,   (1) ChatGPT provided comprehensive and grammatically
 answering frequently asked   Journal  informative, and accessible breast augmentation   accurate responses to breast augmentation questions
 questions in plastic surgery: a   information   (2) ChatGPT-generated information lacked personalized
 ChatGPT case study focused on   (2) Qualitatively compare ChatGPT’s responses to  advice
 breast augmentation  breast augmentation questions with established
 literature
 [23]
 Xie et al.  Aesthetic surgery advice and   2023 Aesthetic Plastic   (1) Investigate ChatGPT’s ability to generate   (1) ChatGPT provided comprehensive and coherent
 counseling from artificial   Surgery  accurate, informative, and accessible responses to  answers to rhinoplasty questions
 intelligence: a rhinoplasty   rhinoplasty questions sourced from the ASPS   (2) ChatGPT lacked the ability to generate personalized
 consultation with ChatGPT  website         advice, limiting its usefulness in patient consultations
 (2) Evaluate the quality of ChatGPT’s responses in
 a clinical setting
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