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Page 6 of 11               Lim et al. Plast Aesthet Res 2023;10:43  https://dx.doi.org/10.20517/2347-9264.2023.70




























                Figure 3. If I have completely lacerated my digital nerve, what is the likely outcome of being completely repaired? Provide 5 high-level
                evidence studies to support your answer.

               failed to supply five references.


               As shown in Figure 4, the prompt “Following digital nerve repair surgery, what is the timeframe for the
               complete return of sensation to the finger?” aimed to analyze the models’ abilities to predict prognosis
               following a surgical procedure. ChatGPT commenced by noting the variable timeline is contingent on
               multiple factors. It delineated the average nerve regeneration rate, emphasizing the gradual process of
               regaining sensation, while also warning potential incomplete recovery [14,15] . ChatGPT finally advised
               adherence to healthcare professional guidance, encompassing hand therapy, sensory re-education, and pain
                          [16]
               management . BARD generated a response akin to ChatGPT's, offering an approximate recovery
               timeframe of six months to two years, depending on injury severity and patient health, while similarly
               cautioning against incomplete sensation restoration [17,18] . It expounded on three factors influencing recovery
                                                                            [19]
               duration and emphasized adhering to healthcare professional directives . Bing AI proposed an alternative
               recovery timeframe of three to six months while cautioning that not all individuals achieve full recovery .
                                                                                                        [3]
               Interestingly, it cited a study to substantiate its assertion and furnished two additional links for users seeking
               further research.


               The final input “Same patient, what are my options if I don’t have surgery?” as shown in Figure 5, assessed
               the models’ ability to offer a breadth of therapeutic options. Consistent with prior responses, ChatGPT
               advised seeking a healthcare professional's guidance. Initially, it elucidated potential complications arising
               from non-surgical approaches followed by enumerating alternative treatments ; however, it ultimately
                                                                                    [20]
               advocated for surgical management, attributing this to enhanced patient outcomes. BARD devised several
               recommendations for non-clinical settings, subsequently accentuating the potential inadequacy of these
               interventions and suggesting surgical measures should symptoms persist. The response culminated by
               listing the ramifications of forgoing surgery and urging users to consult their doctor for optimal
               management . Bing AI presented and briefly explained distinct alternative therapies, underscoring the
                          [20]
                                                                                                [21]
               variability of patient outcomes and that not all nerve lacerations necessitate surgical intervention . Bing AI
               also cited a systematic review to support its assertion and furnished at least four additional links for users to
               further study this topic. Unfortunately, the hyperlink to the systematic review was erroneous, raising
               concerns about Bing AI’s credibility. It also failed to list possible complications of adopting non-surgical
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