AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education

Abstract Introduction The emergence of large language models heralds a new chapter in natural language processing, with immense potential for improving medical care and especially medical oncology. One recent and publicly available example is Generative Pretraining Transformer 4 (GPT‐4). Our objecti...

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Main Authors: Maximilian Riedel, Bastian Meyer, Raphael Kfuri Rubens, Caroline Riedel, Niklas Amann, Marion Kiechle, Fabian Riedel
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Acta Obstetricia et Gynecologica Scandinavica
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Online Access:https://doi.org/10.1111/aogs.15123
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author Maximilian Riedel
Bastian Meyer
Raphael Kfuri Rubens
Caroline Riedel
Niklas Amann
Marion Kiechle
Fabian Riedel
author_facet Maximilian Riedel
Bastian Meyer
Raphael Kfuri Rubens
Caroline Riedel
Niklas Amann
Marion Kiechle
Fabian Riedel
author_sort Maximilian Riedel
collection DOAJ
description Abstract Introduction The emergence of large language models heralds a new chapter in natural language processing, with immense potential for improving medical care and especially medical oncology. One recent and publicly available example is Generative Pretraining Transformer 4 (GPT‐4). Our objective was to evaluate its ability to rephrase original surgical reports into simplified versions that are more comprehensible to patients. Specifically, we aimed to investigate and discuss the potential, limitations, and associated risks of using these simplified reports for patient education and information in gynecologic oncology. Material and Methods We tasked GPT‐4 with generating simplified versions from n = 20 original gynecologic surgical reports. Patients were provided with both their original report and the corresponding simplified version generated by GPT‐4. Alongside these reports, patients received questionnaires designed to facilitate a comparative assessment between the original and simplified surgical reports. Furthermore, clinical experts evaluated the artificial intelligence (AI)‐generated reports with regard to their accuracy and clinical quality. Results The simplified surgical reports generated by GPT‐4 significantly improved our patients' understanding, particularly with regard to the surgical procedure, its outcome, and potential risks. However, despite the reports being more accessible and relevant, clinical experts highlighted concerns about their lack of medical precision. Conclusions Advanced language models like GPT‐4 can transform unedited surgical reports to improve clarity about the procedure and its outcomes. It offers considerable promise for enhancing patient education. However, concerns about medical precision underscore the need for rigorous oversight to safely integrate AI into patient education. Over the medium term, AI‐generated, simplified versions of these reports—and other medical records—could be effortlessly integrated into standard automated postoperative care and digital discharge systems.
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spelling doaj-art-70340d46d1ec4bfd80a4c2a83204c5002025-08-20T03:30:57ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122025-07-0110471373138110.1111/aogs.15123AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient educationMaximilian Riedel0Bastian Meyer1Raphael Kfuri Rubens2Caroline Riedel3Niklas Amann4Marion Kiechle5Fabian Riedel6Department of Gynecology and Obstetrics, TUM University Hospital Technical University Munich (TU) Munich GermanyDepartment of Gynecology and Obstetrics, TUM University Hospital Technical University Munich (TU) Munich GermanyInstitute of Computational Biology Helmholtz Zentrum München, German Research Center for Environmental Health Neuherberg GermanyDepartment of General Internal Medicine and Psychosomatics Heidelberg University Hospital Heidelberg GermanyDepartment of Gynecology and Obstetrics Friedrich–Alexander‐University Erlangen–Nuremberg (FAU) Erlangen GermanyDepartment of Gynecology and Obstetrics, TUM University Hospital Technical University Munich (TU) Munich GermanyDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg GermanyAbstract Introduction The emergence of large language models heralds a new chapter in natural language processing, with immense potential for improving medical care and especially medical oncology. One recent and publicly available example is Generative Pretraining Transformer 4 (GPT‐4). Our objective was to evaluate its ability to rephrase original surgical reports into simplified versions that are more comprehensible to patients. Specifically, we aimed to investigate and discuss the potential, limitations, and associated risks of using these simplified reports for patient education and information in gynecologic oncology. Material and Methods We tasked GPT‐4 with generating simplified versions from n = 20 original gynecologic surgical reports. Patients were provided with both their original report and the corresponding simplified version generated by GPT‐4. Alongside these reports, patients received questionnaires designed to facilitate a comparative assessment between the original and simplified surgical reports. Furthermore, clinical experts evaluated the artificial intelligence (AI)‐generated reports with regard to their accuracy and clinical quality. Results The simplified surgical reports generated by GPT‐4 significantly improved our patients' understanding, particularly with regard to the surgical procedure, its outcome, and potential risks. However, despite the reports being more accessible and relevant, clinical experts highlighted concerns about their lack of medical precision. Conclusions Advanced language models like GPT‐4 can transform unedited surgical reports to improve clarity about the procedure and its outcomes. It offers considerable promise for enhancing patient education. However, concerns about medical precision underscore the need for rigorous oversight to safely integrate AI into patient education. Over the medium term, AI‐generated, simplified versions of these reports—and other medical records—could be effortlessly integrated into standard automated postoperative care and digital discharge systems.https://doi.org/10.1111/aogs.15123AIGPT‐4gynecologylarge language modelspatient educationsurgery
spellingShingle Maximilian Riedel
Bastian Meyer
Raphael Kfuri Rubens
Caroline Riedel
Niklas Amann
Marion Kiechle
Fabian Riedel
AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
Acta Obstetricia et Gynecologica Scandinavica
AI
GPT‐4
gynecology
large language models
patient education
surgery
title AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
title_full AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
title_fullStr AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
title_full_unstemmed AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
title_short AI‐driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education
title_sort ai driven simplification of surgical reports in gynecologic oncology a potential tool for patient education
topic AI
GPT‐4
gynecology
large language models
patient education
surgery
url https://doi.org/10.1111/aogs.15123
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