Patient Education For Gender Affirmation Surgery In The Digital Era: A Multilingual Comparison Of Web Search Vs. ChatGPT-4

 

Raunak Goyal, MBBS¹, Jade Tso, BS², Shivangi Saha, MBBS, MS, MCh³, Anurag Jain, MBBS, MS, MCh⁴, Gabriel Alfonso Del Corral, MD⁵, Maneesh Singhal, MBBS, MS, MCh³, Kristen Rezak, MD⁶, Kavitha Ranganathan, MD¹, Ashit Patel, MBChB⁶

 

¹Brigham and Women's Hospital, Boston, MA, USA

²Harvard School Of Medicine, Program In Global Surgery And Social Change, Boston, MA, USA

³The All India Institute Of Medical Sciences, New Delhi, India

⁴Deen Dayal Upadhyay Hospital, New Delhi, India

⁵MedStar Georgetown University Hospital, WA, USA

⁶Duke University, Durham, NC, USA

 

A. Background

 

A1a. Traditional Materials

• Variable accuracy and clarity

• Variable emotional sensitivity

 

A1b. ChatGPT Advantages 

• More accurate and comprehensive

• Clearer and better patient utility

 

A1c. Comparison Needed

Google search vs. ChatGPT-4 effectiveness unknown for GAS

 

A2. Addressing Marginalization in Healthcare

 

A2a. Marginalized Communities

A2b. Language Barriers

A2c. Health Literacy Challenges

A2d. Improved Access

 

A3. Impact on Healthcare Delivery

 

A3a. Non-English Speakers

Breaking down language barriers

 

A3b. Underserved Areas

Reaching populations with limited resources

 

A3c. Healthcare Systems

Improving educational material delivery

 

 

B. Materials and Methods

 

B1. Web Search Analysis

Top 5 web pages in English, Spanish, and Hindi

 

B2. ChatGPT-4 Queries

12 frequently asked gender affirming surgery questions

 

B3. Expert Evaluation

Seven board-certified plastic surgeons rated content

 

B4. Statistical Analysis

Descriptive statistics and two-tailed t-tests

 

 

C. Results

 

C1. ChatGPT Superiority

Higher scores for accuracy, safety, emotional sensitivity, and patient utility

 

C2. Language Gaps

AI bridges language barriers effectively

 

C3. Readability Challenge

ChatGPT content more complex across languages

 

C4. Emotional Intelligence

AI shows greater sensitivity to gender diverse context

 

D. Conclusions

 

D1. Bridging Language Gaps

D2. Improved Accessibility

D3. Better Health Outcomes

D4. Cultural Competence

D5. Health Equity