23rd Annual Pain Medicine Meeting 2024

Anticoagulation for Interventional Pain Procedures: A Comparative Analysis between ASRA Guidelines, ChatGPT, and Google Gemini

Christian Wirawan, DO

BACKGROUND:

Artificial Intelligence continues to emerge and integrate into our daily lives. More and more patients are turning to AI to answer health-related questions. Guidelines for withholding anticoagulation differ greatly between various interventional procedures and patients may not specifically remember what recommendations were given. Thus, patients may turn to AI as it is becoming increasingly utilized by patients to understand treatment recommendations and inform decision making. Here, we present a comparative analysis of anticoagulation recommendations for interventional pain procedures between guidelines from multiple pain societies and responses from artificial intelligence including ChatGPT 4.0 and Google Gemini.

METHODS

1.Cross-sectional study design comparing ChatGPT, Google Gemini, and ASRA guidelines

2.Question asked “Should I hold my blood thinner before X procedure?”

a.Three intermediate pain procedures

•perioperative epidural placement

•transforaminal epidurals

•sympathetic plexus blocks

b.Two low-risk procedures

•sacroiliac joint injections,

•radiofrequency ablation

3.Question queried on each software with four different users and on four different days

4.Responses graded as sufficient vs insufficient

Results

•80 responses total

•6.25% of the responses were deemed sufficient

•However, results occurred based on user’s past search

•Other 75 responses were insufficient and general in recommendation

•Main recommendation stated to discuss with their physician and did not give specific duration for withholding anticoagulation

Conclusion

Artificial Intelligence could be incorporated into healthcare for recommendations surrounding procedural guidelines...in the near future.

Physicians should continue to educate patients and be aware of the spread of misinformation that can come from Artificial Intelligence

23rd Annual Pain Medicine Meeting 2024

ANTICOAGULATION FOR INTERVENTIONAL PAIN PROCEDURES: A COMPARATIVE ANALYSIS BETWEEN ASRA GUIDELINES, CHATGPT, AND GOOGLE GEMINI

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