Integrating ChatGPT in Anesthesia

NCT06652854 | Not Yet Recruiting

• 1 other identifier: 20240526-01H
• Study Type: observational
• Target: 190
• Locations: 1 country
• Sites: 1

Brief Summary

Patients are waiting for surgery longer than ever before. While hospitals are trying to get patients access to surgery as quickly as possible, a shortage of anesthesia doctors (called anesthesiologists) prevents this. Every surgery needs an anesthesiologist, but anesthesiologists also assess patients beforehand to ensure they can safely undergo surgery and help patients understand what to expect and the risks involved. Ensuring that patients move through surgery as safely and efficiently as possible requires that the limited number of anesthesiologists in Canada work as efficiently as possible. Technology like Artificial Intelligence (AI), in programs such as ChatGPT, might assist by answering common questions patients have, allowing anesthesiologists to focus their limited time on addressing complex and personalized issues for each patient. However, studies conducted so far on how well AI can answer questions about anesthesia and surgery have been poorly designed and have not included patients as members of the research team. This study will determine whether AI can answer patients' questions before surgery as effectively as both patients and expert anesthesiologists would expect, which could be beneficial to patients and the healthcare system.

Conditions

Preoperative Care; Patient Education; Anesthesia; Artificial Intelligence

Outcome Measures

Primary Outcomes (1)

• knowledge

  Patients will be blinded to the source of the two responses (GPT-4 and Anesthesiologist). After reading both responses, they will complete a questionnaire that includes an 11-point Likert-scale question for the primary outcome of knowledge: "To what extent does the response address the knowledge or information you hoped to gain?" (0 = not at all addressed; 10 = fully addressed)

  From the date of the pre-anesthesia consultation until 2 weeks after the consultation, assessed over a period of up to 2 weeks post-consultation

Secondary Outcomes (1)

• Patient satisfaction

  From the date of the pre-anesthesia consultation until 2 weeks after the consultation, assessed over a period of up to 2 weeks post-consultation

Other Outcomes (1)

• Tertiary outcomes

  From the date of the pre-anesthesia consultation until 2 weeks after the consultation, assessed over a period of up to 2 weeks post-consultation

Study Arms (2)

Patient scheduled for a pre-surgery consultation with a physician anesthesiologist

After obtaining consent, patients will be asked to respond to the following query: "What is the most important question you had hoped to ask your anesthesiologist today about your anesthesia care, pain management or the time immediately around surgery?'.

Specialty-trained anesthesiologists in independent practice within the pre-admission

anesthesiologists will be designated as either "response generators" or "response raters." Response generators will craft answers to patient queries, while response raters-anesthesiologists with over five years of clinical experience-will evaluate the quality of these responses.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adults having an in-person preoperative anesthesiology consultation before elective surgery at The Ottawa Hospital

You may qualify if:

• Patients
• \. Age \> 18 years 2. Elective non-cardiac surgery 3. In-person preoperative anesthesiology consultation 4. Ability to participate and provide informed consent independently.

You may not qualify if:

• \. Unable to communicate in English or French 2. Nurse consultation only
• Physicians
• Anesthesiology residents or staff providing service at the PAU at TOH
• Anesthesiology residents or staff unwilling to participate in the research study.

Sponsors & Collaborators

• Ottawa Hospital Research Institute: lead

Study Sites (1)

Ottawa Hospital Research Institute

Ottawa, Ontario, ON K1Y 4E9, Canada

Location

Central Study Contacts

Arnaud Romeo, Mbadjeu Hondjeu, MD

CONTACT

613-737-8187; ambadjeu@toh.ca

Daniel McIsaac, MD

CONTACT

613-737-8187; dmcisaac@toh.ca

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 17, 2024
• First Posted: October 22, 2024
• Study Start: December 9, 2024
• Primary Completion: May 30, 2025
• Study Completion: June 30, 2025
• Last Updated: October 22, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)