Spondyloarthritis & psoriatic arthritis

ChatGPT vs rheumatologists: cross-sectional study on accuracy and patient perception of AI-generated information for psoriatic arthritis

Ann Rheum DisPublished Cross-sectional study

Authors' conclusion

In this exploratory study, ChatGPT-4 appeared able to generate accurate and readable responses to PsA-related questions and was often preferred by patients.

Study context

Population
Psoriatic arthritis (PsA) patients generating questions (32 questions, 6 themes); answers scored by 14 clinicians; separate arm of 67 PsA patients rating preference67 patients in preference arm
Participants
76 patients
Exposure
ChatGPT-4 answers vs answers by Italian PsA specialists
  • Expertsn = 12reference
Outcome
Accuracy (1-5 Likert scale) and completeness (1-3) of answers, scored by clinicians
Methodological detailsexploratory, descriptive comparison, mixed-effects ordinal logistic models, no formal sample size calculation
  • Exploratory, descriptive comparison
  • Mixed-effects ordinal logistic models
  • No formal sample size calculation

Main finding

As reported in the abstract

  • Accuracy appeared comparable between ChatGPT and experts
  • ChatGPT scored lower in completeness
  • Accuracy lower for pregnancy/fertility, no clear relevant differences in other domains
  • P values descriptive

Observational data: associations, not effects.

Further findings

OutcomeExpertsP value
Patient preference (998 choices)ChatGPT vs Experts · no preference 164/998 (16.4%)34.4%P < 0.001
  • Patient preference (998 choices): ChatGPT 49.2%

Patient preference (998 choices)

Relative preference for ChatGPT responses in prognosis and therapy

Readability

ChatGPT responses on average more readable across indices

Information most sought by patients

Prognosis/comorbidities (54/76)
71.1%
Therapy strategy (48/76)
63.2%
Treatment risks (38/76)
50.0%

Original publication

ChatGPT vs rheumatologists: cross-sectional study on accuracy and patient perception of AI-generated information for psoriatic arthritis. Ann Rheum Dis. Published 12 December 2025. doi:10.1016/j.ard.2025.11.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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