Saturday, June 10, 2023

Information that patients want and need to know about shoulder joint replacement arthroplasty for arthritis

In addition to the answers to frequently asked questions below, please also see
Arthritis of the shoulder- what patients need to know about the symptoms, diagnosis and treatment of shoulder arthritis




Patients frequently use internet search engines (such as Google (www.google.com) and Bing (www.bing.com) to seek information on shoulder arthritis and shoulder joint replacement. However, internet searches do not yield information; instead they yield links to sites with content that may related to the search terms. It is up to the patient to select which sites to visit and to synthesize the information found. This is a daunting task: a search "how long does it take to recover from shoulder joint replacement" yielded 13,700,000 results with an admixture of commercial, lawyer, journals, academic, private practice, orthopaedic societies and government websites - each with its own biases. Synthesizing a meaningful consensus is overwhelming.

A better option for patients is ChatGPT, a interactive language model developed by OpenAI, that uses a deep learning framework to understand queries and to generate coherent, contextually relevant responses based on a set of books, websites, and texts selected by unbiased researchers at OpenAI.  ChatGPT is currently available free of charge, generating friendly responses to queries posed by patients anytime day or night. It is, of course, critical to remember that while ChatGPT responses present syntheses of information from its comprehensive sources, they cannot be used as specific medical advice and may not be applicable to an individual patient. Patients should consult medical professionals for the most current and accurate information on their specific conditions.

A recent article, Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum found that Chatbot responses were rated of significantly higher quality than physician responses, with 3.6 times higher prevalence of good or very good quality responses for the chatbot. Chatbot responses were also rated significantly more empathetic than physician responses with 9.8 times higher prevalence of empathetic or very empathetic responses for the chatbot.

We used ChatGPT, to generate responses to the most commonly asked questions regarding shoulder arthroplasty as identified in What patients want to know about shoulder arthroplasty: a Google search analysis and Internet search analytics for shoulder arthroplasty: what questions are patients asking? It is of interest that patients are asking similar questions about rotator cuff repair: What Are Patients Asking and Reading Online? An Analysis of Online Patient Searches for Rotator Cuff Repair

Click on each of the frequently asked questions (FAQ) below to see the ChatGPT response



Can you ice too much after shoulder surgery?

Can you lay flat after shoulder replacement surgery?

Why do you have to sleep in a recliner after shoulder surgery?

How long should you sleep in a recliner after shoulder surgery?

What happens if you don't wear your sling after shoulder replacement surgery?

Can you wear a bra after shoulder joint replacement surgery?

How do you go to the bathroom after shoulder replacement surgery?

What is the fastest way to recover from shoulder replacement surgery?

How long is physical therapy after shoulder joint replacement?

How long does it take to recover from a shoulder joint replacement?

How long should you take off work after shoulder replacement surgery?

What are the possible limitations after total shoulder joint replacement surgery?

What can you not do after total shoulder joint replacement surgery?

Can you play sports after shoulder replacement?

Can I have an MRI after shoulder replacement?

These responses by ChatGPT are reasonable and include the caveat that patients cannot use them as advice about their personal situation, but rather they should consult with their orthopaedic surgeon for guidance on the evaluation and management of their shoulder.

You can support cutting edge shoulder research that is leading to better care for patients with shoulder problems, click on this link.

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link)




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