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Role of Artificial Intelligence in Answering Common Patient Queries: Osteoarthritis: A View-Point
Rohan Singhal*
Corresponding Author: Rohan Singhal, Final year MBBS, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. RML Hospital, New Delhi, India.
Received: August 21, 2024; Revised: August 28, 2024; Accepted: August 31, 2024 Available Online: September 24, 2024
Citation: Singhal R. (2024) Role of Artificial Intelligence in Answering Common Patient Queries: Osteoarthritis: A View-Point. J Nurs Occup Health, 5(3): 587-590.
Copyrights: ©2024 Singhal R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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The newest artificial intelligence conversational chatbot, Chat Sonic released by Write sonic, has been making waves in the tech industry, and is touted to be an improvement over the existing chatbots. The benefit of Chat Sonic is that it uses Google's Knowledge Graph to continuously update factual content giving accurate and reliable information in real-time, thus giving it an edge as it doesn’t need to be constantly updated from time to time with the latest information [1]. Such AI based conversational chatbots have immense application in the healthcare industry with respect to identifying symptoms, managing medications and assisting with chronic health issues. A recent study Ayers [2] reported that chatbots were able to provide high-quality and empathetic responses when answering patient questions posted on an online forum. The AI system demonstrated its potential to assist healthcare professionals in promptly addressing patient concerns through digital platforms and consultations. One such condition is Osteoarthritis (OA), one of the most common joint disorders and the most frequent causes of pain, loss of function, and disability in adults. It is a chronic, progressive musculoskeletal disorder characterized by inflammation, breakdown, and eventual loss of cartilage in the joints, having more than 62.35 million patients in India [3]. With Chat Sonic revolutionizing how, we engage with digital conversations by providing real-time facts and data, and its ability to customize conversations based on the user’s needs, the public may soon begin to use it to research their own rheumatological concerns. An instrument called DISCERN can be used as a valid and reliable tool for assessing the quality of such written information on treatment choices as well as production of high- quality, evidence-based consumer health information [4].

To evaluate the suitability of conversational chatbots for use in OA patient counseling, a conversation with Chat Sonic inquiring about frequently asked questions by patients and common myths surrounding OA was conducted (Table 1).

It was observed that ChatSonic generated detailed write-ups with factually correct information in a clear, easy-to-understand language such as “Pain or aching in a joint during activity, after long activity or at the end of the day is a common symptom of osteoarthritis.” To support the content it delivered, ChatSonic cited references from a combination of sources such as academic journals, online articles, and websites. It also debunked popular existing myths about OA such as “There is no scientific evidence to suggest that cracking your knuckles can lead to osteoarthritis”. It was also interesting to note that ChatSonic directed the users to seek advice from a healthcare provider for addressing specific concerns that involved personalized care and treatment, drug dosages, or safety issues. It also gave information like recommending home remedies and low-impact exercises for people with OA and to avoid using ibuprofen for OA if suffering from stomach problems, kidney or liver disease.

This is an instance wherein Chat Sonic generated realistic information, and thus it can prove to be an invaluable source for medical patients in the future. It can provide accurate and concise information quickly, allowing patients to easily access medical information in an easy-to-understand language and help better understand their condition without the need to search for data. It also can prove to be a great tool for staying up-to-date on the latest medical research and treatments, as well as provide helpful tips on managing chronic diseases and other long-term health issues [5].

However, the ability to provide advice that is specifically tailored to a patient’s needs and prescribing medication is beyond Chat Sonic’s current capabilities and would require the expertise and knowledge of a healthcare professional.

Table 1. Demonstrates a conversation between a common man and Chat Sonic about Osteoarthritis.

No.

Question

Response by Chat Sonic

1.

Q. What is osteoarthritis?

Osteoarthritis is a degenerative joint disorder that affects the hands, knees, hips, and spine, most commonly in older people. Symptoms of osteoarthritis include joint pain and stiffness, changes in joint movement, and swelling. It is the most common form of arthritis, commonly referred to as "wear and tear" arthritis. The main cause of osteoarthritis is aging, but obesity, injury, and genetics can also play a role. Treatment of osteoarthritis usually involves medications, physical therapy, lifestyle modifications, and, in some cases, surgery [1]. Self-management strategies such as learning self-management skills, getting physically active, participating in effective physical activity programs, and talking to your doctor can also help [2]. Research is still being done on the cause of osteoarthritis, and clinical trials may be an option for some people [3].

References: [1] Osteoarthritis - Symptoms and causes - Mayo Clinic [2] Osteoarthritis (OA) | Arthritis | CDC [3] What Causes Osteoarthritis, Symptoms & More | NIAMS

2.

Q. How to treat osteoarthritis at home?

Treating osteoarthritis at home typically involves a combination of lifestyle modifications and self-management strategies. These can include the following:

·                  Taking medications as prescribed by your doctor

·                  Doing low-impact exercises such as walking, swimming, or cycling to reduce joint pain and stiffness

·                  Losing weight if necessary to reduce stress on the joints

·                  Practicing range of motion and strength exercises to improve joint mobility

·                  Using hot and cold therapies to reduce stiffness and pain

·                  Eating a balanced, nutritious diet to support joint health

·                  Using assistive devices such as cane, walker, or wheelchair to reduce stress on the joints

·                  Taking part in activities that reduce stress and improve overall mental health

·                  Regularly attending physical therapy sessions to learn proper exercises and stretching techniques

·                  Getting enough rest and avoiding overexertion

·                  Keeping joints flexible and mobile by using joint protectors and braces

Talking to your doctor about other treatment options such as steroid injections, surgery, and alternative therapies.

3.

Q. What are the risk factors for developing osteoarthritis?

Osteoarthritis (OA) is a degenerative joint disease that is caused by wear and tear on the joints. The risk factors for OA include age, gender, ethnicity, family history, previous injury or joint trauma, obesity, certain occupations, poor posture, and other types of arthritis. Additionally, medical conditions such as diabetes, underactive thyroid, and bleeding disorders may increase the risk of developing OA. Stress has been linked to increased pain perception in people with OA, and changes in weather can worsen OA symptoms.

References: [1] Osteoarthritis (OA) | Arthritis | CDC [2] Osteoarthritis (OA) Risk Factors and Causes [3] OA Pathogenesis and Risk Factors

Q. Can cracking knuckles lead to osteoarthritis?

There is no scientific evidence to suggest that cracking your knuckles can lead to osteoarthritis. In fact, a study published in the Annals of Rheumatic Diseases found that cracking knuckles does not appear to affect the risk of developing osteoarthritis.

Q. Is there a cure for osteoarthritis?

Unfortunately, there is no cure for osteoarthritis. However, treatments are available to help manage symptoms, such as pain, stiffness, and swelling. Treatment options include medications like acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and duloxetine. Physical therapies such as stretching, strength training, and aerobic exercise can help reduce pain and improve joint flexibility. Surgery may be recommended in some cases. Additionally, research suggests that a simple knee injection may be able to stop the effects of OA, but further research is needed [1-3].

References: [1] Osteoarthritis - Diagnosis and treatment - Mayo Clinic [2] What Are the Treatments for Osteoarthritis? - WebMD [3] New Treatment Target Discovered That Halts Osteoarthritis

4.

Q. What herbal remedies can be used to treat osteoarthritis?

Herbal remedies may be helpful in the treatment of osteoarthritis. Some of the most commonly used herbal remedies include avocado soybean unsaponifiable (ASU), Boswellia serrata or Indian frankincense, green tea, ginger, and capsaicin. ASU and Boswellia serrata may help reduce inflammation and improve joint health. Green tea and ginger may help reduce pain and improve mobility. Capsaicin may be used in combination with topical ointments to reduce pain. However, it is important to consult with a healthcare provider before taking any herbal remedies to ensure their safety [1-3].

References: [1] 6 Home Remedies for Osteoarthritis - Healthline [2] 13 Natural Treatments for Osteoarthritis - Everyday Health [3] Using Herbal Remedies for Osteoarthritis - Verywell Health

5.

Q. Can I use steroid injections for osteoarthritis treatment?

Steroid injections may be used as a treatment option for symptoms of osteoarthritis. Steroid injections are injected directly into the affected joint and can help reduce pain and inflammation. However, steroid injections are not a cure and can only provide temporary relief. It is important to consider the risks and benefits of using steroid injections for OA before deciding to use them. Talk to a healthcare provider before deciding if steroid injections are right for you.

6.

Q. What is the best exercise for osteoarthritis?

The best exercises for people with osteoarthritis are low-impact exercises that put minimal strain on the joints. Good choices include bicycling, walking, swimming, rowing, and the use of an elliptical trainer. Water exercise takes weight off painful joints. Other low-impact exercises like yoga and tai chi can also be beneficial. It is important to talk to a healthcare provider about what type of exercise is best for your individual needs [1-3].

References: [1] Exercises for Knee Osteoarthritis and Joint Pain [2] Benefits of Exercise for Osteoarthritis [3] Exercise: Rx for overcoming osteoarthritis

7.

Q. How do I know I need surgery for osteoarthritis?

Surgery is usually considered as a last resort for people with osteoarthritis, and it should only be done if other treatments have not been successful. Some signs that surgery may be needed include persistent pain that does not respond to other treatments, severe joint deformity, and a decreased range of motion. Your doctor may also recommend an arthroscopic procedure to diagnose the severity of the arthritis and to determine if surgery is the best option [1-2].

References: [1] Do I Need Surgery for Osteoarthritis? - WebMD [2] Understand Your Joint Surgery Options - Arthritis Foundation [3] Basics of Surgery for Arthritis

8.

Q. What should I avoid eating if I have osteoarthritis?

If you suffer from osteoarthritis, you should avoid eating foods that are high in saturated fats, such as red meat, processed meats, and fried foods. Eating too much salt can also increase inflammation, so try to limit your intake. Eating foods that are high in sugar can also cause inflammation, so it is best to limit sugar. Finally, eating an anti-inflammatory diet with lots of whole foods, fruits, and vegetables can help reduce inflammation and joint pain. Eating foods high in omega-3 fatty acids, such as salmon, sardines, and chia seeds, can also help reduce inflammation

9.

Q. Can chondroitin and glucosamine cure osteoarthritis?

The research on glucosamine and chondroitin for the treatment of osteoarthritis is mixed [1]. Glucosamine and chondroitin are popular supplements that are believed to help with the symptoms of osteoarthritis, such as pain and stiffness. However, there is limited evidence to support their effectiveness [2]. The American College of Rheumatology (ACR) has recommended that people with moderate to severe osteoarthritis pain may find some relief from the combination of glucosamine and chondroitin [3]. However, it is important to note that the effects of glucosamine and chondroitin are not consistent, and there is no evidence that these supplements can cure osteoarthritis.

10.

Q. Can I take ibuprofen for osteoarthritis?

Yes, ibuprofen can be taken to help manage the symptoms of osteoarthritis. Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) which can help reduce inflammation and reduce pain. It is important to take the ibuprofen as prescribed by your doctor, and to not take more than the recommended dosage. It is also important to take the ibuprofen with food, and to avoid taking it if you have any health conditions such as stomach problems, kidney or liver disease, or if you are taking other medications. If you have any questions or concerns about taking ibuprofen for osteoarthritis, it is important to consult with your doctor.

11.

Q. What are the common symptoms of osteoarthritis?

The common symptoms of osteoarthritis include pain, stiffness, decreased range of motion, swelling, clicking or popping sound when a joint bends, muscle weakness around the joint, and joint instability or buckling [1]. Pain or aching in a joint during activity, after long activity or at the end of the day is a common symptom of osteoarthritis [2]. Joint stiffness usually occurs first thing in the morning or after periods of inactivity [3]. Swelling around a joint can be a sign of advanced osteoarthritis, as can bony enlargements and shape changes in the finger joints [4]. Knees can also be affected by osteoarthritis, with difficulty walking or pain when climbing stairs [5].

References: [1] What Causes Osteoarthritis, Symptoms & More | NIAMS [2] Osteoarthritis: Symptoms, Diagnosis, and Treatment [3] Osteoarthritis (OA) | Arthritis | CDC

 

Further, their effectiveness is hindered by the non-deterministic nature of their responses, which can vary greatly with slight changes in input. Further, several ethical concerns have surfaced about the use of chatbots in healthcare settings [6-7]. Furthermore, the potential for generating inaccurate content could have serious negative implications in healthcare, making it essential to approach this issue with caution in medical practice [8].

In the future, Chat Sonic has the potential to assist healthcare professionals by providing rapid, empathetic, and high-quality responses to patient inquiries during online consultations. This capability can enhance the efficiency of healthcare delivery, allowing doctors to focus on more complex cases. Furthermore, healthcare providers can play a vital role in overseeing and validating the information generated by Chat Sonic, ensuring that it aligns with trustworthy sources such as medical journals ensuring that accurate and verified information is shared with patients, ultimately improving the quality of care and patient satisfaction. Further research should focus on evaluating the reliability and accuracy of Chat Sonic’s responses to patient inquiries. Collaboration among healthcare professionals interested in AI could lead to the development of new AI software based on large language models (LLMs) that generates verified, high-quality, and reliable answers to patient questions. This partnership can enhance the precision of AI-generated medical information and address current limitations.
 
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