Publications by authors named "H Gouveris"

Purpose: Obstructive sleep apnoea (OSA) is a common disease that benefits from early treatment and patient support in order to prevent secondary illnesses. This study assesses the capability of the large language model (LLM) ChatGPT-4o to offer patient support regarding first line positive airway pressure (PAP) and second line hypoglossal nerve stimulation (HGNS) therapy.

Methods: Seventeen questions, each regarding PAP and HGNS therapy, were posed to ChatGPT-4o.

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Purpose: The gold standard in obstructive sleep apnea (OSA) diagnostics is nocturnal full-night polysomnography (PSG). Due to high costs and high time effort portable respiratory polygraphy (PG or home sleep apnea testing-HSAT) has been developed. In contrast to PG the PSG gains relevant further information concerning sleep stages, arousals and leg movements.

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Background: From a healthcare professional's perspective, the use of ChatGPT (Open AI), a large language model (LLM), offers huge potential as a practical and economic digital assistant. However, ChatGPT has not yet been evaluated for the interpretation of polysomnographic results in patients with suspected obstructive sleep apnea (OSA).

Aims/objectives: To evaluate the agreement of polysomnographic result interpretation between ChatGPT-4o and a board-certified sleep physician and to shed light into the role of ChatGPT-4o in the field of medical decision-making in sleep medicine.

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Article Synopsis
  • This study compares the effectiveness of first-line auto-adjusting positive airway pressure (aPAP) therapy and second-line hypoglossal nerve stimulation (HGNS) therapy for treating obstructive sleep apnea (OSA) in patients who meet specific criteria.
  • Both therapies were analyzed based on pre- and post-treatment data, showing that after treatment, aPAP significantly reduced the apnea-hypopnea index (AHI) compared to HGNS, which had a higher AHI post-treatment.
  • Despite the higher AHI in the HGNS group, patients reported feeling less sleepy after treatment than those using aPAP, suggesting that HGNS may improve subjective sleepiness even if it doesn't reduce apnea events as much.
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Importance: Clinicians should understand how patients who were treated with laryngeal cancer surgery think about this later on and what factors may be related with regretting surgery.

Objective: To assess variables associated with a positive attitude toward laryngeal cancer surgery.

Design, Setting, And Participants: This combination of 2 cohorts, based on patient interviews and questionnaires, was studied in 16 hospitals in Germany.

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