Patients' perception towards large language models in otorhinolaryngology, head and neck surgery: a single-centre survey - Report - MDSpire

Patients' perception towards large language models in otorhinolaryngology, head and neck surgery: a single-centre survey

  • By

  • Christoph R. Buhr

  • Andrew Blaikie

  • Harry Smith

  • Tom Kelsey

  • Christian Ruckes

  • Christoph Matthias

  • Sebastian Kuhn

  • Jonas Eckrich

  • July 8, 2026

  • 0 min

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Patient Attitudes Towards the Use of Large Language Models in Otorhinolaryngology

Overview

A survey of ORL-HNS patients revealed high familiarity with large language models (LLMs) but limited trust in their medical accuracy. Patients showed greater confidence in recommendations made by doctors compared to those made solely by LLMs.

Background

The integration of artificial intelligence (AI) and large language models (LLMs) in clinical practice is gaining traction, particularly in Otorhinolaryngology and Head and Neck Surgery (ORL-HNS). Understanding patient attitudes towards these technologies is crucial.

Data Highlights

FindingValue
Patients familiar with AI96% (n = 118)
Patients familiar with LLMs78% (n = 96)
Patients using LLMs59% (n = 72)
Confidence in LLMs' medical accuracyMedian 4 (IQR 3, 5)
Confidence in doctors' recommendationsMedian 5 (IQR 5, 6)

Key Findings

  • 96% of patients were familiar with AI.
  • 78% of patients reported familiarity with LLMs.
  • 59% of patients indicated they had used LLMs.
  • Patients rated LLMs' comprehensibility, conciseness, and coherence with a median score of 5.
  • Confidence in recommendations from LLMs was significantly lower than that from doctors.

Clinical Implications

Healthcare providers should be aware of patients' limited trust in LLMs for medical information.

Conclusion

While ORL-HNS patients are generally familiar with and use LLMs, their trust in these models for medical information remains limited.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Eye — Performance of large language models for ophthalmic literature retrieval
  3. Journal of Medical Internet Research (JMIR) — Applications, Challenges, and Future Directions of Large Language Models in Health Care Communication: Scoping Review
  4. BMJ Health & Care Informatics — Self-regulating the use of large language models in clinical practice: a risk-stratified approach
  5. npj Digital Medicine — The evaluation illusion of large language models in medicine
  6. Performance of large language models for ophthalmic literature retrieval
  7. Applications, Challenges, and Future Directions of Large Language Models in Health Care Communication: Scoping Review
  8. Self-regulating the use of large language models in clinical practice: a risk-stratified approach
  9. Artificial Intelligence in Otolaryngology - American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
  10. https://ibn.idsi.md/sites/default/files/imag_file/busch_2025_oi_250478_1748961717.99924.pdf
  11. An LLM chatbot to facilitate primary-to-specialist care transitions: a randomized controlled trial | Nature Medicine

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