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. 2023 Apr 28;481(11):2260–2267. doi: 10.1097/CORR.0000000000002668

Table 4.

Sequential conversions of the same patient education materials to examine the consistency of conversions by an artificial intelligence dialogue platform

Conversion number
1 2 3 4 Median (range)
Spinea
Herniated lumbar disc
 Converted grade 3.3 5.2 5.2 5.8 5.2 (3.3-5.8)
 Converted reading ease 93 82.5 82.6 81.2 82.6 (81.2-93)
Scoliosis
 Converted grade 4.1 6.8 6.8 6.8 6.8 (4.1-6.8)
 Converted reading ease 91 73.2 73.2 78.6 75.9 (73.2-91)
Stenosis
 Converted grade 5 5.6 5.1 6 5.4 (5-6)
 Converted reading ease 83.3 81.5 83.1 80.7 82.3 (80.7-83.3)
Arthroplasty b
TKA
 Converted grade 6.5 6.8 8.8 7.9 7.4 (6.5-8.8)
 Converted reading ease 79.2 73.1 68 70.2 71.7 (68-79.2)
THA
 Converted grade 7.1 6.3 6.4 7.4 6.8 (6.3-7.4)
 Converted reading ease 77.8 79.7 79.5 71.5 78.7 (71.5-76.7)

Grade and reading ease are represented as Flesch-Kincaid Grade (based on United States school grade level, with grade 12 or greater representing higher than secondary education level) and Flesch Reading Ease scores (higher scores denote material that is easier to read; range 0 to 100).