Evaluating artificial intelligence bias in nephrology: the role of diversity, equity, and inclusion in AI-driven decision-making and ethical regulation

While ChatGPT 4.0 shows improvement in ethical AI decision-making, its limited recognition of bias and DEI considerations underscores the need for robust AI regulatory frameworks in nephrology. AI governance must incorporate structured DEI guidelines, ongoing bias detection mechanisms, and ethical oversight to prevent AI-driven disparities in clinical practice and workforce recruitment. This study emphasizes the importance of transparency, fairness, and inclusivity in AI development, calling for collaborative efforts between AI developers, nephrologists, policymakers, and patient communities to ensure AI serves as an equitable tool in nephrology.