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  • Open Access

    ARTICLE

    Artificial intelligence improves urologic oncology patient education and counseling

    Yash B. Shah, Anushka Ghosh, Aaron Hochberg, James R. Mark, Costas D. Lallas, Mihir S. Shah

    Canadian Journal of Urology, Vol.31, No.5, pp. 12013-12018, 2024

    Abstract Introduction: Patients seek support from online resources when facing a troubling urologic cancer diagnosis. Physician-written resources exceed the recommended 6-8th grade reading level, creating confusion and driving patients towards unregulated online materials like AI chatbots. We aim to compare the readability and quality of patient education on ChatGPT against Epic and Urology Care Foundation (UCF).
    Materials and methods: We analyzed prostate, bladder, and kidney cancer content from ChatGPT, Epic, and UCF. We further studied readability-adjusted responses using specific AI prompting (ChatGPT-a) and Epic material designated as Easy to Read. Blinded reviewers completed descriptive textual analysis, readability analysis… More >

  • Open Access

    ARTICLE

    Discharge materials provided to patients with kidney stones in the emergency department may be a source of misinformation

    Kevan M. Sternberg1, Andrew Pham1, Theodore Cisu1, Marissa L. Kildow2, Kristina L. Penniston2

    Canadian Journal of Urology, Vol.25, No.6, pp. 9585-9590, 2018

    Abstract Introduction: Renal colic is commonly seen in the emergency department (ED), where the focus is on diagnosis and symptom control. Educational materials are sometimes provided upon discharge; however, no standard content has been established. We characterized the educational materials given to patients reporting to EDs in different regions across the U.S. for symptomatic kidney stones, specifically evaluating disease-specific information, symptom management, prevention strategies including dietary recommendations (DRs), and patient follow up plans.
    Materials and methods: Generic discharge instructions for patients presenting to EDs with renal colic were obtained from community hospitals and academic medical centers between October… More >

  • Open Access

    ARTICLE

    Proton therapy for prostate cancer online: patient education or marketing?

    Daniel J. Sadowski1, Chandy S. Ellimoottil2, Ajay Tejwani3, Alex Gorbonos1

    Canadian Journal of Urology, Vol.20, No.6, pp. 7015-7020, 2013

    Abstract Introduction: Proton therapy (PT) for prostate cancer is an expensive treatment with limited evidence of benefit over conventional radiotherapy. We sought to study whether online information on PT for prostate cancer was balanced and whether the website source influenced the content presented.
    Materials and methods: We applied a systematic search process to identify 270 weblinks associated with PT for prostate cancer, categorized the websites by source, and filtered the results to 50 websites using predetermined criteria. We then used a customized version of the DISCERN instrument, a validated tool for assessing the quality of consumer health information,… More >

  • Open Access

    REVIEW

    Information that affects patients’ treatment choices for early stage prostate cancer: a review

    Deb Feldman-Stewart1,2, Michael D. Brundage1,2,3, Christine Tong1

    Canadian Journal of Urology, Vol.18, No.6, pp. 5998-6006, 2011

    Abstract Introduction: We conducted a systematic review of primary evidence to clarify what information influences treatment selection by patients with early stage prostate cancer.
    Materials and methods: We conducted a systematic review of the Web of Knowledge, using the ALL DATABASES option. Papers were then triaged out on the basis of the title and/or abstract, leaving 120 papers. Reviewing the full papers resulted in a final corpus of 21 papers.
    Results: The data suggest that patients typically balance potential benefits against potential side effects but in a complex way with large variation across patients. For some patients, potential benefits… More >

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