Evidence map›Paper›PMID 41258614›Full record

ArticleJournal of cancer survivorship : research and practice2025

What do the current popular artificial intelligence chatbots offer us regarding patient information? Comparison of responses from the ten most popular chatbots about bladder cancer.

Mehmet Fatih Sahin, Murat Akgül, Çağrı Akpınar, Deniz Bolat, Ozan Bozkurt, Volkan İzol, Nihat Karakoyunlu, Evren Süer, İlker Tınay, Turkish Urooncology Association, Bladder Cancer Working Group

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Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mehmet Fatih SahinDepartment of Urology, Tekirdağ Namık Kemal University Medical School, Tekirdağ, Turkey. mfatihsahin@gmail.com.ORCID http://orcid.org/0000-0002-0926-3005
Murat AkgülDepartment of Urology, Ümraniye Research and Training Hospital, İstanbul, Turkey.ORCID http://orcid.org/0000-0001-6187-1940
Çağrı AkpınarDepartment of Urology, Ankara University Medical School, Ankara, Turkey.ORCID http://orcid.org/0000-0002-0288-8272
Deniz BolatDepartment of Urology, İzmir City Hospital, İzmir, Turkey.ORCID http://orcid.org/0000-0001-7338-8737
Ozan BozkurtDepartment of Urology, Dokuz Eylül University Medical School, İzmir, Turkey.ORCID http://orcid.org/0000-0002-7662-0092
Volkan İzolAdana Üroloji, Adana, Turkey.ORCID http://orcid.org/0000-0001-5007-6781
Nihat KarakoyunluDepartment of Urology, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6680-9860
Evren SüerDepartment of Urology, Ankara University Medical School, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4093-5436
İlker TınayDepartment of Urology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.ORCID http://orcid.org/0000-0001-6768-9373
Turkish Urooncology Association, Bladder Cancer Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArtificial intelligence (AI) is quickly transforming healthcare by improving patient and clinician access to and understanding of medical information. Generative AI models answer healthcare queries and provide tailored and quick responses. This research evaluates the readability and quality of bladder cancer (BC) patient information in 10 popular AI-enabled chatbots. MATERIALS AND

methodsWe used the latest versions of ten popular chatbots: OpenAI's GPT-4o, Microsoft's Copilot Pro, Claude-3.5 Haiku, Sonar Large, Grok 2, Gemini Advanced 1.5 Pro, Mistral Large, Google Palm 2 (Google Bard), Meta's Llama 3.3, and Meta AI v2. Prompts were developed to provide texts about BC, non-muscle-invasive BC, muscle-invasive BC, and metastatic BC. The modified Ensuring Quality Information for Patients (mEQIP), the Quality Evaluating Scoring Tool (QUEST), and DISCERN were used to assess quality. The Average Reading Level Consensus (ARLC), Flesch Reading Ease (FKRE), and Flesch-Kincaid Grade Level (FKGL) were used to evaluate readability.

resultsTen chatbots exhibited statistically significant differences in mean mEQIP, DISCERN, and QUEST scores (p = 0.048, p = 0.025, and p = 0.021, respectively). Meta scored lowest on the average mEQIP, DISCERN, and QUEST, while Llama attained the highest. Statistically significant differences were also seen in the chatbots' average ARLC, FKGL, and FKRE scores (p = 0.002, p = 0.001, and p = 0.002, respectively), in which Google Palm produced texts that are easiest to read, and Llama is the most difficult chatbot to understand.

conclusionAI chatbots can produce information on BC that is of moderate quality and readability, while there is significant variability among platforms. Results should be evaluated with caution due to the single-query approach and the continuously advancing AI models. Clinicians can support safety in implementation by delivering structured feedback and incorporating content review stages into patient education processes. Continuous collaboration between healthcare practitioners and AI developers is crucial to maintain the accuracy, currency, and clarity of AI-generated content.

Indexed as

Artificial intelligenceBladder cancerChatbotClaudeCopilotGeminiGoogle PalmGPT-4oGrokLlamaMeta AIMistralSonar

Identifiers

PMID41258614

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.