Evidence map›Paper›PMID 42005224›Full record

ArticleCureus2026

Enhancing Health Literacy in Endourology: Using Artificial Intelligence to Improve Readability of Patient Education Materials.

Loui Othman, Amar Kassim, Andrea Shehaj, Yahya Khan, Sri Manivasagam, Adam ElSayed, Claire Tse, Lakshay Khosla, Akin S Amasyali

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Loui OthmanDepartment of Urology, Penn State College of Medicine, Hershey, USA.
Amar KassimDepartment of Urology, Penn State College of Medicine, Hershey, USA.
Andrea ShehajDepartment of Emergency Medicine, Penn State College of Medicine, Hershey, USA.
Yahya KhanDepartment of Neurosurgery, Penn State College of Medicine, Hershey, USA.
Sri ManivasagamDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Adam ElSayedDepartment of Orthopaedic Surgery, Penn State College of Medicine, Hershey, USA.
Claire TseDepartment of Neurosurgery, Penn State College of Medicine, Hershey, USA.
Lakshay KhoslaDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Akin S AmasyaliDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Patient education materials (PEMs) enhance healthcare access and inclusivity, particularly for individuals without clinical backgrounds. However, many PEMs exceed recommended readability levels. This study evaluated whether artificial intelligence (AI)-assisted editing using ChatGPT-4o (OpenAI, San Francisco, CA, USA) could improve the readability of endourology PEMs related to prostate cancer, nephrolithiasis, bladder cancer, and kidney cysts. Methods Twenty-one publicly available PEMs from the American Urological Association (AUA) were analyzed. Each document was uploaded into ChatGPT-4o with instructions to rewrite the text to an eighth-grade reading level or lower while preserving content and word count. Readability of original and AI-modified PEMs was assessed using ReadabilityFormulas.com across six validated indices: Flesch-Kincaid Grade Level (FKGL), Simple Measure of Gobbledygook (SMOG), Gunning-Fog Index (GFI), Coleman-Liau Index (CLI), Automated Readability Index (ARI), and Flesch Reading Ease (FRE). Pre- and post-AI readability scores were compared using paired two-tailed t-tests. Results Across all indices and disease categories, AI modification significantly improved readability. Unmodified PEMs were written at approximately the ninth to 11

Indexed as

artificial intelligenceendourologyhealth literacypatient education materialsreadability

Identifiers

PMID42005224
PMCPMC13089561

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.