{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:11:16Z","timestamp":1790604676690,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to examine the sentiment for artificial intelligence (AI) among prostate cancer (PCa) patients on active surveillance (AS) and to evaluate how that sentiment relates to patient willingness to engage with AI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a 23\u2010question online survey (November\u2013December 2025) distributed through an AS platform. Analyses were restricted to 110 respondents with PCa on AS. Outcomes included trust ratings (10\u2010point Likert scale) for physicians versus AI, responses to hypothetical AI management recommendations and perceived concerns and facilitators of trust. Statistical analyses included the Wilcoxon signed\u2010rank tests, the McNemar tests and Fisher's exact tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median trust in urologists (8 [IQR 7\u20139]) exceeded that for AI (6 [IQR 5\u20137]), with smaller differences for radiologists and pathologists compared with diagnostic AI (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). Despite lower trust in AI, most respondents anticipated improved PCa outcomes with AI integration. High willingness to consider AI recommendations was also observed. Only 4.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) of respondents outright rejected AI recommendation for treatment and only 3.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) rejected AI recommendation for AS, with all others willing to consider AI recommendations. No respondents fully accepted AI recommendation for treatment without additional verification, whereas 2.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093) fully accepted AI recommendations for continued surveillance. Primary concerns included AI errors (57.3%) and lack of human oversight (48.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among AS patients, lower trust in AI compared to physicians coexists with a high optimism for AI and willingness to incorporate AI recommendations into decision\u2010making. This discordance suggests that behavioural adoption of AI\u2010assisted care may precede full patient confidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70262","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:35:42Z","timestamp":1790062542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lower trust in artificial intelligence\u00a0than physicians coexists with high willingness to engage in artificial intelligence\u2010assisted prostate cancer management among active surveillance patients"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6089-3811","authenticated-orcid":false,"given":"Eric S.","family":"Chai","sequence":"first","affiliation":[{"name":"School of Medicine University of Missouri\u2010Kansas City  Kansas City Missouri USA"},{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlynn","family":"Abraham","sequence":"additional","affiliation":[{"name":"Dr. Kiran C. Patel College of Osteopathic Medicine Nova Southeastern University  Davie Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley","family":"Hanes","sequence":"additional","affiliation":[{"name":"Brady Urology Institute Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Williams","sequence":"additional","affiliation":[{"name":"Miller School of Medicine University of Miami  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4426-6735","authenticated-orcid":false,"given":"Howard","family":"Wolinsky","sequence":"additional","affiliation":[{"name":"Freelance Medical Journalist at \u201cThe Active Surveillor\u201d  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleksandr N.","family":"Kryvenko","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radka","family":"Stoyanova","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J.","family":"Penedo","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3177-3439","authenticated-orcid":false,"given":"Archan","family":"Khandekar","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Nahar","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark L.","family":"Gonzalgo","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipen J.","family":"Parekh","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanoj","family":"Punnen","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.18490"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1505692"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13158"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781802205657.ch10"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/11769351251371273"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2024.12.001"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4111\/icu.20230435"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14225595"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.66225"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2021.08.007"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-023-09438-x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1049\/htl2.70026"},{"issue":"5","key":"e_1_2_12_14_1","first-page":"152","article-title":"A review of current advancements and limitations of artificial intelligence in genitourinary cancers","volume":"8","author":"Pai RK","year":"2020","journal-title":"Am J Clin Exp Urol"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cas.16327"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.17294\/2330-0698.2029"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2024.116771"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-11012-y"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.11417"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/frai.2026.1686454"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29120"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-012-0108-6"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:42:43Z","timestamp":1790602963000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":21,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/bco2.70262"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70262","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70262"}}