{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:17:28Z","timestamp":1792808248810,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Artificial intelligence (AI) shows immense potential in medicine and Chat generative pretrained transformer (ChatGPT) has been used for different purposes in the field. However, it may not match the complexity and nuance of certain medical scenarios. This study evaluates the accuracy of ChatGPT 3.5 and 4 in providing recommendations regarding the management of postprostatectomy urinary incontinence (PPUI), considering <jats:italic>The Incontinence After Prostate Treatment: AUA\/SUFU Guideline<\/jats:italic> as the best practice benchmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A set of questions based on the <jats:italic>AUA\/SUFU Guideline<\/jats:italic> was prepared. Queries included 10 conceptual questions and 10 case\u2010based questions. All questions were open and entered into the ChatGPT with a recommendation to limit the answer to 200 words, for greater objectivity. Responses were graded as correct (1 point); partially correct (0.5 point), or incorrect (0 point). Performances of versions 3.5 and 4 of ChatGPT were analyzed overall and separately for the conceptual and the case\u2010based questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ChatGPT 3.5 scored 11.5 out of 20 points (57.5% accuracy), while ChatGPT 4 scored 18 (90.0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.031). In the conceptual questions, ChatGPT 3.5 provided accurate answers to six questions along with one partially correct response and three incorrect answers, with a final score of 6.5. In contrast, ChatGPT 4 provided correct answers to eight questions and partially correct answers to two questions, scoring 9.0. In the case\u2010based questions, ChatGPT 3.5 scored 5.0, while ChatGPT 4 scored 9.0. The domains where ChatGPT performed worst were evaluation, treatment options, surgical complications, and special situations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ChatGPT 4 demonstrated superior performance compared to ChatGPT 3.5 in providing recommendations for the management of PPUI, using the AUA\/SUFU Guideline as a benchmark. Continuous monitoring is essential for evaluating the development and precision of AI\u2010generated medical information.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25442","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T13:24:06Z","timestamp":1709817846000},"page":"935-941","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Conformity of ChatGPT recommendations with the AUA\/SUFU guideline on postprostatectomy urinary incontinence"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6545-5696","authenticated-orcid":false,"given":"Vicktor B. P.","family":"Pinto","sequence":"first","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matheus F.","family":"de Azevedo","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo L.","family":"Wroclawski","sequence":"additional","affiliation":[{"name":"Division of Urology ABC Medical School Sao Paulo Brazil"},{"name":"Department of Urology Albert Einstein Jewish Hospital Sao Paulo Brazil"},{"name":"Department of Urologic Oncology BP\u2014a Benefic\u00eancia Portuguesa de S\u00e3o Paulo Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Gentile","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinicius L. M.","family":"Jesus","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4833-4889","authenticated-orcid":false,"given":"Jose","family":"de Bessa Junior","sequence":"additional","affiliation":[{"name":"Department of Surgery State University of Feira de Santana Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Nahas","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos A. R.","family":"Sacomani","sequence":"additional","affiliation":[{"name":"Innovation and Information Technology Sector AC Camargo Cancer Hospital Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaspreet S.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Department of Surgery\/Urology Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8486-4003","authenticated-orcid":false,"given":"Cristiano M.","family":"Gomes","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02448-8"},{"issue":"6","key":"e_1_2_8_3_1","first-page":"170","article-title":"Applications of ChatGPT and large language models in medicine and health care: benefits and pitfalls","volume":"40","author":"Borkowski AA","year":"2023","journal-title":"Fed Pract"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/frai.2023.1169595"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvad022"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.23.00056"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.230424"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.isci.2023.107590"},{"issue":"6","key":"e_1_2_8_9_1","article-title":"Artificial intelligence in ophthalmology: a comparative analysis of GPT\u20103.5, GPT\u20104, and human expertise in answering StatPearls questions","volume":"15","author":"Moshirfar M","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11071217"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3350\/cmh.2023.0089"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.10.014"},{"key":"e_1_2_8_13_1","first-page":"1","article-title":"A concise showdown","volume":"1","author":"Koubaa A","year":"2023","journal-title":"TechRxiv"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2015.11.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000314"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/48023"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/UPJ.0000000000000406"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr2214184"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T06:41:46Z","timestamp":1713940906000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,7]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/nau.25442"],"URL":"https:\/\/doi.org\/10.1002\/nau.25442","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,7]]},"assertion":[{"value":"2023-12-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}