{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:18:54Z","timestamp":1783948734700,"version":"3.55.0"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Shockwave lithotripsy (SWL) is a noninvasive method for removing stones, primarily used for small, uncomplicated urinary stones, as the number of kidney stone cases continues to rise. With rising patient numbers, online information must be accurate and easy to understand. We assessed the quality and readability of SWL information available online and compared it with leaflets created by generative artificial intelligence (AI). The top 20 search results for four SWL-related terms on Google, Yahoo, and Bing were collected and duplicates removed. Generative Artificial Intelligence (GAI) platforms such as ChatGPT, Gemini, and DeepSeek generated a patient leaflet. Two authors evaluated quality using DISCERN and JAMA scores and readability using Flesch Reading Ease Score (FRES) and Flesch\u2013Kincaid Grade Level (FKGL). Later, ChatGPT reviewed the AI-generated information with DISCERN. A total of 68 websites were included. The quality assessments showed average websites with AI-leaflet DISCERN scores of 52.4 (\u00b18.91) and 58.7 (\u00b15.03), JAMA Benchmark scores of 2.22 (\u00b11.10) and 0, FRES of 52.1 (\u00b113.8) and 51.5 (\u00b18.05), and FKGL scores of 9.04 (\u00b12.36) and 8.93 (\u00b11.10). No significant differences were seen in DISCERN (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.224), FRES (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.652), and FKGL (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.866), but differences in JAMA scores were significant (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0010). A difference was also noted in the author-rated and the AI-rated DISCERN scores. There is a deficiency in high-quality SWL information that meets global readability standards. As more individuals use GAI-resources trained on online data, it is crucial to improve their quality for patients and carers. Doing so enables them to make informed decisions and promotes their well-being during treatment, resulting in improved comfort and outcomes.\n                  <\/jats:p>","DOI":"10.4103\/ua.ua_42_26","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:00:24Z","timestamp":1783947624000},"page":"215-224","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the quality and readability of patient information available for shockwave lithotripsy: Human versus artificial intelligence comparison of resources and quality measurements \u2013 A benchmarking study from European association of urology (EAU) endourology"],"prefix":"10.4103","volume":"18","author":[{"given":"Ravanth","family":"Baskaran","sequence":"first","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Al-Gholmy","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wissam","family":"Kamal","sequence":"additional","affiliation":[{"name":"Department of Urology, King Fahd General Hospital, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Nedbal","sequence":"additional","affiliation":[{"name":"Department of Urology, Marche Polytechnic University, Ancona, Italy"},{"name":"Endourology Section, European Association of Urology, Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Panthier","sequence":"additional","affiliation":[{"name":"Endourology Section, European Association of Urology, Arnhem, The Netherlands"},{"name":"GRC Urolithiasis No. 20, Tenon Hospital, Sorbonne University, Paris, France"},{"name":"PIMM Laboratory (Processes and Engineering in Mechanics and Materials), UMR 8006, CNRS\u2013Arts et M\u00e9tiers, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Traxer","sequence":"additional","affiliation":[{"name":"Endourology Section, European Association of Urology, Arnhem, The Netherlands"},{"name":"GRC Urolithiasis No. 20, Tenon Hospital, Sorbonne University, Paris, France"},{"name":"PIMM Laboratory (Processes and Engineering in Mechanics and Materials), UMR 8006, CNRS\u2013Arts et M\u00e9tiers, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naeem","family":"Bhojani","sequence":"additional","affiliation":[{"name":"Division of Urology, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Philip","sequence":"additional","affiliation":[{"name":"Department of Urology, Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar K.","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"R1-20260713","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1046\/j.1523-1755.2003.00917.x","article-title":"Time trends in reported prevalence of kidney stones in the United States: 1976-1994","volume":"63","author":"Stamatelou","year":"2003","journal-title":"Kidney Int"},{"key":"R2-20260713","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.eururo.2012.03.052","article-title":"Urologic Diseases in America Project. 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