Journal Of Urology Research Articles

Generative AI Platform for Automating Social Media Posts From Urology Journal Articles: A Cross-Sectional Study and Randomized Assessment.

This cross-sectional study assessed a generative-AI platform to automate the creation of accurate, appropriate, and compelling social-media (SoMe) posts from urological journal articles. One hundred SoMe-posts from the top 3 journals in urology X (Twitter) profiles were collected from Aug-2022 to Oct-2023 A freeware GPT-tool was developed to auto-generate SoMe posts, which included title-summarization, key findings, pertinent emojis, hashtags, and DOI links to the article. Three physicians independently evaluated GPT-generated posts for achieving tetrafecta of accuracy and appropriateness criteria. Fifteen scenarios were created from 5 randomly selected posts from each journal. Each scenario contained both the original and the GPT-generated post for the same article. Five questions were formulated to investigate the posts' likability, shareability, engagement, understandability, and comprehensiveness. The paired posts were then randomized and presented to blinded academic authors and general public through Amazon Mechanical Turk (AMT) responders for preference evaluation. Median (IQR) time for post auto-generation was 10.2 seconds (8.5-12.5). Of the 150 rated GPT-generated posts, 115 (76.6%) met the correctness tetrafecta: 144 (96%) accurately summarized the title, 147 (98%) accurately presented the articles' main findings, 131 (87.3%) appropriately used emojis and hashtags 138 (92%). A total of 258 academic urologists and 493 AMT responders answered the surveys, wherein the GPT-generated posts consistently outperformed the original journals' posts for both academicians and AMT responders (P < .05). Generative-AI can automate the creation of SoMe posts from urology journal abstracts that are both accurate and preferable by the academic community and general public.

Tracing the evolving dynamics and research hotspots in the kidney neoplasm and nephron sparing surgery field from the past to the new era

AbstractBackgroundWith increasing detection of small renal masses and accumulating evidence that nephron sparing surgery (NSS) could achieve oncological equivalence and functional superiority compared with radical nephrectomy (RN), NSS has become first‐line therapy for some patients with localized renal masses.ObjectiveThis study aims to review the publications in the kidney neoplasm and NSS field, exploring the research hotspots.MethodKidney neoplasm and NSS related publications before July 3th 2023 were obtained from the Web of Science Core Collection database. We then used bibliometric analysis to conduct performance analysis, citation analysis and co‐citation network of publications, together with keyword co‐occurrence analysis.ResultsSeven thousand five hundred and sixty‐four documents were finally retrieved, and the annual publications increased exponentially. The most productive authors were “KAOUK JH” and “GILL IS”, while USA, and 12 American affiliations such as CLEVELAND CLINIC FOUNDATION and MAYO CLINIC were far leading in this field. Journal of Urology and European Urology were journals with the highest citations and h‐index.DiscussionThrough literature reviewing plus co‐occurrence and clustering analysis, the therapeutic effects of partial nephrectomy (PN) versus RN on patients with localized renal cell carcinoma, different operative approaches of PN, and conservative NSS methods were deemed as the most focused topics.ConclusionThree aspects were the most important hotspots in this field. Firstly, how to provide the optimal management choices for different patients. Secondly, therapeutic effects of different management options and surgical techniques needed more prospective and randomized studies. Finally, more novel technologies and surgical techniques were required.

Data Availability Statements and Data Sharing in Urology: A False Promise?

Background and objectiveIt is considered standard for authors of scientific papers to provide access to their raw data. The purpose of this study was to investigate data availability statements (DAS) and the actual availability of data in urology. MethodsThe DAS policies of the top ten urology journals were retrieved. Then 190 selected papers were classified according to their DAS status. Finally, we contacted the corresponding authors of papers that stated that data were available on request to enquire about this possibility. Key findings and limitationsAll journals either required or highly recommended a DAS. Among the selected articles, 52% (99/190) included a DAS stating data availability, most often on reasonable request to the corresponding author. A formal DAS was lacking in 29.5% (56/190) of the articles, with an additional 18.3% (35/190) citing various reasons for data unavailability. On contact, 23.4% (15/64) of corresponding authors indicated a willingness to share their data. Overall, data were unavailable in 73.7% (140/190) of cases. There was no difference between papers dealing with malignant and benign diseases. Conclusions and clinical implicationsThere is a gap between the intention to share data and actual practice in major urological journals. As data sharing plays a critical role in safeguarding the reliability of published results and in the potential for reanalysis and merging of datasets, there is a clear need for improvement. Easier access to data repositories and stronger enforcement of existing journal policies are essential. Patient summaryTo ensure the reliability of data and allow further analyses, major urology journals require authors to make their data available to other researchers when possible. However, in practice we found that data were only accessible for about a quarter of published scientific papers.

Bibliometric analysis of most cited Peyronie's disease and its management publications.

Peyronie's disease (PD) is a common urologic illness, motivating numerous scientific investigations and publications. Scientific publications have more authors each year. A bibliometric review of the PD literature might help urologists and sexual medicine professionals comprehend publication tendencies in this subject. The current study was aimed at presenting a bibliometric analysis of PD, which is one of the important and trending subjects of andrology. On January 5, 2023, Web of Science scanned documents with the terms Peyronie's disease" "Peyronie's disease treatment", "Peyronie's disease management", "Peyronie's disease surgery" and "Peyronie's disease injection" from 1975 through 2023. Titles, years, authors, citations, citation indices, journal names, authors' countries of origin, article categories, and funding sources were recorded. "Clinical Efficacy, Safety and Tolerability of Collagenase Clostridium Histolyticum for the Treatment of Peyronie Disease in 2 Large Double-Blind, Randomized, Placebo Controlled Phase 3 Studies" has the most citations and citation index. Most of the T100 articles were published in 2020, primarily in the Journal of Urology. These articles mainly focused on treatment, especially surgeries. All of these articles were in English, and the vast majority of them were by authors from the US who were most frequently collaborated with by other authors. This research analyzed the top 100 PD studies. This research focused on pathophysiology, innovative surgical procedures, and new approaches of PD. It also recommended bigger databases and more financing for research.

Disagreement in Female Urethral Nomenclature: A Survey Study of Genitourinary Surgeons.

Introduction: Inconsistencies exist in the nomenclature pertaining to the terms dorsal and ventral female urethra. This survey study was devised to demonstrate this inconsistency, and to identify any surgeon characteristics that contribute to this confusion in urologic and gynecologic reconstructive surgeons.Methods: Genitourinary surgeons were anonymously surveyed using email and social media platforms and asked how they would anatomically label 2 distinctly indicated regions of the female urethra using "dorsal" and "ventral" nomenclature. χ2 statistical analyses were used to compare categorical responses.Results: We received a total of 155 responses: 128 urologists, 26 gynecologists, and 1 medical student. The medical student was excluded from the analysis. Responses to the red/dorsal marker were 48% dorsal, 27% ventral, and 25% free response. Responses to the green/ventral marker were 52% ventral, 26% dorsal, and 22% free response. Urologists were more likely than gynecologists to use the correct "dorsal" label (χ2 [1, N = 122] = 33.6, P < .00001) and "ventral" label (χ2 [1, N = 124] = 32.3, P < .00001). There was no statistically significant difference between attendings vs trainees responding either "dorsal" or "ventral" to describe the red marker (χ2 [1, N = 124] = 0.24, P < .63) or the green marker (χ2 [1, N = 122] = 0.21, P < .65).Conclusions: The terms dorsal and ventral female urethra are not consistent between urologist and gynecologist reconstructive surgeons, and efforts to standardize terminology should be made at the residency training level.

Commentary to training the next generation of quality improvement champions in pediatric urology: A virtual program co-sponsored by the journal of pediatric urology

Commentary to training the next generation of quality improvement champions in pediatric urology: A virtual program co-sponsored by the journal of pediatric urology

Super-Selective Trans-Catheter Arterial Embolization (TAE) of the Vesical Arteries in the Management of Intractable Hematuria Secondary to Advanced Bladder and Prostate Cancers.

This article was previously presented as an abstract at the 18th UAA Congress, Seoul, October 15-17, 2020, and the abstract was published in The International Journal of Urology. It was also presented as an e-posterat the 2021 BAUS Annual Meeting on June 22, 2021. Introduction In frail patients intractable hematuria secondary to advanced pelvic malignancies is a clinical challenge. Super-selective TAE of the vesical arteries is a suitable minimally invasive option. We present our experience in this patient cohort. Patients and methods All patients who underwent TAE from January 2014 to December 2019 were included. Super-selective TAE of the superior and inferior vesical arteries was done using 300-500µ polyvinyl alcohol(PVA) particles. Demographic data, cancer stage, associated urinary system obstruction, pre-embolization palliative treatment, chemotherapy, and radiotherapy were recorded. Technical and clinical success, time to cessation of hematuria, recurrence of hematuria, and complications were recorded. Data are presented as mean ± standard deviation, and statistical significance is set at p<0.05. Results From 2014 to 2019, seven patients underwent eight procedures. The average patient's age was 60.6±10.3 years. All presented with gross hematuria, six due to locally advanced and/or metastatic bladder cancer, and one due to prostate cancer. The average time of hematuria clearance was 60 hours. The average hemoglobin levels at the time of the procedure, one month, and six months post-embolization were 9.6±1.7 g/dL, 10.6±1.5 g/dL (p<0.05), and 9.6±0.9 g/dL, respectively (p>0.05). Packed red blood cell (PRBC) requirements decreased from 7±2 units to 5±3units after the procedure (p >0.05). The patients were followed up for an average of 13.6 months and four had a recurrence at an average of four months post-embolization. Conclusion Super-selective TAE is an effective palliative method in controlling intractable hematuria. The risks of major surgery and anesthesia are omitted, and the procedure can be repeated as needed. Furthermore, post-embolization complications, using this technique, are minor and manageable.

Re: Gyawali, Sushil; Luitel, Bhoj Raj; Bhattarai, Amit Sharma; Sharma, Uttam Kumar. Comparison of efficacy of intercostal nerve block versus peritract infiltration with 0.25% bupivacaine in percutaneous nephrolithotomy: A prospective randomized clinical trial. Indian Journal of Urology 40(1):p 37-43, Jan-Mar 2024.

Re: Gyawali, Sushil; Luitel, Bhoj Raj; Bhattarai, Amit Sharma; Sharma, Uttam Kumar. Comparison of efficacy of intercostal nerve block versus peritract infiltration with 0.25% bupivacaine in percutaneous nephrolithotomy: A prospective randomized clinical trial. Indian Journal of Urology 40(1):p 37-43, Jan-Mar 2024.

'Spin' in urology non-randomised studies comparing therapeutic interventions: a temporal analysis.

To determine the prevalence of 'spin' (i.e., reporting practices that distort the interpretation of results by positively reflecting negative findings or downplaying potential harms) strategies and level of spin in urological observational studies and whether the use of spin has changed over time. MEDLINE and Embase were searched to identify observational studies comparing therapeutic interventions in the top five urology journals and major urological subspecialty journals, published between 2000 and 2001, 2010 and 2011, and 2020 and 2021. A total of 235 studies were included. Spin was identified in 81% of studies, with a median of two strategies per study. The most commonly used strategies were inadequate implication for clinical practice (30%), causal language or causal claim (29%), and use of linguistic spin (29%). Moderate to high levels of spin were found in 55% of conclusions. From 2000 to 2020, the average number of strategies used has significantly decreased each decade (H = 27.459, P < 0.001), and the median level of spin in conclusions was significantly lower in studies published in the 2020s and 2010s than in the 2000s (H = 11.649, P = 0.003). Our results suggest that 81% of urological observational studies comparing therapeutic interventions contained spin. Over the past two decades, the use of spin has significantly declined, but this remains an area for improvement, with 70% of included studies published in the 2020s employing spin. Medical writing should scrupulously avoid words or phrases that are not supported by data in the manuscript.

Reporting of Harms in Randomized Controlled Trials Published in Urology Journals: An Updated Analysis.

Harms are often overlooked, but important, outcomes of randomized controlled trial reporting. Our goal was to determine if harms reporting has improved in high-impact urology journals. Randomized controlled trials published in The Journal of Urology®, Urology, European Urology, and BJU International in 2012 and 2020 were analyzed. Each randomized controlled trial was evaluated by 2 authors in a masked-duplicate fashion to evaluate for adherence to harms reporting guidelines recommended by the Consolidated Standards of Reporting Trials (CONSORT) group. One hundred and thirty-two published studies met inclusion criteria. Between 2012 and 2020, there was a statistically significant increase in the median number of harms criteria reported between 2012 and 2020 (5.3 vs 7.2; P = .01). Methods criteria demonstrating the greatest improvements included item #3 "which harms were assessed," item #4a "when harm information was collected," and item #4b "methods to attribute harm to intervention." Results sections with the most improvement in reporting include item #6 "reasons for patient withdrawal," item #8a "effect size for harms," and item #8b "stratified serious + minor harms." Reporting of adverse events in randomized trials published in several top urology journals has demonstrated marked improvement. Studies published in 2020 reported approximately 70% of CONSORT-Harms criteria-an increase of nearly 40% since 2004. While these improvements mark significant change, deficits remain present and should be addressed to provide clinicians with the most complete perspective possible.

The birth of pediatric urology in the United States: From pioneers to subcertification

Pediatric urology is a subspecialty of urology that emerged from a culture in which children with urological disorders were cared for by general urologists and general pediatric surgeons. The development of pediatric urology as a subspecialty was years in the making, highlighted by individuals who recognized that children with urological conditions were not just "small adults," but required special experience and training. Subspecialization was initiated by persistent visionaries who recognized the need for a trained cadre of experts to provide better care for children. It took the coordinated effort of all subgroups and leaderships in pediatric urology to push these efforts over the goal line. The focus of this review is to highlight certain individuals who played major roles in this vision and to document the efforts of many to coordinate the pathways to sub-specialization. The careers of Meredith F. Campbell and Frank B. Bicknell were researched to identify their rationale and roles in developing pediatric urology as a distinct medical specialty in the United States. In addition, the minutes of the meetings of the Pediatric Urology Advisory Council (PUAC) with the American Board of Urology (ABU) were reviewed. The origins of the Society for Pediatric Urology (SPU) and the American Academy of Pediatrics Section of Urology (AAP-SOU) were researched. The contributions of each to the certification of pediatric urology as a distinct subspecialty was delineated. Campbell was Chair of Urology at the New York University (NYU) School of Medicine and wrote prolifically about pediatric urology. He published one of the first practical textbooks in pediatric urology, almost completely self-written, in 1937. Bicknell, a general urologist in Michigan on the faculty at Wayne State University School of Medicine, led the initiative to create the Society for Pediatric Urology (SPU) that first met at the 1951 annual American Urological Association (AUA) meeting in Chicago and included nine attendees. Subsequently, John Lattimer (College of Physicians and Surgeons at Columbia University) organized a well-attended meeting of urologists interested in pediatrics at the 1964 annual AAP meeting in New York City. This led to the formation of the AAP Section on Urology. Integral to the justification for the development of a subspecialty was evidence of a published corpus of content. In addition to published textbooks devoted exclusively to pediatric urology, this was further fulfilled by the AAP Section on Urology Pediatric Supplement to the Journal of Urology, first published in 1986, and later with the Journal of Pediatric Urology in 2005. The SPU and the AAP Section on Urology came together to form the Pediatric Urology Advisory Council (PUAC) in 2000, which worked with the ABU to create subspecialty certification in pediatric urology with an independent exam, first administered in 2008 to 176 applicants. The metaphor "We have stood on the shoulders of giants" is apt for pediatric urology: Meredith Campbell, Frank Bicknell, David Innes Williams (Hospital for Sick Children, London), and J. Herbert Johnston (Alder Hay Hospital, Liverpool) come to mind among the first generation of pediatric urology pioneers, and others among their colleagues also had significant impact. Clearly this is a story of persistence and attention to detail on the part of those giants and those who followed. Pediatric urology became a distinct discipline after the SPU and AAP-SOU came together to create a robust cohort of pediatric urologists who through education and negotiation were able to help the ABU and the American Board of Medical Specialties (ABMS) recognize that subspecialization would lead to better care for children with urologic disorders. This benchmark set a high bar for future subspecialization in urology and other fields.

Do good things really come to those who wait? An analysis of the average time of acceptance in Brazilian surgery journals.

To analyze the average time between submission and acceptance of national journals in seven Brazilian surgery journals from 2017 to 2022. It consists of a cross-sectional and observational study with a quantitative approach to analyze the acceptance time of articles approved by Brazilian journals on general surgery and its subspecialties, including Acta Cirúrgica Brasileira, Jornal Vascular Brasileiro, Arquivos Brasileiros de Cirurgia de Digestiva, Revista do Colégio Brasileiro de Cirurgiões, Journal of Coloproctology, Revista Brasileira de Cirurgia Plástica, and International Brazilian Journal of Urology. The journals with the lowest average waiting times were Revista do Colégio Brasileiro de Cirurgiões, Acta Cirúrgica Brasileira, and Journal of Coloproctology, respectively, and, with the lowest interquartile range there is Acta Cirúrgica Brasileira. There was no significant difference between the pre-pandemic and pandemic periods. The study designs with the highest and lowest means were, respectively, ideas and innovations - also with the highest interquartile range - and expert opinion, while with the lowest interquartile range was technical skill. The acceptance time for articles in Brazilian surgery journals is extremely variable. Identifying these discrepancies highlights the importance of understanding editorial processes and seeking ways to improve consistency and efficiency in reviewing articles.

Bibliometric analysis of the relationship between metabolic study and urolithiasis. A key tool in patient management

Objective: Our objective was doing an analysis of available bibliography to understand tendencies in publications regarding the role of metabolic evaluation in the management of urolithiasis. Materials and Methods: A retrospective bibliometric analysis of the available medical literature ranging from the year 2001 to 2022 was performed on the Web of Science platform. The graph analysis was done using Microsoft Excel and the bibliographic mapping analysis was done on the VOSviewer software. Results: A total of 120 references were found in 63 journals, with a decrease in the rate of publications in the last 5 years. The country, journal, and institution with the largest number of manuscripts were the United States, Journal of Urology, and the University of Bonn, respectively. The author with the largest number of publications was Sarica Kemal. The mapping and analysis of the keyword evolution with respect to the timeline centered on the terms: “prevention”, “metabolic risk factors”, “obesity”, “primary hyperoxaluria”, and “medical management”. Conclusion: Metabolic evaluation is a fundamental tool in the overall approach of these patients. Despite the decrease in the rate of research on the association between metabolic evaluation and urolithiasis in recent years, the importance of a complete assessment of these patients from the first symptomatic episode has been demonstrated, as it helps to determine the risk of recurrence of the disease, and to establish a treatment plan focused on prevention. This first bibliometric analysis on metabolic evaluation and urolithiasis depicts the importance of giving continuity to research on the risk factors of urolithiasis that may be modified and treated.

Conversion Rate of Abstracts Presented at the Société Internationale d’Urologie into Peer-Reviewed Journal Publications

ObjectivesThe objective of this study was to determine the publication rate of abstracts presented at the Société Internationale d’Urologie (SIU) Congress and to analyse the characteristics associated with conversion to publication.MethodsAll abstracts from the 36th Congress of the Société Internationale d’Urologie were identified from the published 2016 abstract book. A PubMed search was performed using key words and author names to identify published journal articles corresponding with the presented abstracts.ResultsThe conversion rate of presented abstracts to publication by April 2022 was 30.73% (224 of 729). Many abstracts were published prior to presentation (35.27%, 79 of 224). The average time to publication of abstracts published post presentation was 16.88 months. The majority of abstracts were presented in urology-specific journals (66.96%, 150 of 224). Publishing journals had an average impact factor of 3.068 with Urology (18 of 224) and Worl d Journal of Urology (8 of 224) being the most common journals. Moderated ePosters had the highest conversion rate to publication (39.59%), whilst Unmoderated Videos had the lowest (11.32%). The abstract book assigned presentation topic groups to the moderated ePoster category; the most published abstract topic was sexual function (68.75%, 11 of 16).ConclusionsThe conversion rate of abstracts presented at the SIU to publications in peer-reviewed journals has shown improvement since previous reports; however, it remains lower than the rates associated with other major urological conferences. Almost 70% of presented abstracts do not convert to publication and this should be considered when incorporating abstract findings into clinical practice.

E D I T O R I A L

From Desk of Chief Editor (PJU) Rome was not built in a day. There is a list of endeavors and struggles behind every coronation. So istrue for our most awaited. Pakistan Journal of Urology which stands as a crown prince today, ever ready to rule. There are various known journals for general surgery but the world of medicine is stepping towards specialties. There was a dire need for a dedicated Journal in the field of Urology. The objective was to focus on myths and facts related to Urology on a single platform. It will stand as a strong pillar to enhance the extravagant efforts made by the researchers and will serve as an easy and readily available tool for the researchers. It will be labelled as an identity for the emerging urologists; a medium through which young energetic urologists can convey their messages and concepts via their research proposals. This budding Journal is a step towards improving the academics and will play an imminent role in attracting the clinicians to come forward with novel ideas. In near future, this Journal is expected to stand as the best journal of Urology with surmounted International recognition. This journal is a dream come true, a miracle turned into reality, a peak which is summit, a student who graduates, a book with covers, a feather added to our hat and a star added to our shoulders. We have tried our level best to edit and publish short listed articles in the very first volume and are verily destined to improve in the upcoming editions.

Trends in reader access and article processing charges among urology journals: A systematic review

ABSTRACT Introduction: This bibliometric study is designed to investigate the relations of urology journals with access types and article processing charges (APCs) to assess the changing paradigm in urology publishing. Methods: The three major databases: The Master Journal List directory by Clavirate Analytics, Scopus® and PubMed were queried for relevant journals in urology and subspecialties. Characterization of urology journals was undertaken, and citation metrics and APCs were compared across access types. A partial sampling was used to investigate the number of open access (OA) articles according to access types and correlations with both APCs and CiteScore. Results: Seventy-seven journals were included into the study. Gold and diamond OA journals comprised 35.4% of urology journals in 2009 and were increased to 49.3% in 2022. No significant difference was found for change in the CiteScore of 2017 and 2021 between the access types, F (2,63) = 0.152, P = 0.859, η2 = 0.005. A moderate positive correlation was found between APCs and CiteScore for both hybrid (rs [27] =0.431, P &lt; 0.0005) and gold OA (rs [27] =0.489, P = 0.007) journals. The authors need to pay $1175 more to publish their articles in OA model in hybrid journals. The number of articles published in OA model by hybrid journals were not correlated with APCs (rs = 0.332, P = 0.078) but correlated with CiteScore (rs = 0.393, P = 0.035). Conclusions: A paradigm shift in urology publishing toward OA model has been occurring. Authors choose prestige, OA model, rapid publication, and less rigorous peer-review to publish their articles. APCs bear only moderate correlation with the citation metrics of the urology journals.

Prevalence of the Clavien Dindo Classification in the Reporting of Surgical Complications in Major Urological Journals

ObjectivesTo review the methods of surgical complication reporting in urological journals, to determine the current utilisation of the Clavien Dindo classification, and to make comparison with previous reports over the last 10 years.MethodsA search was performed of all journal articles published in 5 major urological journals from January 2021 to April 2022, inclusive. All articles reporting surgical outcomes or complications were analysed. The current trend in complication reporting was compared with the results of the systematic search of the same 5 urological journals performed in 2012 by Yoon et al.ResultsA total of 137 articles were identified. The Clavien Dindo classification was the most common method used (105/137, 76.6%) followed by a text-based descriptive classification (31/137, 22.6%). Notably, the Clavien Dindo classification was the only standardised method used in any of the articles examined. The prevalence of Clavien Dindo classification usage is 76.6% in the articles analysed in our search compared with the 33.3% reported by Yoon et al. in their search of papers published in the same 5 urological journals between 2010 and 2012.ConclusionsThere has been a significant increase in the adoption of the Clavien Dindo classification in the reporting of complications in major urological journals in the last decade. This is a favourable trend which is likely in response to the ad hoc EAU Guidelines Panel 2012 recommendations. With more than 20% of journal articles still using descriptive text-based classifications, we should continue to encourage further implementation of standardised criteria, particularly the Clavien Dindo classification

Methodological Quality of Systematic Reviews for Questions of Therapy and Prevention Published in the Urological Literature (2016–2021) Fails to Improve

ObjectivesPrior studies have suggested that few systematic reviews (SRs) published in the urological literature provide reliable evidence. We performed this study to provide a longitudinal analysis of the methodological quality of SRs published in 5 major urology journals over a 6-year period (2016–2021).MethodsAs an extension of a prior study with a written a priori protocol, we systematically searched and analyzed all SRs related to questions of therapy or prevention published in the 5 major urology journals. Three independent reviewers working in pairs selected eligible studies and abstracted the data in duplicate. We used the updated Assessment of Multiple Systematic Reviews (AMSTAR-2) instrument to assess SR quality. We performed pre-planned statistical hypothesis testing by time period and journal of publication in SPSS Version 27.0.ResultsOur updated search (2019–2021) identified 563 references of which 114 ultimately met inclusion criteria, which we added to the database of the prior 144 studies (2016–2018). Overall, among 258 SRs, only 6 (2.3%) and 9 SRs (3.5%), achieved a “high” (no critical weakness; up to one non-critical weakness) or “moderate” (no critical weakness; more than one non-critical weakness) confidence rating, respectively. Most SRs published had very low confidence rating (195; 75.6%). The proportion of studies with a high or moderate rating (6.1% versus 4.9%; P = 0.481) did not increase over time.ConclusionsMost SRs published in the urological literature continue to have serious methodological limitations and should not be relied upon. There is a critical need for greater awareness for established methodological standards.

Bridging the Gap Between Urological Research and Patient Understanding: The Role of Large Language Models in Automated Generation of Layperson's Summaries.

This study assessed ChatGPT's ability to generate readable, accurate, and clear layperson summaries of urological studies, and compared the performance of ChatGPT-generated summaries with original abstracts and author-written patient summaries to determine its effectiveness as a potential solution for creating accessible medical literature for the public. Articles from the top 5 ranked urology journals were selected. A ChatGPT prompt was developed following guidelines to maximize readability, accuracy, and clarity, minimizing variability. Readability scores and grade-level indicators were calculated for the ChatGPT summaries, original abstracts, and patient summaries. Two MD physicians independently rated the accuracy and clarity of the ChatGPT-generated layperson summaries. Statistical analyses were conducted to compare readability scores. Cohen's κ coefficient was used to assess interrater reliability for correctness and clarity evaluations. A total of 256 journal articles were included. The ChatGPT-generated summaries were created with an average time of 17.5 (SD 15.0) seconds. The readability scores of the ChatGPT-generated summaries were significantly better than the original abstracts, with Global Readability Score 54.8 (12.3) vs 29.8 (18.5), Flesch Kincade Reading Ease 54.8 (12.3) vs 29.8 (18.5), Flesch Kincaid Grade Level 10.4 (2.2) vs 13.5 (4.0), Gunning Fog Score 12.9 (2.6) vs 16.6 (4.1), Smog Index 9.1 (2.0) vs 12.0 (3.0), Coleman Liau Index 12.9 (2.1) vs 14.9 (3.7), and Automated Readability Index 11.1 (2.5) vs 12.0 (5.7; P < .0001 for all except Automated Readability Index, which was P = .037). The correctness rate of ChatGPT outputs was >85% across all categories assessed, with interrater agreement (Cohen's κ) between 2 independent physician reviewers ranging from 0.76-0.95. ChatGPT can create accurate summaries of scientific abstracts for patients, with well-crafted prompts enhancing user-friendliness. Although the summaries are satisfactory, expert verification is necessary for improved accuracy.

M E S S A G E

I feel honored and fortunate for being chosen as the president PAUS during thetime when our Pakistan Journal of Urology was to be born. It has been for anumber of years now that I have seen few faces struggling to nurture this conceptof having our own journal of Urology. One such Hercules is none other but ourProf. Dr. Liaqat Ali. He is truly the person who made this possible and blessed uswith this identity which will be a testimony to our dedication. This journal willportray the newer techniques and will be an answer to the emerging queries inUrology. Clinical without academics are like flowers with no fragrance. This was acore demand to have a journal which endorses only Urology. But there is no endto wisdom thereby, this Journal will welcome a diverse number of physicians andsurgeons and will help them when they are keen to dive in a multidisciplinaryapproach to manage their patients. A man who wants to climb a ladder does focuson the destination above but can’t climb with hands in his pockets. We all do aimhigh but their are few who achieve those aims by flying high. I dedicate this firstvolume to those people who surely can be labelled as the pioneers of PakistanJournal of Urology.Copyright 2023 - All rights reserved by Pakistan Journal of UrologyPublisher: Institute of Kidney Diseases and Pakistan Association of Urological