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Awareness and Use of ChatGPT and Large Language Models: A Prospective Cross-sectional Global Survey in Urology
Abstract
Background Since its release in November 2022, ChatGPT has captivated society and shown potential for various aspects of health care.Objective To investigate potential use of ChatGPT, a large language model (LLM), in urology by gathering opinions from urologists worldwide.Design, setting, and participants An open web-based survey was distributed via social media and e-mail chains to urologists between April 20, 2023 and May 5, 2023. Participants were asked to answer questions related to their knowledge and experience with artificial intelligence, as well as their opinions of potential use of ChatGPT/LLMs in research and clinical practice.Outcome measurements and statistical analysis Data are reported as the mean and standard deviation for continuous variables, and the frequency and percentage for categorical variables. Charts and tables are used as appropriate, with descriptions of the chart types and the measures used. The data are reported in accordance with the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).Results and limitations A total of 456 individuals completed the survey (64% completion rate). Nearly half (47.7%) reported that they use ChatGPT/LLMs in their academic practice, with fewer using the technology in clinical practice (19.8%). More than half (62.2%) believe there are potential ethical concerns when using ChatGPT for scientific or academic writing, and 53% reported that they have experienced limitations when using ChatGPT in academic practice.Conclusions Urologists recognise the potential of ChatGPT/LLMs in research but have concerns regarding ethics and patient acceptance. There is a desire for regulations and guidelines to ensure appropriate use. In addition, measures should be taken to establish rules and guidelines to maximise safety and efficiency when using this novel technology.Patient summary A survey asked 456 urologists from around the world about using an artificial intelligence tool called ChatGPT in their work. Almost half of them use ChatGPT for research, but not many use it for patients care. The resonders think ChatGPT could be helpful, but they worry about problems like ethics and want rules to make sure it's used safely.
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“Recent international surveys indicate that more than 80% of university students have used generative AI tools for academic purposes”
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ChatGPT awareness, acceptance, and adoption in higher education: The role of trust as a cornerstone
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“In the context of ChatGPT, awareness encompasses understanding its capabilities, applications, and limitations (Eppler et al., 2023).”
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Self-citationLarge language model use in clinical oncology
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“TrustintheaccuracyofLLM-generatedinformationissplit,with 29.6%ofparticipantsexpressingbothtrustandscepticism 65 .”
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“Consequently, it has been widely applied and researched across various domains [3–5], including academic research [6–8], health care analytics [9–11], and education [12,13].”
BackgroundDevelopment and Evaluation of a Retrieval-Augmented Large Language Model Framework for Ophthalmology
Luo, M.-J., Pang, J., Bi, S., Lai, Y., Zhao, J., Shang, Y., Cui, T., Yang, Y., Lin, Z., Zhao, L., et al. (2024) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2024.2513 · Cited by 70
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“This is in contrast to Eppler et al.‘s earlier study 16 , where nearly half of the respondents reported having used LLMs in their academic practice.”
InfluentialQuality of information and appropriateness of Open AI outputs for prostate cancer
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“…Pretrained Transformer), a natural language processing (NLP) tool created by Open-AI, can potentially be used as a quick source for obtaining information related to various medical conditions due to its potential to ef fi ciently handle extensive data and generate comprehensive outputs [6].”
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“Recent multinational surveys reported that approximately 40% of researchers and urologists had used AI chatbots [10,40].”
Embracing the future: Integrating ChatGPT into China’s nursing education system
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“A large language model (LLM) is a deep learning model with a sizable number of parameters that can produce natural language text after automatically learning a language ’ s grammar and semantic rules [2,3].”
BackgroundChatGPT in Academic Writing: A Scientometric Analysis of Literature Published Between 2022 and 2023
Lendvai, G. F. (2025) · Journal of Empirical Research on Human Research Ethics · doi:10.1177/15562646251350203 · Cited by 56
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“34 Further efforts are needed to enhance LLMs’ performance on knowledge-based questions and improve their contextual understanding and clinical reasoning for case-based scenarios.”
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“A survey, conducted among urologists between April and May 2023, revealed that ~20% had utilized ChatGPT in clinical settings, 56% believed in its potential to aid in clinical decision-making, and more than half suspected that this might be used by their patients for self-management [8].”
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Self-citationAttitude and utilization of ChatGPT among registered nurses: A cross‐sectional study
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How is ChatGPT acknowledged in academic publications?
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“From 456 urologists questioned, 82% used ChatGPT for brainstorming and 58% for writing (Eppler et al., 2024) and from 229 medical journal authors, a quarter (24”
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Visual extended reality tools in image-guided surgery in urology: a systematic review
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Registered Nurses' Attitudes Towards ChatGPT and Self‐Directed Learning: A Cross‐Sectional Study
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“11 The advent of ChatGPT has marked a significant advancement in the application of AI in the medical field, where rapid access to accurate information can be critical.”
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MED-ChatGPT CoPilot: a ChatGPT medical assistant for case mining and adjunctive therapy
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“Additionally, LLMs have demonstrated potential in various medical fields such as radiology, ophthalmology, medical insurance, and urology (15–18).”
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Generative artificial intelligence powered chatbots in urology
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Self-citationA typology of physician input approaches to using AI chatbots for clinical decision-making
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“While there are reports of individuals relying on ChatGPT for medical diagnosis, there are also studies exhibiting that LLMs can generate mis-leading information that impacts the accuracy of physicians ’ diagnoses [45 – 47] .”
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Self-citationLarge Language Models in der Wissenschaft
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“By employing sophisticated algorithms, AI can provide rapid, comprehensive analyses of existing guidelines, identify gaps in knowledge, and suggest evidence-based updates [12, 13].”
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Metadata
- Authors
- Eppler, M., Ganjavi, C., Ramacciotti, L. S., Piazza, P., Rodler, S., Checcucci, E., Gomez Rivas, J., Kowalewski, K. F., Belenchón, I. R., Puliatti, S., Taratkin, M., Veccia, A., Baekelandt, L., Teoh, J. Y.-C., Somani, B. K., Wroclawski, M., Abreu, A., Porpiglia, F., Gill, I. S., Murphy, D. G., Canes, D., & Cacciamani, G. E.
- Affiliations
- University of Southern California (US)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- LMU Klinikum (DE)
- Candiolo Cancer Institute (IT)
- Heidelberg University (DE)
- University of Modena and Reggio Emilia (IT)
- Sechenov University (RU)
- Azienda Ospedaliera Universitaria Integrata Verona (IT)
- Universitair Ziekenhuis Leuven (BE)
- Chinese University of Hong Kong (HK)
- University Hospital Southampton NHS Foundation Trust (GB)
- Hospital Israelita Albert Einstein (BR)
- The University of Melbourne (AU)
- Lahey Hospital and Medical Center (US)
- Corresponding author
- Cacciamani, Giovanni E.
- ORCID
- Eppler, Michael
- Ganjavi, Conner
- Ramacciotti, Lorenzo Storino
- Piazza, Pietro
- Rodler, Severin
- Checcucci, Enrico
- Kowalewski, Karl F.
- Puliatti, Stefano
- Taratkin, Mark
- Veccia, Alessandro
- Baekelandt, Loïc
- Teoh, Jeremy Y.-C.
- Somani, Bhaskar K.
- Wroclawski, Marcelo
- Abreu, Andre
- Porpiglia, Francesco
- Gill, Inderbir S.
- Murphy, Declan G.
- Canes, David
- Cacciamani, Giovanni E.
- Venue
- European Urology
- Publisher
- Elsevier BV
- Published
- 2024-02
- Volume
- 85
- Issue
- 2
- Pages
- 146-153
- ISSN
- 0302-2838 (ISSN-L)
- OpenAlex
- W4388347957
- Cited by
- 117
- References
- 35
- Citations by year
- 2026: 27 · 2025: 35 · 2024: 50
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Urology (publishedVersion)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Artificial Intelligence › Artificial Intelligence Applications
- Physical Sciences › Computer Science › Artificial Intelligence › Ethics and Social Impacts of AI
- Keywords
- ChatGPT, large language models, urologists, artificial intelligence in healthcare, AI use in research, ethical considerations, scientific writing, patient acceptance, urology
- MeSH terms
- Artificial Intelligence, Cross-Sectional Studies, Humans, Language, Prospective Studies, Urology
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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