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Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results.

Journal articles  - Journal Article
Carnino, JM; Rampam, S; Puyo, EM; Kennedy, DG; Levi, JR
Published in: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
December 2025

This study evaluates and compares the readability of pediatric otolaryngology patient education materials generated by ChatGPT4o and those retrieved from Google searches. The goal is to determine whether artificial intelligence (AI)-generated content improves accessibility compared to institutionally affiliated online resources.Cross-sectional readability analysis.Online educational materials focused on pediatric otolaryngology topics.Educational articles covering 10 pediatric otolaryngology conditions were sourced either via Google search or generated using ChatGPT4o. All texts were standardized by removing extraneous formatting. Readability was assessed using six validated metrics: Flesch-Kincaid Grade Level (FKGL), Flesch Reading Ease Score (FRES), Gunning-Fog Index, Simple Measure of Gobbledygook (SMOG), Coleman-Liau Index, and Automated Readability Index (ARI). Statistical comparisons were performed using paired t tests or Wilcoxon signed-rank tests to evaluate differences in scores between sources.ChatGPT4o-generated content demonstrated significantly higher FKGL, Gunning-Fog, ARI, and SMOG scores and lower FRES scores compared to Google-sourced materials, indicating greater complexity (P < .05). These differences were most pronounced for simpler conditions such as allergic rhinitis and otitis externa. For more complex topics like laryngomalacia and cleft lip and palate, readability scores were not significantly different between the two sources (P > .05).ChatGPT4o-generated patient education materials are generally more difficult to read than Google-sourced content, especially for less complex conditions. Given the importance of readability in patient education, AI-generated materials may require further refinement to improve accessibility without compromising accuracy. Enhancing clarity could increase the utility of AI tools for educating parents and caregivers in pediatric otolaryngology.

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Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

December 2025

Volume

173

Issue

6

Start / End Page

1478 / 1484

Related Subject Headings

  • Search Engine
  • Pediatrics
  • Patient Education as Topic
  • Otorhinolaryngology
  • Otolaryngology
  • Internet
  • Humans
  • Cross-Sectional Studies
  • Comprehension
  • Child
 

Citation

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ICMJE
MLA
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Carnino, J. M., Rampam, S., Puyo, E. M., Kennedy, D. G., & Levi, J. R. (2025). Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results. Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 173(6), 1478–1484. https://doi.org/10.1002/ohn.70011
Carnino, Jonathan M., Sanjeev Rampam, Elizabeth M. Puyo, Dean G. Kennedy, and Jessica R. Levi. “Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results.” Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery 173, no. 6 (December 2025): 1478–84. https://doi.org/10.1002/ohn.70011.
Carnino JM, Rampam S, Puyo EM, Kennedy DG, Levi JR. Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2025 Dec;173(6):1478–84.
Carnino, Jonathan M., et al. “Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results.” Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 173, no. 6, Dec. 2025, pp. 1478–84. Epmc, doi:10.1002/ohn.70011.
Carnino JM, Rampam S, Puyo EM, Kennedy DG, Levi JR. Readability of Pediatric Otolaryngology Information: Comparing AI-Generated Content With Google Search Results. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2025 Dec;173(6):1478–1484.
Journal cover image

Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

December 2025

Volume

173

Issue

6

Start / End Page

1478 / 1484

Related Subject Headings

  • Search Engine
  • Pediatrics
  • Patient Education as Topic
  • Otorhinolaryngology
  • Otolaryngology
  • Internet
  • Humans
  • Cross-Sectional Studies
  • Comprehension
  • Child