Türp J C, Gerds T, Neugebauer S
Abteilung Poliklinik für Zahnärztliche Prothetik, Zahn-, Mund- und Kieferklinik, Universitätsklinikum Freiburg i. Br.
Z Arztl Fortbild Qualitatssich. 2001 Aug;95(8):539-47.
Assessing of the methodological and medical-scientific quality of the German information on temporomandibular disorders (TMDs) provided then the World Wide Web (WWW).
The investigation was carried out with selected search machines (subject and index catalogues) as well as health portals. The search strategy involved the option "simple search" and the keyword "Kiefergelenk" ("temporomandibular joint"). The methodological quality was assessed using the DISCERN instrument. To assess the medical-scientific quality, a brief questionnaire based on comparisons with the current state of the scientific literature on TMDs was used.
Twenty-seven of the 47 identified websites are longer than half a printed page (1/2 p). The methodological quality of all websites ranges between "low" and "moderate"; it is higher for information > 1/2 p. There is no clear relationship between methodological (DISCERN) and medical-scientific quality. For example, only five of seven websites with acceptable medical-scientific quality reach a moderate methodological quality, whereas the remaining two of these publications have a low methodological quality.
There is a discrepancy between quantity and quality of the available information on TMDs. In general, there is a lack of evidence-based high-quality information for patients seeking information related to TMDs in the WWW. The available data suggests that TMD patients are not constantly provided with information regarding to the latest developments in research. Therefore, measures to improve the quality of care of these patients are necessary.
评估万维网(WWW)上提供的有关颞下颌关节紊乱病(TMDs)的德语信息的方法学和医学科学质量。
使用选定的搜索引擎(主题和索引目录)以及健康门户网站进行调查。搜索策略包括“简单搜索”选项和关键词“Kiefergelenk”(“颞下颌关节”)。使用DISCERN工具评估方法学质量。为评估医学科学质量,使用了一份基于与TMDs科学文献现状比较的简短问卷。
在47个已识别的网站中,有27个网站长度超过半页印刷篇幅(1/2页)。所有网站的方法学质量在“低”和“中等”之间;篇幅超过1/2页的信息质量更高。方法学(DISCERN)质量与医学科学质量之间没有明确的关系。例如,在医学科学质量可接受的7个网站中,只有5个达到中等方法学质量,而这些出版物中的另外2个方法学质量较低。
TMDs现有信息的数量和质量之间存在差异。总体而言,在万维网上,缺乏为寻求TMDs相关信息的患者提供的循证高质量信息。现有数据表明,没有持续向TMD患者提供有关研究最新进展的信息。因此,有必要采取措施提高这些患者的护理质量。