Allen J W, Finch R J, Coleman M G, Nathanson L K, O'Rourke N A, Fielding G A
Department of Surgery, University of Louisville School of Medicine, Louisville, KY 40292, USA.
Surg Endosc. 2002 Jan;16(1):170-2. doi: 10.1007/s00464-001-0054-y. Epub 2001 Oct 19.
This study was undertaken to determine the quality of information on the Internet regarding laparoscopy.
Four popular World Wide Web search engines were used with the key word "laparoscopy." Advertisements, patient- or physician-directed information, and controversial material were noted.
A total of 14,030 Web pages were found, but only 104 were unique Web sites. The majority of the sites were duplicate pages, subpages within a main Web page, or dead links. Twenty-eight of the 104 pages had a medical product for sale, 26 were patient-directed, 23 were written by a physician or group of physicians, and six represented corporations. The remaining 21 were "miscellaneous." The 46 pages containing educational material were critically reviewed. At least one of the senior authors found that 32 of the pages contained controversial or misleading statements. All of the three senior authors (LKN, NAO, GAF) independently agreed that 17 of the 46 pages contained controversial information.
The World Wide Web is not a reliable source for patient or physician information about laparoscopy. Authenticating medical information on the World Wide Web is a difficult task, and no government or surgical society has taken the lead in regulating what is presented as fact on the World Wide Web.
本研究旨在确定互联网上有关腹腔镜检查信息的质量。
使用四个热门的万维网搜索引擎，输入关键词“腹腔镜检查”。记录广告、患者或医生导向的信息以及有争议的材料。
共找到14,030个网页，但只有104个是独立网站。大多数网站是重复页面、主网页内的子页面或死链接。104个页面中有28个有医疗产品出售，26个是面向患者的，23个是由医生或医生团队撰写的，6个代表公司。其余21个是“其他”类型。对46个包含教育材料的页面进行了严格审查。至少一位资深作者发现其中32个页面包含有争议或误导性的陈述。三位资深作者（LKN、NAO、GAF）均独立认为46个页面中有17个包含有争议的信息。
万维网并非患者或医生获取腹腔镜检查信息的可靠来源。对万维网上的医学信息进行认证是一项艰巨的任务，而且没有政府或外科协会率先对万维网上所呈现的事实进行规范。
