Jin Linda X, Ibrahim Andrew M, Newman Naeem A, Makarov Danil V, Pronovost Peter J, Makary Martin A
Washington University, St. Louis, MO, USA.
J Healthc Qual. 2011 Nov;33(6):48-52. doi: 10.1111/j.1945-1474.2011.00148.x. Epub 2011 May 17.
To examine the prevalence and content of robotic surgery information presented on websites of U.S. hospitals. We completed a systematic analysis of 400 randomly selected U.S. hospital websites in June of 2010. Data were collected on the presence and location of robotic surgery information on a hospital's website; use of images or text provided by the manufacturer; use of direct link to manufacturer website; statements of clinical superiority; statements of improved cancer outcome; mention of a comparison group for a statement; citation of supporting data and mention of specific risks. Forty-one percent of hospital websites described robotic surgery. Among these, 37% percent presented robotic surgery on their homepage, 73% used manufacturer-provided stock images or text, and 33% linked to a manufacturer website. Statements of clinical superiority were made on 86% of websites, with 32% describing improved cancer control, and 2% described a reference group. No hospital website mentioned risks. Materials provided by hospitals regarding the surgical robot overestimate benefits, largely ignore risks and are strongly influenced by the manufacturer.
为研究美国医院网站上呈现的机器人手术信息的流行程度及内容。2010年6月,我们对随机选取的400家美国医院网站进行了系统分析。收集了关于医院网站上机器人手术信息的存在情况及位置、是否使用制造商提供的图像或文本、是否有指向制造商网站的直接链接、临床优势声明、癌症治疗效果改善声明、声明中是否提及对照组、支持数据的引用以及特定风险提及等数据。41%的医院网站描述了机器人手术。其中,37%在其主页上展示了机器人手术,73%使用了制造商提供的库存图像或文本,33%链接到制造商网站。86%的网站做出了临床优势声明,32%描述了癌症控制的改善,2%提到了参考组。没有医院网站提及风险。医院提供的有关手术机器人的材料高估了益处,很大程度上忽略了风险,且受到制造商的强烈影响。