Lynch Noel P, Lang Bronagh, Angelov Sophia, McGarrigle Sarah A, Boyle Terence J, Al-Azawi Dhafir, Connolly Elizabeth M
Department of Surgery, Trinity Centre for Health Sciences, St. James Hospital, Dublin 8, Ireland.
Breast. 2017 Apr;32:126-129. doi: 10.1016/j.breast.2017.01.019. Epub 2017 Feb 5.
This study evaluated the readability, accessibility and quality of information pertaining to breast reconstruction post mastectomy on the Internet in the English language.
Using the Google search engine the keywords "Breast reconstruction post mastectomy" were searched for. We analyzed the top 75 sites. The Flesch Reading Ease Score and Gunning Fog Index were calculated to assess readability. Web site quality was assessed objectively using the University of Michigan Consumer Health Web site Evaluation Checklist. Accessibility was determined using an automated accessibility tool. In addition, the country of origin, type of organisation producing the site and presence of Health on the Net (HoN) Certification status was recorded.
The Web sites were difficult to read and comprehend. The mean Flesch Reading Ease scores were 55.5. The mean Gunning Fog Index scores was 8.6. The mean Michigan score was 34.8 indicating weak quality of websites. Websites with HoN certification ranked higher in the search results (p = 0.007). Website quality was influenced by organisation type (p < 0.0001) with academic/healthcare, not for profit and government sites having higher Michigan scores. 20% of sites met the minimum accessibility criteria.
Internet information on breast reconstruction post mastectomy and procedures is poorly written and we suggest that Webpages providing information must be made more readable and accessible. We suggest that health professionals should recommend Web sites that are easy to read and contain high-quality surgical information. Medical information on the Internet should be readable, accessible, reliable and of a consistent quality.
本研究评估了互联网上英文的与乳房切除术后乳房重建相关信息的可读性、可获取性及质量。
使用谷歌搜索引擎搜索关键词“乳房切除术后乳房重建”。我们分析了排名前75的网站。计算弗莱什易读性分数和冈宁雾度指数以评估可读性。使用密歇根大学消费者健康网站评估清单客观评估网站质量。使用自动化可访问性工具确定可访问性。此外，记录网站的原产国、制作网站的组织类型以及健康网（HoN）认证状态。
这些网站难以阅读和理解。弗莱什易读性平均分数为55.5。冈宁雾度平均指数分数为8.6。密歇根平均分数为34.8，表明网站质量较差。具有HoN认证的网站在搜索结果中排名更高（p = 0.007）。网站质量受组织类型影响（p < 0.0001），学术/医疗保健、非营利和政府网站的密歇根分数更高。20%的网站符合最低可访问性标准。
关于乳房切除术后乳房重建及手术的互联网信息撰写不佳，我们建议提供信息的网页必须更具可读性和可访问性。我们建议健康专业人员应推荐易于阅读且包含高质量手术信息的网站。互联网上的医学信息应具备可读性、可访问性、可靠性且质量一致。
