García-Cruz E, Romero-Otero J, Fode M, Alcaraz A
Departmento de Urología, Hospital Plató, Barcelona, España; Departmento de Urología, Hospital Clínic de Barcelona, Barcelona, España; European Association of Urology's Young Academic Urologist's, Men's Health Group member.
Departmento de Urología, Hospital Universitario 12 de octubre, Madrid, España.
Actas Urol Esp (Engl Ed). 2018 Jul-Aug;42(6):365-374. doi: 10.1016/j.acuro.2017.05.008.
The revolution of digital technologies constitutes a new setting for the patient-physician relationship and provides patients with a scenario of privacy and universal access to a vast amount of information. However, there is little information on how digital resources are used and what their advantages and disadvantages are.
To explore the scope of the scientific research on the use of digital technology related to men's sexual disorders and to analyze the primary sources of digital information related to this field.
Systematic searches of the scientific literature, websites (10 first results in each google search) and mobile applications (apps). The searches combined the keywords "web" and "app" with "erectile dysfunction", "premature ejaculation", "Peyronie", "male hypogonadism", and "infertility". Websites and apps were assessed for quality according to predefined indicators.
The qualitative analysis of the scientific literature included 116 manuscripts; 47% were clinical studies based on online survey, 9% dealt with digital treatments, 11% with quality/safety of digital healthcare environment, 3% with digital activity, 21% with patient empowerment, and 9% with online drug selling. Of 50 websites assessed for quality, 29 (58%) scored 4 or 5 on a 5-point Likert scale. The app search yielded 40 apps; only 3 of them (8%) reported the identity of a health center or healthcare professional involved.
Patients and healthcare professionals may benefit from digital resources related to men's sexual disorders; however, a strong commitment by the scientific and healthcare community is essential to increase the quality of these resources.
数字技术的变革为医患关系构建了新环境，并为患者提供了隐私保护以及获取大量信息的普遍途径。然而，关于数字资源的使用方式及其优缺点的信息却很少。
探讨与男性性功能障碍相关的数字技术使用方面的科学研究范围，并分析该领域数字信息的主要来源。
对科学文献、网站（谷歌每次搜索的前10个结果）和移动应用程序（应用）进行系统检索。检索将关键词“网络”和“应用”与“勃起功能障碍”、“早泄”、“佩罗尼氏病”、“男性性腺功能减退”和“不育症”相结合。根据预定义指标对网站和应用进行质量评估。
对科学文献的定性分析包括116篇手稿；47%是基于在线调查的临床研究，9%涉及数字治疗，11%涉及数字医疗环境的质量/安全性，3%涉及数字活动，21%涉及患者赋权，9%涉及在线售药。在评估质量的50个网站中，29个（58%）在5分制李克特量表上得分为4或5分。应用搜索产生了40个应用；其中只有3个（8%）报告了所涉及的健康中心或医疗专业人员的身份。
患者和医疗专业人员可能会从与男性性功能障碍相关的数字资源中受益；然而，科学界和医疗界的坚定承诺对于提高这些资源的质量至关重要。
