Department of Abdominal Surgery- and Transplantation, University Hospital of Zurich, Rämistrasse 100, Zurich, 8091, Switzerland.
University of Zurich, Zurich, Switzerland.
Obes Surg. 2018 May;28(5):1240-1247. doi: 10.1007/s11695-017-2983-0.
The aim of this study was to assess the quality of patient information on bariatric surgery in the internet using the modified Ensuring Quality Information for Patients (EQIP) tool.
Systematic review of information on bariatric surgery in the internet by entering common search terms into five search engines. The top 100 websites of every search term and search engine were assessed using the validated EQIP tool (maximum score, 36), which entails points for content, structure, and identification data of a given website. Websites at or above the 99th percentile were analyzed separately (n = 8).
The median EQIP score of all included websites (n = 463) was 17 (IQR 15-19). While information on the medical problem, the indication for surgery, or the treatment alternatives was present in 84% of all websites, only 10% of the included websites contained adequate information on postoperative complications. Although quantitative information on incidence (37.5%) and treatment of complications (12.5%) was significantly better in the top 99th percentile websites, the content of relevant information such as occurrence and treatment of complications was still very limited.
The overall quality of patient information on bariatric surgery in the internet is relatively poor. Especially incidence of complications and their treatment are rarely reported even on websites with a 99th percentile EQIP score.
本研究旨在使用改良的 Ensuring Quality Information for Patients（EQIP）工具评估互联网上有关减重手术的患者信息质量。
通过输入常见的搜索词进入五个搜索引擎，对互联网上有关减重手术的信息进行系统回顾。使用经过验证的 EQIP 工具（最高得分为 36 分）评估每个搜索词和搜索引擎的前 100 个网站，该工具涉及给定网站的内容、结构和识别数据的分数。分析处于或高于第 99 百分位的网站（n=8）。
所有纳入网站（n=463）的 EQIP 中位数得分为 17（IQR 15-19）。虽然所有网站中 84%都提供了有关医疗问题、手术指征或治疗选择的信息，但只有 10%的纳入网站包含了有关术后并发症的充分信息。尽管关于并发症发生率（37.5%）和并发症治疗（12.5%）的定量信息在 99 百分位网站中明显更好，但有关并发症的发生和治疗等相关信息的内容仍然非常有限。
互联网上有关减重手术的患者信息整体质量较差。即使在 EQIP 得分达到 99 百分位的网站上，有关并发症发生率及其治疗的信息也很少报道。
