Jo Jung Hwan, Kim Eui Joo, Kim Ji Rak, Kim Moon Jong, Chung Jin Woo, Park Ji Woon
Department of Oral Medicine, Seoul National University Dental Hospital, Seoul, Republic of Korea.
Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2018 Mar;125(3):215-222. doi: 10.1016/j.oooo.2017.12.001. Epub 2017 Dec 8.
To evaluate quality and readability of Internet-based information on halitosis.
An Internet search through 3 engines (Google, Yahoo, and Bing) was done with the terms ("bad breath," "halitosis," "oral malodor," "foul breath," "mouth malodor," "breath malodor," "fetor ex ore," "fetor oris," "ozostomia," and "stomatodysodia"). The first 50 websites from each engine resulting from each search term were screened. Included websites were evaluated using Health on the Net (HON) criteria, Journal of American Medical Association (JAMA) benchmarks, DISCERN, Ensuring Quality Information for Patients (EQIP), Flesch Reading Ease (FRE) score, and Flesch-Kincaid Grade level.
A total of 101 websites were included. HON, DISCERN, EQIP, and FRE score were 42.9%, 37.6%, 37.4%, and 51.9% of the maximum score, respectively. Fewer than 50% of sites displayed attribution, disclosure, and currency according to JAMA benchmarks. HON score, DISCERN score, and EQIP score had significant correlation with each other and were significantly higher in sites displaying the HON seal.
The current quality and readability of informative websites on halitosis are generally low and poorly organized. Clinicians should be able to assess the Internet-based information on halitosis, as well as give accurate advice and guide patients concerning this issue.
评估基于互联网的口臭信息的质量和可读性。
通过3个搜索引擎（谷歌、雅虎和必应），使用搜索词（“口臭”“halitosis”“口腔异味”“口气难闻”“口腔恶臭”“呼吸异味”“口臭（拉丁语）”“口臭（拉丁语）”“口臭症”和“口腔功能障碍”）进行互联网搜索。对每个搜索词在每个搜索引擎中得到的前50个网站进行筛选。使用健康网（HON）标准、美国医学会杂志（JAMA）基准、DISCERN、为患者确保质量信息（EQIP）、弗莱什易读性（FRE）评分和弗莱什-金凯德年级水平对纳入的网站进行评估。
共纳入101个网站。HON、DISCERN、EQIP和FRE评分分别为满分的42.9%、37.6%、37.4%和51.9%。根据JAMA基准，不到50%的网站显示了出处、信息披露和时效性。HON评分、DISCERN评分和EQIP评分之间存在显著相关性，并且在显示HON标志的网站中显著更高。
当前关于口臭的信息性网站的质量和可读性普遍较低且组织不佳。临床医生应能够评估基于互联网的口臭信息，并就该问题给出准确建议并指导患者。
