Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Korean J Intern Med. 2019 Nov;34(6):1215-1222. doi: 10.3904/kjim.2018.019. Epub 2018 Oct 1.
BACKGROUND/AIMS: The Internet is the main resource for health-related information. The incidence of inflammatory bowel disease (IBD) is rapidly increasing in Asian countries. However, the quality of websites for IBD available in this region has not been evaluated. We aimed to evaluate the quality of the information on IBD obtained from Korean websites.
Using the terms "Crohn's disease" or "ulcerative colitis," websites were selected from those obtained with the three most renowned search engines in Korea; 60 websites from the results of each engine were chosen. The websites were classified into institutional, commercial, charitable, supportive, or alternative medicine types according to the characteristics of each site. The websites were evaluated regarding content quality using the validated DISCERN instrument and the Journal of the American Medical Association benchmarks.
The median score of all the websites according to the DISCERN instrument was 32 (interquartile range, 25 to 47) out of 80, indicating an insufficient overall quality of information. The alternative medicine sites scored the lowest, whereas the institutional sites scored the highest (p < 0.05). The quality of information was significantly different among the search engines (p = 0.028). The rank of appearance in the Google search result did not correlate with the quality level of the information.
The quality of information on the Internet regarding IBD varied according to the website type and search engine. Accreditation and quality assurance systems should be implemented for websites to ensure that the public and patients obtain accurate information on IBD.
背景/目的:互联网是获取健康相关信息的主要资源。在亚洲国家,炎症性肠病(IBD)的发病率正在迅速上升。然而,该地区 IBD 相关网站的质量尚未得到评估。我们旨在评估从韩国网站获得的 IBD 信息的质量。
使用“克罗恩病”或“溃疡性结肠炎”这两个术语,从韩国三个最著名的搜索引擎中选择网站;每个引擎的结果中选择 60 个网站。根据每个网站的特点,将网站分为机构、商业、慈善、支持或替代医学类型。使用经过验证的 DISCERN 工具和《美国医学会杂志》基准对网站进行内容质量评估。
根据 DISCERN 工具,所有网站的中位数评分为 32 分(四分位距,25 至 47 分),表明信息整体质量不足。替代医学网站的得分最低,而机构网站的得分最高(p < 0.05)。不同搜索引擎之间的信息质量存在显著差异(p = 0.028)。在谷歌搜索结果中的排名与信息质量水平无关。
IBD 互联网信息的质量因网站类型和搜索引擎而异。应建立认证和质量保证体系,以确保公众和患者获得 IBD 的准确信息。