Dee Edward C, Varady Nathan H, Katz Jeffrey N, Buchmiller Terry L
Harvard Medical School, Boston, MA, USA.
Orthopaedic and Arthritis Center for Outcomes Research (OrACORe), Department of Orthopedic Surgery and Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Pediatr Surg Int. 2019 Jul;35(7):813-821. doi: 10.1007/s00383-019-04451-y. Epub 2019 Feb 15.
Although the quality of online health information (OHI) for adult surgical conditions is well described, the availability of quality OHI for pediatric surgical conditions, and the comparison to that of adult surgical OHI, remains undefined.
Medical and lay terms for 15 pediatric and 15 adult surgical conditions were searched using Google in English. The Health on the Net Foundation, a non-governmental OHI accreditation body, designates approval for quality websites. We compared the role of patient population while controlling for disease incidence (pediatric vs. adult), term complexity (medical vs. lay), and order (earlier vs. later listing of websites) on availability of quality OHI among the first 100 websites for each term.
Among the first 100 websites, the adjusted mean number of quality websites was 11.80 for pediatric vs. 17.92 for adult medical search terms, and 13.27 for pediatric vs. 18.20 for adult lay search terms (P < 0.05 for all). Term complexity did not affect quality, and earlier appearing results were more likely to be of high quality.
Availability of quality pediatric surgical OHI lags behind that of adult surgical OHI, even when controlling for disease incidence. These findings highlight the potential need for increased quality OHI in pediatric surgery.
尽管针对成人外科疾病的在线健康信息（OHI）质量已有充分描述，但针对小儿外科疾病的高质量OHI的可用性，以及与成人外科OHI的比较，仍不明确。
使用谷歌英文搜索15种小儿和15种成人外科疾病的医学术语和通俗术语。网络健康基金会是一个非政府OHI认证机构，负责指定对优质网站的批准。我们比较了患者群体的作用，同时控制疾病发病率（小儿与成人）、术语复杂性（医学与通俗）以及顺序（网站的较早与较晚列出）对每个术语前100个网站中高质量OHI可用性的影响。
在前100个网站中，小儿医学搜索词的高质量网站调整后平均数量为11.80，而成人医学搜索词为17.92；小儿通俗搜索词为13.27，而成人通俗搜索词为18.20（所有P值均<0.05）。术语复杂性不影响质量，较早出现的结果更有可能是高质量的。
即使在控制疾病发病率的情况下，高质量小儿外科OHI的可用性仍落后于成人外科OHI。这些发现凸显了小儿外科领域对提高高质量OHI的潜在需求。
