Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
J Cancer Educ. 2020 Oct;35(5):988-996. doi: 10.1007/s13187-019-01553-y.
Although much is known about the quality of online health information (OHI) for many malignancies, the availability of high-quality OHI for oncologic treatments remains undefined. Furthermore, search strategies that improve quality of radiation oncology OHI, and disparities in availability of high-quality OHI, are not well-described. Forty phrases describing malignancies and their treatment modalities (radiation, chemotherapy, and surgery), and 57 phrases describing radiation oncology treatments, including abbreviations for some treatments and translations in different languages, were generated. The Health on the Net Foundation framework for assessing OHI quality was applied to the top 100 websites listed for each search phrase. The availability of high-quality OHI between malignancies and treatment modalities, and among treatment modalities, was compared. The roles of radiation oncology term abbreviation, search result order, patient gender, and language, on availability of high-quality OHI, were also assessed. Among the first 10, 20, and 50 websites for each search phrase, there were significantly more high-quality websites for phrases describing malignancies compared with respective treatment modalities (P < 0.02 for all). There were no differences among treatment modalities. Among radiation oncology treatment phrases, there were no significant differences between searches for full-name phrases and their respective abbreviations, though earlier results were more likely to be of high quality. Gender did not affect quality of OHI, though language did. Availability of high-quality OHI for cancer treatments lags behind that of cancer OHI. For radiation oncology treatment OHI, search strategies and patient disparities highlight potential areas for provider intervention and increased quality of OHI.
虽然人们对许多恶性肿瘤的在线健康信息（OHI）质量了解很多，但肿瘤治疗的高质量 OHI 仍然没有明确定义。此外，改善放射肿瘤学 OHI 质量的搜索策略以及高质量 OHI 可用性方面的差异，尚未得到很好的描述。生成了 40 个描述恶性肿瘤及其治疗方式（放射治疗、化学疗法和手术）的短语，以及 57 个描述放射肿瘤学治疗的短语，其中包括一些治疗方法的缩写和不同语言的翻译。应用“健康在线基金会”（Health on the Net Foundation）评估 OHI 质量的框架，对每个搜索短语列出的前 100 个网站进行了评估。比较了恶性肿瘤和治疗方式之间以及治疗方式之间高质量 OHI 的可用性。还评估了放射肿瘤学术语缩写、搜索结果顺序、患者性别和语言对高质量 OHI 可用性的影响。在每个搜索短语的前 10、20 和 50 个网站中，描述恶性肿瘤的短语比相应的治疗方式有更多的高质量网站（所有 P 值均<0.02）。治疗方式之间没有差异。在放射肿瘤学治疗短语中，全名称短语及其各自缩写的搜索之间没有显着差异，尽管早期结果更有可能具有高质量。性别不会影响 OHI 的质量，但语言会。癌症治疗的高质量 OHI 可用性落后于癌症 OHI。对于放射肿瘤学治疗 OHI，搜索策略和患者差异突出了提供者干预和提高 OHI 质量的潜在领域。
