Department of Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I, Sapienza University of Rome, via Ettore Fieramosca 200, 00159, Rome, Italy.
Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università degli Studi di Pisa, Pisa, Italy.
Aesthetic Plast Surg. 2020 Jun;44(3):839-846. doi: 10.1007/s00266-019-01535-x. Epub 2019 Nov 11.
Nowadays, we have to face the fact that the Web represents one of the most important sources of information for patients. Postbariatric patients in particular are usually very motivated, and they are enthusiastic users of the Web as a source of information on the different types of surgery they could undergo after their weight loss in order to reshape and remodel their body thus regaining physical and functional wellness and dignity. The aim of the study was to assess information on the four most commonly performed postbariatric procedures worldwide, tummy tuck, breast, arm and thigh lift, with the same scale.
Google and Yahoo have been probed for the keywords "Post bariatric Mastopexy OR breast lift" and "Post bariatric abdominoplasty OR tummy tuck" and "Post bariatric brachioplasty OR arm lift" and "post bariatric thigh lift". The first 50 hits were included, and the quality of information was evaluated with the expanded EQIP scale.
There was a critical lack of information about qualitative risks and side-effect description, treatment of potential complications, alert signs for the patient and precautions that the patient may take. Moreover, there was poor information about the sequence of the medical procedure, quantitative benefits and risks and quality of life issues after the procedure, and often, there were no other sources of information.
Due to the poor and not reliable information offered by the Web, health professionals should seek for a good communication practice with their patients.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
如今，我们不得不面对这样一个事实，即网络是患者最重要的信息来源之一。尤其是减肥后的患者，他们通常积极性很高，热衷于将网络作为了解自身可接受的不同减肥手术类型的信息来源，以便重塑身体，恢复身心健康和尊严。本研究旨在评估全球四种最常见的减肥后手术（腹部整形术、乳房提升术、手臂提升术和大腿提升术）的信息，使用相同的标准。
在 Google 和 Yahoo 上使用“减肥后乳房成形术或乳房提升术”和“减肥后腹部整形术或腹部整形术”以及“减肥后臂成形术或手臂提升术”和“减肥后大腿提升术”这四个关键词进行搜索。共纳入前 50 个搜索结果，并使用扩展的 EQIP 量表评估信息质量。
缺乏关于定性风险和副作用描述、潜在并发症处理、患者警示信号和患者可采取的预防措施的信息。此外，关于医疗程序的顺序、定量收益和风险以及手术后生活质量问题的信息也很差，而且通常没有其他信息来源。
由于网络提供的信息质量差且不可靠，卫生专业人员应寻求与患者进行良好的沟通实践。
证据水平 V：本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266。
