Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC.
Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC; Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital, McGill University, Montréal, QC.
J Obstet Gynaecol Can. 2020 May;42(5):561-567. doi: 10.1016/j.jogc.2019.10.029. Epub 2019 Dec 26.
With the rising trend of postponing motherhood, there has been an increasing rate of infertility. Social fertility preservation offers the potential to overcome this age-related infertility, and many women are turning to the Internet to seek medical information. The aim of this study was to evaluate online information on social fertility preservation.
This study used five search terms-"egg freezing," "fertility preservation," "social egg freezing," "social fertility preservation," and "oocyte cryopreservation"-to identify the most popular sites as rated by Google. Accuracy of information and quality of websites were rated on the basis of four categories: Silberg's accountability criteria, Abbott's aesthetic criteria, Flesch-Kincaid readability score, and the Canadian Fertility and Andrology Society (CFAS) and the Society of Obstetricians and Gynaecologists of Canada (SOGC) recommendations (Canadian Task Force classification III).
Study investigators identified the 21 most used websites. The average Silberg score was 6.57, with 85.7% of websites meeting the criteria for adequate accountability. Only one website (4.8%) did not meet the criteria for appropriate aesthetic appeal. The average Flesch-Kincaid readability score was 11.39, equivalent to a grade 11 reading level, which is significantly higher than the reading level of the general population. A total of 57% of websites contained less than half of the evidence-based recommendations provided in CFAS and SOGC recommendations.
Online information on social fertility preservation is easily accessible and aesthetically pleasing, but information is not easily readable and does not reflect evidence-based recommendations. Hence, health care professionals must fill the knowledge gaps and adequately counsel their patients to optimize a woman's chance at a successful pregnancy.
随着晚育趋势的上升,不孕率也在不断上升。社会生育力保存提供了克服与年龄相关的不孕的可能性,许多女性开始在互联网上寻求医学信息。本研究旨在评估社会生育力保存的在线信息。
本研究使用了五个搜索词——“卵子冷冻”、“生育力保存”、“社会卵子冷冻”、“社会生育力保存”和“卵母细胞冷冻保存”,以确定谷歌评级最高的最受欢迎的网站。信息的准确性和网站的质量根据四个类别进行评分:Silberg 的问责标准、Abbott 的美学标准、Flesch-Kincaid 可读性评分以及加拿大生育与男科协会 (CFAS) 和加拿大妇产科医生协会 (SOGC) 的建议(加拿大工作队分类 III)。
研究人员共确定了 21 个最常用的网站。Silberg 平均得分为 6.57,85.7%的网站符合充分问责的标准。只有一个网站(4.8%)不符合适当美学吸引力的标准。平均 Flesch-Kincaid 可读性评分为 11.39,相当于 11 年级的阅读水平,明显高于普通人群的阅读水平。只有 57%的网站包含少于 CFAS 和 SOGC 建议中提供的一半基于证据的建议。
社会生育力保存的在线信息易于获取且具有美感,但信息不易读,也不符合基于证据的建议。因此,医疗保健专业人员必须填补知识空白,并充分为患者提供咨询,以优化女性成功怀孕的机会。