Sheridan Gerard Anthony, O'Brien Carl, Masri Bassam A, Duncan Clive P, Garbuz Donald S
Department of Orthopaedics, University of British Columbia, Vancouver V6T 1Z4, British Columbia, Canada.
World J Orthop. 2020 Feb 18;11(2):82-89. doi: 10.5312/wjo.v11.i2.82.
The demand for revision total hip arthroplasty (THA) is increasing. Information quality on the internet has been extensively analysed in relation to primary THA but no such analysis has ever been performed for revision THA. Our aim was to assess the quality and readability of this information. Three major internet search engines were searched for information on revision THA. All websites were assessed for quality of information using the DISCERN score, the Journal of the American Medical Association benchmark criteria and a novel scoring system specific to revision THA [Vancouver Revision Arthroplasty Information (VRAI) score]. Website readability was assessed, as was presence of the Health On the Net Foundation (HON) seal. The majority of websites (52%) were academic with a post-graduate reading level. Only 6.5% of websites had the HON seal. Twenty-eight percent of websites had a 'good' DISCERN score and only 28% had a 'good' score with the novel VRAI scoring system. Health information websites had significantly higher rates of 'good' VRAI scores ( = 0.008). Websites with the HON seal had significantly higher DISCERN scores ( = 0.01). All governmental websites were at a reading level suitable for patient review. Information on the internet relating to revision THA is of low quality, much lower than the quality of information on primary THA. We recommend governmental websites for their readability and health information websites for their quality of information specific to revision THA. Websites with the HON seal provide higher quality information and should be recommended to patients as reading material regarding revision THA.
翻修全髋关节置换术（THA）的需求正在增加。互联网上关于初次THA的信息质量已得到广泛分析，但从未对翻修THA进行过此类分析。我们的目的是评估这些信息的质量和可读性。在三大互联网搜索引擎上搜索有关翻修THA的信息。使用DISCERN评分、《美国医学会杂志》基准标准以及一种专门针对翻修THA的新型评分系统[温哥华翻修关节置换术信息（VRAI）评分]对所有网站的信息质量进行评估。评估了网站的可读性以及健康上网基金会（HON）认证标志的有无。大多数网站（52%）是学术性的，阅读水平为研究生水平。只有6.5%的网站有HON认证标志。28%的网站DISCERN评分为“良好”，在新型VRAI评分系统中只有28%的网站得分为“良好”。健康信息网站的“良好”VRAI评分率显著更高（P = 0.008）。有HON认证标志的网站DISCERN评分显著更高（P = 0.01）。所有政府网站的阅读水平都适合患者查看。互联网上有关翻修THA的信息质量较低，远低于初次THA的信息质量。我们推荐政府网站因其可读性，推荐健康信息网站因其针对翻修THA的信息质量。有HON认证标志的网站提供更高质量的信息，应推荐给患者作为有关翻修THA的阅读材料。
