Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Indiana University School of Medicine, Indianapolis, Indiana, USA.
Facial Plast Surg Aesthet Med. 2020 Jul/Aug;22(4):255-261. doi: 10.1089/fpsam.2019.0013. Epub 2020 Apr 8.
In the modern-day health care environment, it is expected that a large proportion of patients will utilize the Internet to gather health care-related information. However, online sources are often not subjected to adequate quality control measures. To evaluate the quality of printed online education materials (POEMs) pertaining to elective facial cosmetic surgery. This is a descriptive correlational study. Independent Internet searches for the terms "rhinoplasty," "rhytidectomy," "blepharoplasty," and "browlift" were carried out using the Google search engine. The top 20 web resources for each term were analyzed. All web resources were analyzed for HONcode certification. The DISCERN instrument was then used to determine reliability and specificity of information, whereas readability was assessed using the Flesch Reading Ease (FRE) score and the Flesch-Kincaid Grade Level (FKGL). Of the resulting 80 web resources, 30% ( = 24) were HONcode certified. None of the surgical society web resources ( = 12) were HONcode certified, and only 42% ( = 8) of web resources associated with academic institutions were HONcode certified. Out of a maximum DISCERN score of 80, the mean (standard deviation [SD]) scores were 48 (11) for rhinoplasty, 50 (11) for rhytidectomy, 47 (11) for blepharoplasty, and 45 (10) for browlift. The mean DISCERN scores of the HONcode-certified web resources did not differ significantly from scores of uncertified web resources ( = 0.069). There was no significant difference in overall mean DISCERN scores for the different web resource categories. The mean (SD) FRE score was 45.7 (11.9), whereas the mean FKGL score was 10.7 (1.9). HONcode-certified web resources had significantly higher FRE scores ( = 0.028) and significantly lower FKGL scores ( = 0.0003). A significant proportion of POEMs regarding elective cosmetic facial plastic surgery remains uncertified and of inadequate quality. This can negatively impact the informed decision-making process and increase the risk of poor outcomes and lower satisfaction rates.
在现代医疗环境中，预计很大一部分患者将利用互联网获取与医疗保健相关的信息。然而，在线资源通常不受足够的质量控制措施的约束。
评估与选择性面部整容手术相关的印刷在线教育材料 (POEM) 的质量。
这是一项描述性相关性研究。使用谷歌搜索引擎独立进行了“隆鼻术”、“除皱术”、“重睑术”和“提眉术”的在线搜索。分析了每个术语的前 20 个网络资源。
分析了所有网络资源的 HONcode 认证情况。然后使用 DISCERN 工具确定信息的可靠性和特异性，而使用 Flesch 阅读舒适度 (FRE) 评分和 Flesch-Kincaid 年级水平 (FKGL) 评估可读性。
在所得到的 80 个网络资源中，有 30%（即 24 个）通过了 HONcode 认证。没有一个外科协会的网络资源（即 12 个）通过了 HONcode 认证，只有 42%（即 8 个）与学术机构相关的网络资源通过了 HONcode 认证。在 80 分的最大 DISCERN 评分中，隆鼻术的平均（标准差 [SD]）得分为 48（11），除皱术的平均（SD）得分为 50（11），重睑术的平均（SD）得分为 47（11），提眉术的平均（SD）得分为 45（10）。通过 HONcode 认证的网络资源的平均 DISCERN 评分与未认证的网络资源的评分没有显著差异（ = 0.069）。不同网络资源类别的总体平均 DISCERN 评分无显著差异。平均（SD）FRE 评分为 45.7（11.9），平均 FKGL 评分为 10.7（1.9）。HONcode 认证的网络资源的 FRE 评分显著更高（ = 0.028），FKGL 评分显著更低（ = 0.0003）。
关于选择性面部整容手术的 POEM 中有相当大的比例仍然没有得到认证，而且质量也不够高。这可能会对知情决策过程产生负面影响，并增加不良结果和低满意度的风险。
