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踝关节骨折:在线患者信息的现状。

Ankle Fractures: The Current State of Online Patient Information.

机构信息

Department of Orthopaedic Surgery, Trauma Training Center, Columbia University Medical Center, New York.

出版信息

Foot Ankle Spec. 2021 Aug;14(4):324-333. doi: 10.1177/1938640020916286. Epub 2020 Jul 16.

Abstract

We assessed the quality, accuracy, and readability of websites for ankle fractures. Ankle Fracture, Broken Ankle, and Fibular Fracture were entered into 3 search engines. The first 25 results from each search were collected. Quality, accuracy, and readability were assessed by a custom rubric, 3 surgeons, and Fleisch-Kincaid grade level (FKGL), respectively. A total of 57 websites were included: 24 were assigned to Ankle Fracture, 26 to Broken Ankle, and 7 to Fibular Fracture. The average quality score out of 36, accuracy score out of 12, and FKGL for all websites were 13.1 ± 6.8, 10.8 ± 1.2, and 9.6 ± 1.7, respectively. Websites assigned to the term Broken Ankle had a significantly lower New Dale-Chall score. Websites of lower FKGL and appearing earlier in results had significantly higher quality scores. Physician specialty societies (PSSs) had a significantly lower FKGL than websites of other types. The readability of patient materials is above the recommended level for ankle fractures. Encouragingly, a trade-off between readability and quality was not found. Patients should use search terms they are familiar with and prioritize websites that appear earlier in search results, are easier to read, and produced by PSSs.: Level 3.

摘要

我们评估了踝关节骨折相关网站的质量、准确性和可读性。分别在 3 个搜索引擎中输入“踝关节骨折”“踝关节扭伤”和“腓骨骨折”。从每个搜索引擎中收集前 25 个结果。使用自定义评分标准、3 位外科医生和弗莱什-金凯德(Fleisch-Kincaid)阅读水平(FKGL)分别评估质量、准确性和可读性。共纳入 57 个网站:24 个分配给踝关节骨折,26 个分配给踝关节扭伤,7 个分配给腓骨骨折。36 分制的平均质量得分为 13.1 ± 6.8,12 分制的平均准确性得分为 10.8 ± 1.2,所有网站的 FKGL 为 9.6 ± 1.7。分配给“踝关节扭伤”一词的网站新 Dale-Chall 评分显著较低。FKGL 较低和搜索结果中较早出现的网站质量评分显著较高。医师专业协会(PSS)的 FKGL 显著低于其他类型的网站。患者材料的可读性高于踝关节骨折的推荐水平。令人鼓舞的是,没有发现可读性和质量之间的权衡。患者应使用他们熟悉的搜索词,并优先选择搜索结果中较早出现、更容易阅读且由 PSS 制作的网站。:3 级。

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