Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Glostrup, Denmark.
Danish Headache Knowledge Center, Rigshospitalet Glostrup, Glostrup, Denmark.
Cephalalgia. 2020 Dec;40(14):1633-1644. doi: 10.1177/0333102420942241. Epub 2020 Jul 23.
Health information is one of the most frequently searched topics on the internet. In this observational cross-sectional study, we evaluated the content of the highest indexed Google search results related to migraine management.
We identified the five most used search terms related to migraine management via Google Trends in the time period 1 January 2004 to 2 October 2019. We entered each search term into Google's search engine and retrieved the search results from the first three pages from each search query. We stratified the recommended treatment options and evaluated the websites using the DISCERN tool.
In total, 73 unique websites recommended a total of 77 different migraine treatment options, consisting of 35 (45%) acute and 42 (55%) preventive treatments. For acute treatments, pharmacological options were more frequently recommended (88% of websites), whereas non-pharmacological options were more frequent among preventive treatments (67%). Evaluation of the consumer health information using the DISCERN tool showed that non-governmental organizations had the highest mean total score with 3.8 (±0.19).
Googling when looking for migraine treatments reveals a multitude of management proposals of varying quality. Non-governmental organizations provide the overall highest quality of written consumer health information on migraine treatments among search results. We encourage stakeholders to optimize and distribute high-quality and peer-reviewed information on migraine management.
健康信息是互联网上搜索频率最高的话题之一。在这项观察性横断面研究中，我们评估了与偏头痛管理相关的谷歌搜索结果中索引最高的内容。
我们通过谷歌趋势（Google Trends）确定了 2004 年 1 月 1 日至 2019 年 10 月 2 日期间与偏头痛管理最相关的五个常用搜索词。我们将每个搜索词输入谷歌搜索引擎，并从每个搜索查询的前三页中检索搜索结果。我们对推荐的治疗方案进行分层，并使用 DISCERN 工具评估网站。
共有 73 个独特的网站总共推荐了 77 种不同的偏头痛治疗方案，其中 35 种（45%）为急性治疗方案，42 种（55%）为预防治疗方案。对于急性治疗方案，药物治疗方案更频繁地被推荐（88%的网站），而非药物治疗方案在预防治疗方案中更为常见（67%）。使用 DISCERN 工具评估消费者健康信息，发现非政府组织的平均总分最高，为 3.8（±0.19）。
在寻找偏头痛治疗方法时谷歌搜索会显示出许多不同质量的管理建议。在搜索结果中，非政府组织提供的关于偏头痛治疗的消费者健康信息整体质量最高。我们鼓励利益相关者优化和分发偏头痛管理方面的高质量和同行评审信息。
