Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Division of Head and Neck Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Otolaryngol Head Neck Surg. 2021 Jul;165(1):50-58. doi: 10.1177/0194599820969154. Epub 2020 Nov 3.
Thyroidectomy is one of the most common procedures performed in head and neck surgery. The quality of online resources for thyroidectomy is unknown. We aim to evaluate search trends and online resource quality regarding thyroidectomy.
Cross-sectional analysis.
Websites appearing on Google search.
The first 30 Google websites for thyroidectomy were reviewed, excluding research, video, and restricted sites. Search patterns were obtained with Google Trends. Quality was measured by readability (Flesch Reading Ease and Flesch-Kinkaid Grade Level), understandability and actionability (Patient Education Materials Assessment Tool), and clinical practice guideline (CPG) compatibility. Fleiss kappa interrater reliability analysis was performed for 2 raters.
Twenty-one sites were evaluated. Search popularity for thyroidectomy has increased since 2004. Median reading ease was 42.2 (range, 15.4-62.7) on a scale from 1 to 100, with 100 indicating maximum readability. Median reading grade level was 12 (range, 7-16). Thyroidectomy resources were poorly understandable (median, 66%; range, 21%-88%) and actionable (median, 10%; range, 0%-60%). Median CPG compatibility was 4 out of 5 (range, 0-5). Interrater reliability ranged from substantial to moderate for understandability (0.78), actionability (0.57), and CPG compatibility (0.58), with < .05 for all results.
Online resources about thyroidectomy vary in quality and reliability and are written at grade levels above the average reading level of the public. Providers should be aware of existing resources and work to create education resources that meet universal health literacy guidelines. The framework provided in this article may also serve as a guide and provide tangible steps that providers can take to help patients access care.
甲状腺切除术是头颈部外科最常见的手术之一。甲状腺切除术的在线资源质量尚不清楚。我们旨在评估甲状腺切除术的搜索趋势和在线资源质量。
横断面分析。
出现在 Google 搜索上的网站。
回顾了前 30 个针对甲状腺切除术的 Google 网站，但不包括研究、视频和受限网站。使用 Google Trends 获取搜索模式。质量通过可读性（Flesch 阅读舒适度和 Flesch-Kinkaid 年级水平）、可理解性和可操作性（患者教育材料评估工具）以及临床实践指南（CPG）兼容性进行衡量。对 2 名评分者进行了 Fleiss kappa 组内一致性分析。
评估了 21 个网站。自 2004 年以来，甲状腺切除术的搜索热度一直在增加。阅读舒适度的中位数为 42.2（范围，15.4-62.7），满分 100 分，表明可读性最高。阅读年级水平的中位数为 12（范围，7-16）。甲状腺切除术资源的理解度（中位数，66%；范围，21%-88%）和可操作性（中位数，10%；范围，0%-60%）较差。CPG 兼容性的中位数为 4 分（范围，0-5 分）。理解度（0.78）、可操作性（0.57）和 CPG 兼容性（0.58）的组内一致性从显著到中度不等，所有结果均<0.05。
关于甲状腺切除术的在线资源在质量和可靠性方面存在差异，其写作水平高于公众的平均阅读水平。提供者应了解现有的资源，并努力创建符合全民健康素养指南的教育资源。本文提供的框架也可以作为指南，并为提供者提供切实可行的步骤，以帮助患者获得护理。
