From the Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC (Dr. Wally, Dr. Bemenderfer, Dr. McKnight, Dr. Gorbaty, Dr. Seymour, and Dr. Karunakar); the Department of Orthopedic Surgery, Prisma Health-Upstate; Greenville, SC (Dr. Jeray); and the University of South Carolina School of Medicine Greenville, Greenville, SC (Dr. Jeray).
J Am Acad Orthop Surg Glob Res Rev. 2021 Feb 12;5(2):e00192. doi: 10.5435/JAAOSGlobal-D-20-00192.
We aimed to assess the quality and content of websites addressing orthopaedic conditions affecting older adults, emphasizing osteoporosis and fragility fracture.
Ten diagnoses were chosen. The transparency of information was assessed via the Health On the Net (HON) score; information content was assessed via diagnosis-specific grading templates. A total of 140 websites (14 per diagnosis) were reviewed by three raters. HON scores and information quality were compared by diagnosis, website type, and website source. The correlation between HON score and information quality score was calculated.
Most websites were commercial (59.3%). Cronbach alpha for Hall scores exceeded the a priori threshold of 0.7. Analysis proceeded using averages across raters. HON score was significantly associated with higher content scores (r = 0.56; P < 0.0001). Content scores ranged from 21.1 to 59.4. Content scores differed significantly by diagnosis (P = 0.0008) and website source (P < 0.0001).
The quality and content of websites is highly variable for osteoporosis and fragility fracture diagnoses. Patients should be encouraged to access reputable sites, including sites displaying a HON seal. Academic and medical specialty societies demonstrate opportunity for improvement of their own websites and might be able to lead efforts to increase accessibility of high-quality content.
我们旨在评估针对影响老年人的骨科疾病的网站的质量和内容，重点关注骨质疏松症和脆性骨折。
选择了十种诊断。通过健康在线（HON）评分评估信息的透明度；通过特定于诊断的分级模板评估信息内容。由三名评估员审查了总共 140 个网站（每个诊断 14 个）。根据诊断、网站类型和网站来源比较 HON 评分和信息质量。计算 HON 评分与信息质量评分之间的相关性。
大多数网站都是商业性的（59.3%）。霍尔评分的 Cronbach alpha 超过了事先设定的 0.7 阈值。使用评估者的平均值进行分析。HON 评分与更高的内容评分显著相关（r = 0.56；P < 0.0001）。内容评分范围从 21.1 到 59.4。内容评分因诊断（P = 0.0008）和网站来源（P < 0.0001）而异。
骨质疏松症和脆性骨折诊断的网站质量和内容差异很大。应鼓励患者访问信誉良好的网站，包括显示 HON 印章的网站。学术和医学专业协会有机会改进其自己的网站，并且可能能够领导增加高质量内容的可访问性的工作。
