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评估有关玻璃体混浊治疗的在线信息。

Evaluation of Available Online Information Regarding Treatment for Vitreous Floaters.

机构信息

Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA.

Mid Atlantic Retina, Retina Service of Wills Eye Hospital, Philadelphia, PA.

出版信息

Semin Ophthalmol. 2021 Feb 17;36(1-2):58-63. doi: 10.1080/08820538.2021.1887898. Epub 2021 Feb 18.

Abstract

OBJECTIVE

To assess the quality, content, and readability of information available online on vitreous floater information.

DESIGN

Cross-sectional study.

PARTICIPANTS

Not applicable.

METHODS

Websites were generated using a Google search of "vitreous floaters treatment" and "[State]" and were analyzed using a standardized checklist of 22 questions. Readability was assessed using the Flesch Reading Ease score. Websites met qualification criteria if they represented U.S.-based institutions, if they provided clinical care and addressed vitreous floater treatment on their website.

RESULTS

Of the 1,065 websites screened, 456 were included. Of these, 406 (89%) were private institutions, 24 (5.3%) were academic, and 26 (5.7%) were a combination of private and academic. The average readability score correlated to a 10th-12th grade reading level. Vitreous floater treatment was discussed on 283 (62.1%) websites and 63 (21.8%) websites discussed potential side effects. Google rank was inversely correlated with the depth of explanation (r = -0.114, = .016). Observation was the main treatment recommended (55.8%, n = 158), followed by laser treatment (27.6%, n = 78), no specific treatment recommendation (11.3%, n = 32), and vitrectomy (5.3%, n = 15). Centers with vitreoretinal surgeons were 16.43 times more likely to recommend vitrectomy than those without vitreoretinal surgeons ( < .001).

CONCLUSIONS

Online information about vitreous floater treatment is variable, and the material is at a higher than recommended reading level for health information. While treatment was discussed by nearly two thirds of websites, less than a quarter mentioned possible complications, and treatment recommendations varied significantly depending on physician training.

摘要

目的

评估玻璃体浮游物信息在线上可获取信息的质量、内容和可读性。

设计

横断面研究。

参与者

不适用。

方法

使用谷歌搜索“玻璃体浮游物治疗”和“[州名]”生成网站,并使用 22 个问题的标准化清单进行分析。使用 Flesch 阅读舒适度得分评估可读性。如果网站代表美国的医疗机构,并且在其网站上提供临床护理并解决玻璃体浮游物治疗问题,则符合资格标准。

结果

在筛选出的 1065 个网站中,有 456 个符合标准。其中,406 个(89%)是私人机构,24 个(5.3%)是学术机构,26 个(5.7%)是私人和学术机构的组合。平均阅读水平得分相当于 10 至 12 年级的阅读水平。283 个(62.1%)网站讨论了玻璃体浮游物治疗,63 个(21.8%)网站讨论了潜在的副作用。谷歌排名与解释的深度呈负相关(r=-0.114, =.016)。观察是主要推荐的治疗方法(55.8%,n=158),其次是激光治疗(27.6%,n=78),没有具体的治疗建议(11.3%,n=32),玻璃体切除术(5.3%,n=15)。有玻璃体视网膜外科医生的中心推荐玻璃体切除术的可能性是没有玻璃体视网膜外科医生的中心的 16.43 倍(<.001)。

结论

关于玻璃体浮游物治疗的在线信息各不相同,而且这些材料的阅读水平高于健康信息的推荐水平。虽然近三分之二的网站都讨论了治疗方法,但不到四分之一的网站提到了可能的并发症,而且治疗建议因医生的培训而异。

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