Department of Surgery, University of Maryland Medical Center, 29 South Greene Street, GS 631, Baltimore, MD, 21201, USA.
University of Maryland School of Medicine, Baltimore, MD, USA.
Surg Endosc. 2022 Jul;36(7):5198-5206. doi: 10.1007/s00464-021-08895-z. Epub 2021 Nov 29.
More patients are turning to the internet for their health information than ever before. This is a growing problem as it is well recognized that medical information on the internet is highly variable. We assessed the quality of information on the internet regarding the anti-reflux procedure, Nissen Fundoplication. Three commonly used measures of website quality are the Health On the Net code, the Journal of the American Medical Association Benchmark criteria, and the DISCERN tool. The HON code is a seal of approval awarded by an independent organization where the JAMA Benchmark and DISCERN Tool are a set of standards that can be utilized by an internet user or webpage creator.
We performed a Google search using the term "Nissen Fundoplication", where we analyzed the top 75 websites. We included English language websites and excluded advertisements, websites for medical professionals, duplicates, and requiring a login. Each website included was evaluated for presence of the HON seal and scored with the JAMA Benchmark and DISCERN criteria to determine quality.
Only 16.28% of websites were found to be HON code certified. The average JAMA benchmark score was 1.23, with 9.3% websites scoring the maximum 4 points and 39.53% receiving a score of 0. The average DISCERN score was 34.65 out of a total possible score of 75, where the mean score for the overall quality of the website (question 16) was 2.19 out of a maximal score of 5.
This study, using 3 commonly used validated measures, has found that the quality of online information pertaining to Nissen Fundoplication is sorely lacking. The implications of these results are twofold as an important reference for institutions to update their source material and a guide when providing patients with adequate resources.
现在有比以往更多的患者在互联网上查询健康信息。这是一个日益严重的问题，因为人们已经认识到互联网上的医疗信息变化多端。我们评估了互联网上有关抗反流手术（Nissen 胃底折叠术）的信息质量。网站质量的三个常用衡量标准是：健康网络代码（Health On the Net code）、美国医学会基准标准（the Journal of the American Medical Association Benchmark criteria）和 DISCERN 工具。健康网络代码是一个独立组织授予的认可印章，而美国医学会基准标准和 DISCERN 工具则是一套可以供互联网用户或网页创建者使用的标准。
我们使用“Nissen 胃底折叠术”一词进行谷歌搜索，分析了前 75 个网站。我们纳入了英语网站，排除了广告、专业医疗人员网站、重复网站和需要登录的网站。对每个包含的网站进行了 HON 印章的存在性评估，并使用 JAMA 基准标准和 DISCERN 标准进行评分，以确定质量。
只有 16.28%的网站被发现获得 HON 代码认证。平均 JAMA 基准得分为 1.23，9.3%的网站得分为 4 分（满分），39.53%的网站得分为 0 分。DISCERN 的平均得分为 34.65 分（满分 75 分），网站整体质量（第 16 题）的平均得分为 2.19 分（满分 5 分）。
本研究使用 3 种常用的验证性衡量标准发现，与 Nissen 胃底折叠术相关的在线信息质量严重不足。这些结果有两方面的影响：作为机构更新其来源材料的重要参考，以及为患者提供充分资源的指南。
