谁写的这些东西？流行健康网站的肌肉骨骼信息质量和作者身份：系统评价。

Who writes this stuff? Musculoskeletal information quality and authorship of popular health websites: A systematic review.

机构信息

Arizona School of Health Sciences, A.T. Still University, 5850 E. Still Circle, Mesa, AZ, 85206, USA; Physical Therapist, The Motive Physical Therapy Specialists, 2512 E. Vistoso Commerce Loop, Ste 180, Oro Valley, Arizona, 85755, USA.

Rainey Pain and Performance, 125 S. 2nd Street, Sierra Vista, AZ, 85635, USA.

出版信息

Musculoskelet Sci Pract. 2022 Aug;60:102563. doi: 10.1016/j.msksp.2022.102563. Epub 2022 Apr 13.

DOI:10.1016/j.msksp.2022.102563

PMID:35453015

Abstract

BACKGROUND

Highly trafficked health websites are major sources of information, but the quality of their musculoskeletal information has not been thoroughly evaluated or their authorship characterized.

OBJECTIVES

To review information about common musculoskeletal conditions on highly trafficked websites and characterize their credibility, authorship, accuracy of information (as compared to treatment guidelines), and consistency with best practice recommendations.

DESIGN

Systematic review.

METHODS

We reviewed the top 15 most highly trafficked health websites, identified by web traffic data. Information about 7 common musculoskeletal conditions was identified and data extracted. Credibility was assessed using the Trust It or Trash It? tool, author backgrounds were identified, accuracy was determined by comparing webpage treatment recommendations to guidelines or systematic reviews, and consistency with best practice recommendations was assessed.

RESULTS

Of 1760 webpages screened, 87 were reviewed. Less than half (44.8%, 39/87) had appropriate sources listed, but 65.5% (57/87) were updated in the previous 5 years. Journalists authored most webpages (55.2%, 48/87). Physician involvement was mostly editorial, and they often lacked expertise in musculoskeletal conditions. Information accuracy was concordant with guidelines for 49.4% (43/87) of webpages, but varied by condition. About half of best practice recommendations were followed (49.1%, 427/870). Pages were unlikely to mention psychosocial factors (16.1%, 14/87), limitations of imaging (18.4%, 16/87), or staying at work (4.6%, 4/87).

CONCLUSIONS

Popular health websites scored poorly for credibility, accuracy, and consistency with best practice recommendations for musculoskeletal conditions. Authorship, bias, and unsupported information are potential sources of inaccuracies that should be addressed in future by these websites.

摘要

背景

高流量的健康网站是主要的信息来源，但它们的肌肉骨骼信息质量尚未得到彻底评估，其作者身份也未得到明确。

目的

审查高流量网站上常见肌肉骨骼疾病的信息，并描述其可信度、作者身份、信息准确性（与治疗指南相比）以及与最佳实践建议的一致性。

设计

系统评价。

方法

我们审查了网络流量数据确定的前 15 个最受欢迎的健康网站，确定了 7 种常见肌肉骨骼疾病的信息，并提取了数据。使用“信任它还是丢弃它？”工具评估可信度，确定作者背景，将网页治疗建议与指南或系统评价进行比较，以确定准确性，并评估与最佳实践建议的一致性。

结果

在筛选的 1760 个网页中，有 87 个被审查。不到一半（44.8%，39/87）列出了适当的来源，但 65.5%（57/87）在过去 5 年内进行了更新。大多数网页由记者撰写（55.2%，48/87）。医生的参与主要是编辑性质的，而且他们通常缺乏肌肉骨骼疾病方面的专业知识。信息准确性与指南一致的网页占 49.4%（43/87），但因疾病而异。大约一半的最佳实践建议得到了遵循（49.1%，427/870）。这些网页不太可能提到心理社会因素（16.1%，14/87）、影像学的局限性（18.4%，16/87）或继续工作（4.6%，4/87）。