Hartnett Davis A, Philips Alexander P, Daniels Alan H, Blankenhorn Brad D
Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI 02903, USA.
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, 1 Kettle Point Ave, East Providence, RI 02914, USA.
Foot (Edinb). 2023 Mar;54:101985. doi: 10.1016/j.foot.2023.101985. Epub 2023 Feb 21.
The internet is a frequently utilized resource to acquire health information. This study aims to examine the readability and quality of online information pertaining to total ankle arthroplasty (TAA). "Ankle arthroplasty" OR "ankle replacement" was queried in three search engines, with the first 3 pages of results identified. The readability of sites was calculated using six readability algorithms: Flesch-Kincaid grade level, Flesch Reading Ease, Gunning Fog, SMOG, Coleman-Liau index, and Automated Readability Index. Quality was assessed using the JAMA benchmark, Global Quality Score (GQS), and DISCERN instrument. A total of 62 relevant sites were analyzed. Sources were primarily physician-sponsored (50%) or academic (31%) websites. The mean readability indices were above the recommended sixth grade reading level, with an average grade level of across scoring tools of 13.22 ± 2.07. No sites were at or below a sixth grade reading level. Quality ratings were subpar across assessment tools: JAMA = 1.9 ± 1.0 (range, 1-4) out of 4; GQS = 3.4 ± 1.0 (range, 1-5) out of 5. DISCERN = 54.0 ± 11.2 (range, 31-75) out of 80. The readability and quality of online information regarding ankle arthroplasty is not optimal for the average patient, with improvement valuable in cultivating shared decision-making.
互联网是获取健康信息时经常使用的资源。本研究旨在检验有关全踝关节置换术（TAA）的在线信息的可读性和质量。在三个搜索引擎中查询了“踝关节置换术”或“踝关节置换”，并确定了结果的前3页。使用六种可读性算法计算网站的可读性：弗莱什-金凯德年级水平、弗莱什阅读简易度、冈宁雾度、烟雾指数、科尔曼-廖指数和自动可读性指数。使用《美国医学会杂志》基准、全球质量评分（GQS）和辨别工具评估质量。共分析了62个相关网站。来源主要是医生赞助的网站（50%）或学术网站（31%）。平均可读性指数高于推荐的六年级阅读水平，所有评分工具的平均年级水平为13.22±2.07。没有网站达到或低于六年级阅读水平。在所有评估工具中，质量评级都低于标准：《美国医学会杂志》评分为1.9±1.0（范围为1-4），满分4分；GQS评分为3.4±1.0（范围为1-5），满分5分。辨别工具评分为54.0±11.2（范围为31-75），满分80分。关于踝关节置换术的在线信息的可读性和质量对于普通患者来说并不理想，改进对于培养共同决策很有价值。
