Fares Mohamad Y, Singh Jaspal, Vadhera Amar S, Koa Jonathan, Boufadel Peter, Abboud Joseph A
Division of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Philadelphia, PA, USA.
Clin Shoulder Elb. 2023 Sep;26(3):238-244. doi: 10.5397/cise.2023.00290. Epub 2023 Aug 22.
Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty.
An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES).
Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages.
Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.
许多患者利用网络资源自我了解外科手术程序，并做出明智的医疗保健决策。我们研究的目的是评估探索肩关节置换术的网络资源的质量和可读性。
使用三个最受欢迎的在线搜索引擎进行有关肩关节置换术（部分、解剖型和反置型）的互联网搜索。纳入每个搜索引擎中每个搜索词产生的前25个结果。如果网页是重复的、由搜索引擎推荐的、其他页面的子页面、需要付费或订阅的，或者与我们的范围无关，则将其排除。网页被分类到不同的来源类别。信息质量通过HONcode认证、《美国医学会杂志》（JAMA）标准和DISCERN基准标准进行评估。使用弗莱什易读性分数（FRES）评估网页的可读性。
我们的最终数据集包括125个网页。学术来源最为常见，有45个网页（36.0%），其次是医生/私人诊所，有39个网页（31.2%）。所有网页的JAMA和DISCERN平均分数分别为1.96±1.31和51.4±10.7。FRES总平均分数为44.0±11.0。只有九个网页（7.2%）获得了HONcode认证。为医疗保健专业人员指定的网站JAMA和DISCERN分数最高，平均分别为2.92±0.90和57.96±8.91（P<0.001）。获得HONcode认证的网页比其他网页具有更高的质量和可读性分数。
关于肩关节置换术信息的基于网络的患者资源未显示出高质量分数和易读性。在呈现医疗信息时，来源应在可读性和质量之间保持平衡，并应寻求HONcode认证，因为这有助于确立所呈现信息的可靠性和可及性。证据级别：IV级。
Zotero 插件