Murphy Evelyn P, Sheridan Gerard A, Page Brian J, Greenstein Michael D, Hoellwarth Jason S, Fragomen Austin T, Rozbruch S Robert
University Hospital Galway, Galway, Ireland.
University Hospital Galway, Galway, Ireland; Limb Lengthening and Complex Reconstruction Service, Osseointegration Limb Replacement Center, Hospital for Special Surgery, New York, United States of America.
Strategies Trauma Limb Reconstr. 2023 Sep-Dec;18(3):163-168. doi: 10.5005/jp-journals-10080-1603.
Osseointegration (OI) limb has been performed for over 30 years and is an example of an advance in technology and surgical technique which has led to improvements in patient mobility and quality of life. An increasing number of patients seek information about osseointegration. The aim of this study was to categorise the most frequently asked questions by patients using the Google search engine and the most frequently accessed websites with the highest return on answers. The secondary aims of this study were to assess the quality of the information provided on those websites and to stratify, by category, which websites provide the best quality information.
Ten permutations and conjugations of the word 'osseointegration' were entered into Google. The first fifty 'People also ask' and associated websites by Google's machine learning and natural language processing engine were collected for each search term. The Rothwell classification system of questions by topic (Fact, Value, Policy) and websites by category was used (Commercial, Academic, Medical Practice, Single Surgeon Personal, Government, Social Media). Website quality was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria (Likert-style rating 0-4). Pearson's Chi-squared and Student's -tests were performed for statistical analysis as appropriate (significance, < 0.05).
The 10 search terms generated 454 questions and referenced 408 websites. Of the 454 questions generated, the most common question categories were fact (70.8%), value (19.2%), and policy (10%). The most common website type was social media (37.4%). The most common question types were technical details (30.4%), specific activity (20.6%), and cost (14.1%). Only 1.6% of questions related to risks and complications. Generally, website quality was poor with 64.1% having a JAMA score of 0 or 1. Websites that were categorised as 'Government' had the highest overall JAMA scores: 71.4% had a score of 4.
Based on Google search engine's results, the most commonly asked questions about osteointegration related to technical details, specific activities and cost; only 1.6% related to risks and complications. Interestingly, social media websites represented the highest volume of search result referrals. Overall, the quality of websites was poor with the most factual information coming from governmental websites.
Murphy EP, Sheridan GA, Page BJ, . Modern Internet Search Analytics and Osseointegration: What Are Patients Asking and Reading Online? Strategies Trauma Limb Reconstr 2023;18(3):163-168.
骨整合肢体手术已开展30多年，是技术和手术技巧进步的一个范例，这一进步提高了患者的活动能力和生活质量。越来越多的患者寻求有关骨整合的信息。本研究的目的是对患者使用谷歌搜索引擎提出的最常见问题以及回答回报率最高的最常访问网站进行分类。本研究的次要目的是评估这些网站提供信息的质量，并按类别分层哪些网站提供质量最佳的信息。
在谷歌中输入“骨整合”一词的十种排列和共轭形式。通过谷歌的机器学习和自然语言处理引擎收集每个搜索词的前五十个“人们也问”及相关网站。采用罗斯韦尔按主题（事实、价值、政策）分类的问题和按类别（商业、学术、医疗实践、单外科医生个人、政府、社交媒体）分类的网站。使用美国医学会杂志（JAMA）基准标准（李克特式评分0 - 4）评估网站质量。酌情进行Pearson卡方检验和学生t检验进行统计分析（显著性，<0.05）。
10个搜索词产生了454个问题，并引用了408个网站。在产生的454个问题中，最常见的问题类别是事实（70.8%）、价值（19.2%）和政策（10%）。最常见的网站类型是社交媒体（37.4%）。最常见的问题类型是技术细节（30.4%）、特定活动（20.6%）和费用（14.1%）。只有1.6%的问题与风险和并发症有关。总体而言，网站质量较差，64.1%的网站JAMA评分为0或1。归类为“政府”的网站总体JAMA评分最高：71.4%的网站评分为4。
根据谷歌搜索引擎的结果，关于骨整合最常被问到的问题与技术细节、特定活动和费用有关；只有1.6%与风险和并发症有关。有趣的是，社交媒体网站的搜索结果推荐量最大。总体而言，网站质量较差，最具事实性的信息来自政府网站。
墨菲EP，谢里丹GA，佩奇BJ，等。现代互联网搜索分析与骨整合：患者在网上询问和阅读的内容是什么？创伤肢体重建策略2023；18(3):163 - 168。
