我们的患者在谷歌上询问了哪些关于肩锁关节损伤的问题？——常见的在线问题及在线资源质量
What are our patients asking Google about acromioclavicular joint injuries?-frequently asked online questions and the quality of online resources.
作者信息
Obana Kyle K, Lind Dane R G, Mastroianni Michael A, Rondon Alexander J, Alexander Frank J, Levine William N, Ahmad Christopher S
机构信息
Department of Orthopaedic Surgery, New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
出版信息
JSES Rev Rep Tech. 2024 Feb 27;4(2):175-181. doi: 10.1016/j.xrrt.2024.02.001. eCollection 2024 May.
BACKGROUND
Management of acromioclavicular (AC) joint injuries has been an ongoing source of debate, with over 150 variations of surgery described in the literature. Without a consensus on surgical technique, patients are seeking answers to common questions through internet resources. This study investigates the most common online patient questions pertaining to AC joint injuries and the quality of the websites providing information.
HYPOTHESIS
- Question topics will pertain to surgical indications, pain management, and success of surgery and 2) the quality and transparency of online information are largely heterogenous.
METHODS
Three AC joint search queries were entered into the Google Web Search. Questions under the "People also ask" tab were expanded in order and 100 results for each query were included (300 total). Questions were categorized based on Rothwell's classification. Websites were categorized by source. Website quality was evaluated by the Benchmark Criteria.
RESULTS
Most questions fell into the Rothwell Fact category (48.0%). The most common question topics were surgical indications (28.0%), timeline of recovery (13.0%), and diagnosis/evaluation (12.0%). The least common question topics were anatomy/function (3.3%), evaluation of surgery (3.3%), injury comparison (1.0%), and cost (1.0%). The most common websites were medical practice (44.0%), academic (22.3%), and single surgeon personal (12.3%). The average score for all websites was 1.0 ± 1.3. Government websites had the highest score (4.0 ± 0.0) and constituted 45.8% of all websites with a score of 4/4. PubMed articles constituted 63.6% (7/11) of government website. Comparatively, medical practice websites had the lowest score (0.3 ± 0.7, range [0-3]).
CONCLUSION
Online patient AC joint injury questions pertain to surgical indications, timeline of recovery, and diagnosis/evaluation. Government websites and PubMed articles provide the highest-quality sources of reliable, up-to-date information but constitute the smallest proportion of resources. In contrast, medical practice represents the most visited websites, however, recorded the lowest quality score. Physicians should utilize this information to answer frequently asked questions, guide patient expectations, and help provide and identify reliable online resources.
背景
肩锁关节损伤的治疗一直是争论的焦点，文献中描述了超过150种手术方式。由于手术技术缺乏共识，患者通过网络资源寻求常见问题的答案。本研究调查了与肩锁关节损伤相关的最常见在线患者问题以及提供信息的网站质量。
假设
1）问题主题将涉及手术适应症、疼痛管理和手术成功率；2）在线信息的质量和透明度差异很大。
方法
在谷歌网络搜索中输入三个肩锁关节搜索查询。“相关问题”标签下的问题按顺序展开，每个查询纳入100个结果（共300个）。问题根据罗斯韦尔分类法进行分类。网站按来源分类。网站质量通过基准标准进行评估。
结果
大多数问题属于罗斯韦尔事实类别（48.0%）。最常见的问题主题是手术适应症（28.0%）、恢复时间线（13.0%）和诊断/评估（12.0%）。最不常见的问题主题是解剖结构/功能（3.3%）、手术评估（3.3%）、损伤比较（1.0%）和费用（1.0%）。最常见的网站类型是医疗实践网站（44.0%）、学术网站（22.3%）和单外科医生个人网站（12.3%）。所有网站的平均得分为1.0±1.3。政府网站得分最高（4.0±0.0），占所有得分为4/4的网站的45.8%。政府网站中，来自PubMed的文章占63.6%（7/11）。相比之下，医疗实践网站得分最低（0.3±其范围为0-3）。
结论
在线患者关于肩锁关节损伤的问题涉及手术适应症、恢复时间线和诊断/评估。政府网站和PubMed文章提供了最优质的可靠、最新信息来源，但在资源中所占比例最小。相比之下，医疗实践网站是访问量最大的网站，但质量得分最低。医生应利用这些信息回答常见问题、引导患者预期，并帮助提供和识别可靠的在线资源。
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