Stanley Ciaran, Sheridan Gerard A, Page Brian J, Hoellwarth Jason S, Reif Taylor J, Rozbruch S Robert
Department of Trauma and Orthopaedics, University Hospital Galway, Galway, Ireland.
Department of Limb Lengthening and Complex Reconstruction, Hospital for Special Surgery, New York, United States.
Strategies Trauma Limb Reconstr. 2024 Sep-Dec;19(3):131-134. doi: 10.5005/jp-journals-10080-1632. Epub 2025 Mar 20.
Osseointegrated limb surgery for amputees is becoming increasingly common due to its advantages over traditional socket prostheses. Institutions worldwide are developing services to offer this option to suitable patients and are promoting these services online. This study aims to assess the quality and readability of the online information provided.
The three most popular search engines using the English language were searched, and the first 40 websites from each search were included. All included websites were assessed for reading using the Flesch-Kincaid Grade Level (FKGL) (equivalent to the United States reading grade level), the Gunning Fog Index (G-Fog) and the Flesch Reading Ease (FRE). A quality assessment was conducted using the Journal of the American Medical Association (JAMA) benchmark criteria and the Health on the Net Certificate (HONC).
The initial search yielded 9,985,000 websites, of which the top 120 were assessed. Of the 23 websites in the final analysis, none had a reading grade level of sixth grade or lower. The lowest FKGL reading grade was 9.7/18, with a mean of 11.3/18 (95% CI 10.72-11.93), which corresponds with the reading level of a high school junior. The mean FRE was 38.83/100 (95% CI 36.16-41.49). The mean G-Fog score was 12.57/20 (95% CI 11.71-13.42) (representing reading levels of a college freshman). None of the 23 websites had HON certification. The mean JAMA score was 1.76 out of 4 (95% CI 1.34-2.18), meaning the information was of low to moderate quality. The mean Hospital for Special Surgery Osseointegration Information Score was 5.70 out of 16 (95% CI 4.33-7.06), indicating low quality.
A significant amount of online information is available about osseointegrated limb replacement surgery (OLRS). However, much of this content is written at a level that many patients may find difficult to understand, limiting usefulness. Additionally, the overall quality of the available information is generally low. Improving both the readability and quality of this information is essential to ensure patients have access to accurate and accessible details.
Stanley C, Sheridan GA, Page BJ, . Osseointegration in Limb Replacement Surgery: A Quality and Readability Analysis of Information on the Internet. Strategies Trauma Limb Reconstr 2024;19(3):131-134.
由于骨整合肢体手术相较于传统套筒式假肢具有优势，其在截肢患者中越来越普遍。全球各地的机构都在开发相关服务，以便为合适的患者提供这一选择，并在网上推广这些服务。本研究旨在评估所提供的在线信息的质量和可读性。
搜索了三个最受欢迎的英文搜索引擎，每个搜索结果中的前40个网站被纳入研究。所有纳入的网站都使用弗莱什-金凯德年级水平（FKGL）（相当于美国阅读年级水平）、冈宁雾度指数（G-Fog）和弗莱什阅读易读性（FRE）进行可读性评估。使用美国医学会杂志（JAMA）基准标准和网络健康证书（HONC）进行质量评估。
初步搜索产生了9985000个网站，其中对前120个进行了评估。在最终分析的23个网站中，没有一个的阅读年级水平为六年级或更低。最低的FKGL阅读年级为9.7/18，平均为11.3/18（95%置信区间10.72-11.93），这相当于初中三年级的阅读水平。平均FRE为38.83/100（95%置信区间36.16-41.49）。平均G-Fog评分为12.57/20（95%置信区间11.71-13.42）（代表大学一年级的阅读水平）。23个网站中没有一个获得HON认证。JAMA平均得分为4分中的1.76分（95%置信区间1.34-2.18），这意味着信息质量低至中等。特殊外科医院骨整合信息平均得分为16分中的5.70分（95%置信区间4.33-7.06），表明质量较低。
关于骨整合肢体置换手术（OLRS）有大量的在线信息。然而，这些内容大多的撰写水平可能会让许多患者难以理解，从而限制了其有用性。此外，现有信息的整体质量普遍较低。提高这些信息的可读性和质量对于确保患者能够获取准确且易懂的细节至关重要。
斯坦利C，谢里丹GA，佩奇BJ等。肢体置换手术中的骨整合：互联网信息的质量和可读性分析。《创伤肢体重建策略》2024；19(3)：131-134。
