Spaan Jonathan, Streepy John, Hodakowski Alexander, Hummel Amelia, Mowers Colton, Schundler Sabrina, McCormick Johnathon R, Riboh Jonathan, Piasecki Dana, Chahla Jorge
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, U.S.A.
Arthrosc Sports Med Rehabil. 2024 Dec 9;7(2):101061. doi: 10.1016/j.asmr.2024.101061. eCollection 2025 Apr.
To analyze the frequently asked questions that patients search online regarding meniscal tears and meniscal surgery and evaluate the quality of websites used to answer these common queries.
This study used Google's People Also Ask function to extract the most common 300 questions and associated Web pages regarding meniscal tears and meniscal surgery. Questions on both meniscal tear and meniscal surgery were categorized using the Rothwell classification, and websites were evaluated with (JAMA) criteria.
The Rothwell classification of questions on meniscal tear/surgery was 54.0%/55% fact, 37.7%/30.0% policy, and 8.3%/15.0% value. The meniscal tear cohort asked significantly more questions related to policy ( = .047), whereas the meniscal surgery cohort asked significantly more questions about value ( = .011). Academic (31.7% and 27.3%), medical practice (23.0% and 25.3%), and single-surgeon (12.3% and 13.3%) websites were the most common types of sites encountered. The mean total JAMA score was 1.3 of 4, with journals (mean, 3.4) having the highest score. Single-surgeon practice (mean, 0.5) and legal (mean, 0) sites had the lowest JAMA scores. The most frequently encountered query in the meniscal tear cohort was "What are three signs of a meniscus tear in the knee?" In contrast, in the meniscal surgery cohort, it was a tie between "What is the fastest way to recover from meniscus surgery?" and "Should meniscus surgery be done over 65?"
The quality of online information related to meniscal tears and surgery is often suboptimal based on objective measures of value. Individuals frequently search for insights into indications, management, and technical details.
Understanding common themes in online searches can provide valuable insights that could improve patient education. Surgeons can use this information to anticipate potential questions, establish appropriate patient expectations, and enhance informed decisions.
分析患者在网上搜索的有关半月板撕裂和半月板手术的常见问题，并评估用于回答这些常见问题的网站质量。
本研究使用谷歌的“人们也问”功能，提取了关于半月板撕裂和半月板手术最常见的300个问题及相关网页。半月板撕裂和半月板手术的问题均采用罗斯韦尔分类法进行分类，并根据《美国医学会杂志》（JAMA）标准对网站进行评估。
半月板撕裂/手术问题的罗斯韦尔分类为事实类占54.0%/55%，政策类占37.7%/30.0%，价值观类占8.3%/15.0%。半月板撕裂组提出的与政策相关的问题显著更多（P = 0.047），而半月板手术组提出的关于价值观的问题显著更多（P = 0.011）。学术网站（31.7%和27.3%）、医疗实践网站（23.0%和25.3%）以及单医生网站（12.3%和13.3%）是最常见的网站类型。JAMA总分平均为4分中的1.3分，期刊网站（平均3.4分）得分最高。单医生诊所网站（平均0.5分）和法律网站（平均0分）的JAMA得分最低。半月板撕裂组最常遇到的问题是“膝盖半月板撕裂的三个迹象是什么？”相比之下，在半月板手术组中，“从半月板手术中恢复的最快方法是什么？”和“65岁以上的人是否应该做半月板手术？”并列。
根据客观的价值衡量标准，与半月板撕裂和手术相关的在线信息质量往往不理想。人们经常搜索有关适应症、治疗和技术细节的见解。
了解在线搜索中的常见主题可以提供有价值的见解，有助于改善患者教育。外科医生可以利用这些信息来预测潜在问题，建立适当的患者期望，并加强明智的决策。
