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Arthroplasty information on the internet: quality or quantity?

AIMS: Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients’ quality of life. Informed decisions are important for patients facing TJR. The quality of information provided by websites regarding TJR is highly variable. We aimed to measure the quality of TJR informa...

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Autores principales: Davaris, Myles T., Dowsey, Michelle M., Bunzli, Samantha, Choong, Peter F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone and Joint Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659687/
https://www.ncbi.nlm.nih.gov/pubmed/33215109
http://dx.doi.org/10.1302/2633-1462.14.BJO-2020-0006
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author Davaris, Myles T.
Dowsey, Michelle M.
Bunzli, Samantha
Choong, Peter F.
author_facet Davaris, Myles T.
Dowsey, Michelle M.
Bunzli, Samantha
Choong, Peter F.
author_sort Davaris, Myles T.
collection PubMed
description AIMS: Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients’ quality of life. Informed decisions are important for patients facing TJR. The quality of information provided by websites regarding TJR is highly variable. We aimed to measure the quality of TJR information online. METHODS: We identified 10,800 websites using 18 TJR-related keywords (conditions and procedures) across the Australian, French, German and Spanish Google search engines. We used the Health on the Net (HON) toolbar to evaluate the first 150 websites downloaded for every keyword in each language. The quality of information on websites was inspected, accounting for differences by language and tertiles. We also undertook an analysis of English websites to explore types of website providers. RESULTS: ‘Total joint replacement’ had the most results returned (150 million websites), and 9% of websites are HON-accredited. Differences in information quality were seen across search terms (p < 0.001) and tertiles (p < 0.001), but not between languages (p = 0.226). A larger proportion of HON-accredited websites were seen from keywords in the condition and arthroplasty categories. The first tertile contained the highest number of HON-accredited websites for the majority of search terms. Government/educational bodies sponsored the majority of websites. CONCLUSION: Clinicians must consider the shortage of websites providing validated information, with disparities in both number and quality of websites for TJR conditions and procedures. As such, the challenge for clinicians is to lead the design of reliable, accurate and ethical orthopaedic websites online and direct patients to them. This stands to reward both parties greatly.
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spelling pubmed-76596872020-11-18 Arthroplasty information on the internet: quality or quantity? Davaris, Myles T. Dowsey, Michelle M. Bunzli, Samantha Choong, Peter F. Bone Jt Open Arthroplasty AIMS: Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients’ quality of life. Informed decisions are important for patients facing TJR. The quality of information provided by websites regarding TJR is highly variable. We aimed to measure the quality of TJR information online. METHODS: We identified 10,800 websites using 18 TJR-related keywords (conditions and procedures) across the Australian, French, German and Spanish Google search engines. We used the Health on the Net (HON) toolbar to evaluate the first 150 websites downloaded for every keyword in each language. The quality of information on websites was inspected, accounting for differences by language and tertiles. We also undertook an analysis of English websites to explore types of website providers. RESULTS: ‘Total joint replacement’ had the most results returned (150 million websites), and 9% of websites are HON-accredited. Differences in information quality were seen across search terms (p < 0.001) and tertiles (p < 0.001), but not between languages (p = 0.226). A larger proportion of HON-accredited websites were seen from keywords in the condition and arthroplasty categories. The first tertile contained the highest number of HON-accredited websites for the majority of search terms. Government/educational bodies sponsored the majority of websites. CONCLUSION: Clinicians must consider the shortage of websites providing validated information, with disparities in both number and quality of websites for TJR conditions and procedures. As such, the challenge for clinicians is to lead the design of reliable, accurate and ethical orthopaedic websites online and direct patients to them. This stands to reward both parties greatly. The British Editorial Society of Bone and Joint Surgery 2020-04-20 /pmc/articles/PMC7659687/ /pubmed/33215109 http://dx.doi.org/10.1302/2633-1462.14.BJO-2020-0006 Text en © 2020 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attributions licence (CC-BY-NC-ND), which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.
spellingShingle Arthroplasty
Davaris, Myles T.
Dowsey, Michelle M.
Bunzli, Samantha
Choong, Peter F.
Arthroplasty information on the internet: quality or quantity?
title Arthroplasty information on the internet: quality or quantity?
title_full Arthroplasty information on the internet: quality or quantity?
title_fullStr Arthroplasty information on the internet: quality or quantity?
title_full_unstemmed Arthroplasty information on the internet: quality or quantity?
title_short Arthroplasty information on the internet: quality or quantity?
title_sort arthroplasty information on the internet: quality or quantity?
topic Arthroplasty
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659687/
https://www.ncbi.nlm.nih.gov/pubmed/33215109
http://dx.doi.org/10.1302/2633-1462.14.BJO-2020-0006
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