Patients’ Use and Perception of Internet-Based Orthopaedic Sports Medicine Resources

Koenig, Scott; Nadarajah, Vidushan; Smuda, Michael P.; Meredith, Sean J.; Packer, Jonathan D.; Henn, R. Frank

doi:10.1177/2325967118796469

Cited by 24 publications

(20 citation statements)

References 21 publications

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“… 36 Most orthopaedic patients were skeptical of information found online (68%) and would welcome surgeon's guidance on which internet sources to use (83%). 37 Furthermore, most continue to prefer verbal communication with their surgeon to learn about their condition. 36 As a supplement to communication with their surgeon, however, more preferred a website as opposed to a paper handout.…”

Section: Discussionmentioning

confidence: 99%

Quality and Content of Internet-Based Information for Osteoporosis and Fragility Fracture Diagnoses

Wally¹,

Bemenderfer

McKnight

et al. 2021

JAAOS Glob Res Rev

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Introduction: We aimed to assess the quality and content of websites addressing orthopaedic conditions affecting older adults, emphasizing osteoporosis and fragility fracture. Methods: Ten diagnoses were chosen. The transparency of information was assessed via the Health On the Net (HON) score; information content was assessed via diagnosis-specific grading templates. A total of 140 websites (14 per diagnosis) were reviewed by three raters. HON scores and information quality were compared by diagnosis, website type, and website source. The correlation between HON score and information quality score was calculated. Results: Most websites were commercial (59.3%). Cronbach alpha for Hall scores exceeded the a priori threshold of 0.7. Analysis proceeded using averages across raters. HON score was significantly associated with higher content scores (r = 0.56; P < 0.0001). Content scores ranged from 21.1 to 59.4. Content scores differed significantly by diagnosis ( P = 0.0008) and website source ( P < 0.0001). Discussion: The quality and content of websites is highly variable for osteoporosis and fragility fracture diagnoses. Patients should be encouraged to access reputable sites, including sites displaying a HON seal. Academic and medical specialty societies demonstrate opportunity for improvement of their own websites and might be able to lead efforts to increase accessibility of high-quality content.

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Section: Discussionmentioning

confidence: 99%

Quality and Content of Internet-Based Information for Osteoporosis and Fragility Fracture Diagnoses

Wally¹,

Bemenderfer

McKnight

et al. 2021

JAAOS Glob Res Rev

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“…The risk of misinformation is of particular concern to spine surgeons, as 54% of patients report researching their condition before consultation with orthopaedic or neurosurgical surgeons. 7 Cervical spondylosis is fairly common, with approximately 50% of patients over 40 years old and 85% of patients over 65 years old having some evidence of cervical degeneration. 8,9 Though many patients remain asymptomatic, 8,10 roughly 83 per 100 000 individuals will develop cervical radiculopathy every year.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Quality and Credibility of Publicly Available Videos on Cervical Fusion: Is YouTube a Reliable Educational Tool?

et al. 2021

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Background: YouTube has become a popular source for patient education, though there are concerns regarding the quality and reliability of videos related to orthopaedic and neurosurgical procedures. This study aims to evaluate the credibility and educational content of videos on YouTube related to cervical fusion. Secondarily, the study aims to identify factors predictive of higher or lower quality videos.Methods: A YouTube query using the search terms ''cervical fusion'' was performed, and the first 50 videos were included for analysis. Reliability was assessed using the Journal of the American Medical Association (JAMA) criteria. Educational quality was assessed using the Global Quality Score (GQS) and the Cervical Fusion Content Score (CFCS). Videos were stratified by content and source, and differences in JAMA, GQS, and CFCS scores were assessed. Multivariable linear regression was used to identify predictors of higher or lower JAMA, GQS, and CFCS scores. Statistical significance was established at P , 0.05.Results: Total number of views was 6 221 816 with a mean of 124 436.32 6 412 883.32 views per video. Physicians, academic, and medical sources had significantly higher mean JAMA scores (P ¼ 0.042). Exercise training and nonsurgical management videos had significantly higher mean CFCS scores (P ¼ 0.018). Videos by physicians (b ¼ 0.616; P ¼ 0.025) were independently associated with higher JAMA scores. Advertisements were significant predictors of worse CFCS (b ¼À3.978; P ¼ 0.030), and videos by commercial sources predicted significantly lower JAMA scores (b ¼ À1.326; P ¼ 0.006).Conclusions: While videos related to cervical fusion amassed a large viewership, they were poor in both quality and reliability. Videos by physicians were associated with higher reliability scores relative to other sources, whereas commercial sources and advertisements had significantly lower reliability and educational content scores. Currently, YouTube seems to be an unreliable source of information on cervical fusion for patients.Level of Evidence: 4. Clinical Relevance: The results of this study aid surgeons in counseling patients interested in cervical fusion, and suggest that publicly available videos regarding cervical fusion may not be an adequate tool for patient education at this time.

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“…Aslam et al 7 observed that parents frequently use internet based information before pediatric orthopedic consultations. Koenig et al 8 observed that 54% patients read internet information about their condition while 32% surfed for surgeons before their visit. They found that most patients were either neutral toward or did not trust the internet-based information.…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was designed using the metrics that had used before and had been found to be reliable in another outpatient orthopedic patient group. 8 Patients were recruited by and provided consent to the independent study coordinator. The patient filled the questionnaire prior to meeting the surgeon before their proposed TKR operation.…”

Section: Methodsmentioning

confidence: 99%

“…There are studies about the usage of the internet in pediatric orthopedic patients and in sports medicine specialty. 7,8 To the best of our knowledge there are no studies about the influence of internet on patient's choice about their TKR procedure and on choosing their operating surgeon. The purpose of the study is to analyze how much percent of patients or their close relatives searched the internet for their TKR procedure and about finalizing their operating surgeon.…”

Section: Introductionmentioning

confidence: 99%

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The influence of the internet on the patients’ choice of surgeon for their total knee replacement surgery

Londhe

Shah

Agrawal

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: To study the influence of the internet on the patient's choice about Total Knee Replacement surgery and about their choice of surgeon for their Total Knee Replacement procedure. Significance: Insight into patient's decision making will help the surgeon to increase his/her visibility and also will help in providing true and reliable information about the patient's ailment. Materials and methods: We studied 200 patients who were operated by a single surgeon. They were given a questionnaire which had various questions regarding their name, age, sex, date of operation. It also had leading questions like did you or your relative searched the net about the operation and the operating surgeon? The information was collected by self filled questionnaire form. Results: There were 166 females and 34 males. 70% of to be operated patients or their relatives searched the net before undergoing the Total knee replacement. Also 36% of patient relatives (mainly son or daughter) searched the surgeon on the net before finalizing the operation. 10% of patients searched the operating surgeon on the internet. 15% of patients or their relatives chose the operating surgeon based on their net search. Conclusion:Our study shows that a sizable number of decision makers (patients and their children) search the information about the operation and about their operating surgeon. Hence it is recommended that the surgeon should have an information portal to increase his/her visibility, patient reach and imparting proper information to the prospective patients regarding the operative procedure.

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Patients’ Use and Perception of Internet-Based Orthopaedic Sports Medicine Resources

Cited by 24 publications

References 21 publications

Quality and Content of Internet-Based Information for Osteoporosis and Fragility Fracture Diagnoses

Quality and Content of Internet-Based Information for Osteoporosis and Fragility Fracture Diagnoses

Assessing the Quality and Credibility of Publicly Available Videos on Cervical Fusion: Is YouTube a Reliable Educational Tool?

The influence of the internet on the patients’ choice of surgeon for their total knee replacement surgery

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