Patients With Femoroacetabular Impingement Obtain Information From Low-Quality Sources Online and Are Most Interested in Conservative Treatment and Expected Recovery

McCormick, Johnathon R.; Kerzner, Benjamin; Tuthill, Trevor; Khan, Zeeshan A.; Hodakowski, Alexander J.; Damodar, Dhanur; Fortier, Luc M.; Dasari, Suhas P.; Nho, Shane J.; Chahla, Jorge

doi:10.1016/j.asmr.2022.09.011

Cited by 9 publications

(3 citation statements)

References 32 publications

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“…However, this study still did not account for other search engines, which indicates the need for future studies to observe if the findings of the current study are consistent with other search engine systems. Similarly, the use of Rothwell's Classification of Questions is subjective in nature as a tool, which may suggest potential bias in raters scoring [16,38,[47][48][49][50][51]. However, to address this, the high inter-rater reliability of this study addresses the validity of the scoring by the raters.…”

Section: Discussionmentioning

confidence: 93%

“…Specifically, this tool served to understand the specific components of xanthelasma palpebrae that patients' inquiries focused on. Rothwell's classification was implemented in previous literature which used internet-based public resources in clinical medicine, but to the best of our knowledge, this has not been utilized for xanthelasma palpebrae before [37,38]. The large majority of questions asked by patients online were categorized as "Fact" based questions (80%), which indicates that the current literature has a concerning paucity of information that can effectively address the questions asked to investigate xanthelasma palpebrarum.…”

Section: Discussionmentioning

confidence: 99%

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Digital Patient Education on Xanthelasma Palpebrarum: A Content Analysis

Varghese,

Singh,

Qureshi

et al. 2023

Clinics and Practice

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Patient education has been transformed using digital media and online repositories which disseminate information with greater efficiency. In dermatology, this transformation has allowed for patients to gain education on common cutaneous conditions and improve health literacy. Xanthelasma palpebrarum is one of the most common cutaneous conditions, yet there is a poor understanding of how digital materials affect health literacy on this condition. Our study aimed to address this paucity of literature utilizing Brief DISCERN, Rothwell’s Classification of Questions, and six readability calculations. The findings of this study indicate a poor-quality profile (Brief DISCERN < 16) regarding digital materials and readability scores which do not meet grade-level recommendations in the United States. This indicates a need to improve the current body of educational materials used by clinicians for diagnosing and managing xanthelasma palpebrarum.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Digital Patient Education on Xanthelasma Palpebrarum: A Content Analysis

Varghese,

Singh,

Qureshi

et al. 2023

Clinics and Practice

View full text Add to dashboard Cite

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“…These findings are reflected in prior research. For example, McCormick et al 25 when evaluating online sources for information on femoroacetabular impingement found both single-physician websites and medical practices were associated with the lowest JAMA Benchmark scores. A 2021 study reported comparable findings for single practitioner and medical practice websites.…”

Section: Discussionmentioning

confidence: 99%

Insights Into Patients Questions Over Bunion Treatments: A Google Study

Phelps,

Shepard,

Hughes

et al. 2023

Foot & Ankle Orthopaedics

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Background: Approximately 1 in 4 adults will develop hallux valgus (HV). Up to 80% of adult Internet users reference online sources for health-related information. Overall, with the high prevalence of HV combined with the numerous treatment options, we believe patients are likely turning to Internet search engines for questions relevant to HV. Using Google’s people also ask (PAA) or frequently asked questions (FAQs) feature, we sought to classify these questions, categorize the sources, as well as assess their levels of quality and transparency. Methods: On October 9, 2022, we searched Google using these 4 phrases: “hallux valgus treatment,” “hallux valgus surgery,” “bunion treatment,” and “bunion surgery.” The FAQs were classified in accordance with the Rothwell Classification schema and each source was categorized. Lastly, transparency and quality of the sources’ information were evaluated with the Journal of the American Medical Association’s (JAMA) Benchmark tool and Brief DISCERN, respectively. Results: Once duplicates and FAQs unrelated to HV were removed, our search returned 299 unique FAQs. The most common question in our sample was related to the evaluation of treatment options (79/299, 26.4%). The most common source type was medical practices (158/299, 52.8%). Nearly two-thirds of the answer sources (184/299; 61.5%) were lacking in transparency. One-way analysis of variance revealed a significant difference in mean Brief DISCERN scores among the 5 source types, F(4) = 54.49 ( P < .001), with medical practices averaging the worst score (12.1/30). Conclusion: Patients seeking online information concerning treatment options for HV search for questions pertaining to the evaluation of treatment options. The source type encountered most by patients is medical practices; these were found to have both poor transparency and poor quality. Publishing basic information such as the date of publication, authors or reviewers, and references would greatly improve the transparency and quality of online information regarding HV treatment. Level of Evidence: Level V, mechanism-based reasoning.

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