Surfing for Hip Replacements: Has the “Internet Tidal Wave” Led to Better Quality Information

Nassiri, Mujtaba; Bruce-Brand, Robert; O’Neill, Francis; Chenouri, Shojaeddin; Curtin, Paul

doi:10.1016/j.arth.2014.01.009

Cited by 38 publications

(30 citation statements)

References 20 publications

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“…The average JAMA score in this study was 2.34, which is relatively higher than scores from previous studies (1.43-2.1) in the orthopaedic literature. 23,30,32,45 However, a significant relationship between JAMA score and quality was not found, and thus website transparency and disclosure of sources does not necessarily enhance the quality of information.…”

Section: Discussionmentioning

confidence: 96%

“…However, it has been shown that Internet consumers only use the first 10 search results, 51 and therefore, the search was restricted to be consistent with other investigations of Internet information. 23,30,31,52,53…”

Section: Limitationsmentioning

confidence: 99%

“…Previous studies have evaluated the quality of online information available to patients undergoing orthopaedic procedures. [23][24][25][26][27][28][29][30][31][32][33][34][35] Given the prevalence of Internet users and searches for health information, as well as the high number of rotator cuff repairs performed each year, it is likely that patients scheduled for rotator cuff repair are likely to search the Internet to learn about the surgery. Thus, it is crucial to evaluate the quality of the online resources for rotator cuff repair.…”

mentioning

confidence: 99%

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Online Resources for Rotator Cuff Repair: What are Patients Reading?

Goldenberg

Schairer

Dekker

et al. 2019

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: The purpose of this study was to use a novel scoring system to evaluate the content and grade the quality of websites that patients may use to learn about rotator cuff repair. Methods: Two search terms ("rotator cuff repair" and "rotator cuff surgery") were entered into 3 Internet search engines (Google, Yahoo, and Bing). We scored the quality of information using a novel scoring system. Website quality was further assessed by the Journal of the American Medical Association (JAMA) benchmark criteria and Health on the Net Foundation (HON) code certification. The readability of the websites was evaluated with the Flesch-Kincaid score. Results: We evaluated 47 websites. The average quality for all websites was 6.47 AE 5.21 (maximum 20 points). There was a large difference in scores between the top 5 websites and the remaining websites (16.30 vs 5.51, P < .001). There was no difference in scores when comparing the 3 different search engines (P ¼ .85). The mean reading level was 10.17 AE 2.24. Reading level was not significantly correlated with quality (r s ¼ 0.14, P ¼ .36). The average JAMA benchmark criteria score for all websites was 2.34 AE 1.11 (maximum 4 points). JAMA criteria score was not significantly correlated with quality (r s ¼ 0.02, P ¼ .91). Sites without HONcode certification had higher quality scores (8.33 AE 4.80) than sites with HONcode certification (6.18 AE 4.66), but this difference was not statistically significant (P ¼ .15). Conclusion: The quality of patient-level information on rotator cuff repair on the Internet is both incomplete and written at a reading level higher than current recommendations. Information quality is not significantly correlated with reading level or JAMA criteria, and does not depend on the search term used or HONcode certification. Clinical Relevance: Patients having rotator cuff repair may seek information on the Internet; the information may require surgeon clarification.

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Section: Discussionmentioning

confidence: 96%

Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Online Resources for Rotator Cuff Repair: What are Patients Reading?

Goldenberg

Schairer

Dekker

et al. 2019

Arthroscopy, Sports Medicine, and Rehabilitation

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“…3,[11][12][13][14] A recent study of total hip arthroplasty (THA) showed that the quality of online information was poor, with 54% of websites having extensive shortcomings. 4 Websites with a Health on the Net (HON) code endorsement appear to provide higher-quality information, with authors advising physicians to direct patients to access peer-reviewed websites that have markers of quality assurance, such as the HON code. 4 Metal-on-metal bearings in THA or hip resurfacing have generated significant controversy in recent years because of early high failure rates with certain implant systems, such as the ASR resurfacing system (DePuy, Leeds, United Kingdom) and the ASR XL acetabular cup (DePuy).…”

Section: Introductionmentioning

confidence: 99%

“…4 Websites with a Health on the Net (HON) code endorsement appear to provide higher-quality information, with authors advising physicians to direct patients to access peer-reviewed websites that have markers of quality assurance, such as the HON code. 4 Metal-on-metal bearings in THA or hip resurfacing have generated significant controversy in recent years because of early high failure rates with certain implant systems, such as the ASR resurfacing system (DePuy, Leeds, United Kingdom) and the ASR XL acetabular cup (DePuy). High revision rates (up to 25% at 6 years) reported by the Australian National Joint Registry and the National Joint Registry in the United Kingdom resulted in worldwide medical device alerts, with ASR implants being recalled and health regulatory authorities initiating surveillance programs for metal-on-metal bearing implant systems.…”

Section: Introductionmentioning

confidence: 99%

Metal-on-Metal Total Hip Arthroplasty: Quality of Online Patient Information

Crozier‐Shaw¹,

Queally²,

Quinlan³

2017

Orthopedics

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Metal-on-metal total hip arthroplasty (THA) has generated much attention in the media because of early failure of certain implant systems. This study assessed the quality, accuracy, and readability of online information on metal-on-metal THA. The search terms "metal-on-metal hip replacement" and "metal hip replacement" were entered into the 3 most popular search engines. Information quality was assessed with the DISCERN score and a specific metal-on-metal THA content score. Accuracy of information was assessed with a customized score. Readability of the websites was assessed with the Flesch-Kincaid grade level score. A total of 61 unique websites were assessed. For 56% of websites, the target audience was patients. Media or medicolegal sources accounted for 44% of websites. As assessed by DISCERN (range, 16-80) and metal-on-metal THA (range, 0-25) scores, quality of the websites was moderate at best (47.1 and 9.6, respectively). Accuracy (range, 0-8) of the information presented also was moderate, with a mean score of 6.6. Media and medicolegal websites had the lowest scores for both quality and accuracy, despite making up the greatest proportion of sites assessed. Only 1 website (2%) had a Flesch-Kincaid grade level at or less than the recommended level of 8th grade. This study found that online information on metal-on-metal THA was of poor quality, often was inaccurate, and was presented at an inappropriately high reading level, particularly for media and medicolegal websites. Health care providers should counsel patients on the quality of information available and recommend appropriate online resources. [Orthopedics. 2017; 40(2):e262-e268.].

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Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations

Donell

Thaler

Budhiparama³

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To plan for the continuance of elective hip and knee arthroplasty during a resurgence or new wave of COVID-19 infections. Method A systematic review was conducted using the terms "COVID-19" or "SARS-Cov-2" and "second wave". No relevant citations were found to inform on recommendations the plan. Therefore, an expert panel of the European Hip Society and the European Knee Associates was formed to provide the recommendations. Results Overall, the recommendations consider three phases; review of the first wave, preparation for the next wave, and during the next wave. International and national policies will drive most of the management. The recommendations focus on the preparation phase and, in particular, the actions that the individual surgeon needs to undertake to continue with, and practice, elective arthroplasty during the next wave, as well as planning their personal and their family's lives. The recommendations expect rigorous data collection during the next wave, so that a cycle of continuous improvement is created to take account of any future waves. Conclusions The recommendations for planning to continue elective hip and knee arthroplasty during a new phase of the SARS-Cov-2 pandemic provide a framework to reduce the risk of a complete shutdown of elective surgery. This involves engaging with hospital managers and other specialities in the planning process. Individuals have responsibilities to themselves, their colleagues, and their families, beyond the actual delivery of elective arthroplasty.

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Surfing for Hip Replacements: Has the “Internet Tidal Wave” Led to Better Quality Information

Cited by 38 publications

References 20 publications

Online Resources for Rotator Cuff Repair: What are Patients Reading?

Online Resources for Rotator Cuff Repair: What are Patients Reading?

Metal-on-Metal Total Hip Arthroplasty: Quality of Online Patient Information

Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations

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