Accuracy and Completeness of Patient Information in Organic World-Wide Web Search for Mohs Surgery: A Prospective Cross-Sectional Multirater Study Using Consensus Criteria

Miller, Christopher J.; Neuhaus, Isaac M.; Sobanko, Joseph F.; Veledar, Emir; Alam, Msci Murad

doi:10.1111/dsu.12344

Cited by 12 publications

(6 citation statements)

References 23 publications

(36 reference statements)

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“…Completeness refers to a range of treatment options and includes links or access to key information sources to facilitate fact-checking (Barnes & Davies, 2015;Legault et al, 2012;Unaka et al, 2017). Nine studies evaluated PEIM's completeness (Barnes & Davies, 2015;Fioretti et al, 2015;Legault et al, 2012;Miller et al, 2013;Sideris et al, 2021;Stinson et al, 2009;Unaka et al, 2017;Vishnevetsky et al, 2018).…”

Section: Item Criteria Definition Completenessmentioning

confidence: 99%

Patient education information material assessment criteria: A scoping review

Ahmadzadeh

Bahrami

Zare–Farashbandi

et al. 2023

Health Info Libraries J

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Background: Patient education information material (PEIM) is an essential component of patient education programs in increasing patients' ability to cope with their diseases. Therefore, it is essential to consider the criteria that will be used to prepare and evaluate these resources.Objective: This paper aims to identify these criteria and recognize the tools or methods used to evaluate them.Methods: National and international databases and indexing banks, including PubMed, Scopus, Web of Science, ProQuest, the Cochrane Library, Magiran, SID and ISC, were searched for this review. Original or review articles, theses, short surveys, and conference papers published between January 1990 and June 2022 were included.Results: Overall, 4688 documents were retrieved, of which 298 documents met the inclusion criteria. The criteria were grouped into 24 overarching criteria. The most frequently used criteria were readability, quality, suitability, comprehensibility and understandability. Conclusion: This review has provided empirical evidence to identify criteria, tools, techniques or methods for developing or evaluating a PEIM. The authors suggest that developing a comprehensive tool based on these findings is critical for evaluating the overall efficiency of PEIM using effective criteria.

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Section: Item Criteria Definition Completenessmentioning

confidence: 99%

Patient education information material assessment criteria: A scoping review

Ahmadzadeh

Bahrami

Zare–Farashbandi

et al. 2023

Health Info Libraries J

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“…Unfortunately, it is evident that patients and healthcare professionals may receive elements of misinformation when attempting to investigate the specifics of Mohs surgery. 52 The benefits of Mohs surgery over other treatment modalities for NMSC are numerous. 53 First, patient safety is paramount and is ensured (in almost all cases) through avoidance of general anesthesia and with the use of local anesthesia, particularly in patients with LLE.…”

Section: T He Recently Published Treatment Of Nonfatalmentioning

confidence: 99%

“…A final point must be made concerning a commenter's conclusion that “receipt of Mohs surgery is the most burdensome available treatment—taking much longer and with more potential complications that the other options.” Almost all credible published evidence vehemently counters this particular statement, and we believe that it is imperative that practitioners not familiar with the nuanced procedure be properly informed. Unfortunately, it is evident that patients and healthcare professionals may receive elements of misinformation when attempting to investigate the specifics of Mohs surgery …”

Section: Charlson Comorbidity Index Scoring Systemmentioning

confidence: 99%

Mistaken Conclusions in a Nonmelanoma Skin Cancer Article Published in JAMA

Sobanko

Ross²

2014

Dermatologic Surgery

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“…Mohs micrographic surgery (MMS) is touted for its high cure rate and ability to spare healthy tissue. 1 Patients focused on tissue sparing may have unrealistic expectations for small scars after MMS.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Accuracy of Patient and Physician Scar Length Estimates Before Mohs Micrographic Surgery for Facial Skin Cancers

et al. 2020

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IMPORTANCE Patients are satisfied when surgical outcomes meet their expectations. Dissatisfaction with surgical scars is one of the most common reasons that patients sue surgeons who perform Mohs micrographic surgery (MMS). OBJECTIVE To measure the accuracy of patient and physician estimations of scar length prior to skin cancer removal with MMS. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study was conducted between December 1, 2017, and February 28, 2018, at the MMS clinic of a single tertiary referral center health system. A total of 101 adults presenting for MMS for treatment of facial skin cancers volunteered for this study, and 86 surgeons who performed the MMS procedure participated. MAIN OUTCOMES AND MEASURES Patients and physicians independently drew the anticipated scar length on the patients' skin prior to surgery. Preoperative estimates by patients and surgeons were compared with actual postoperative scar length. RESULTS Of the 101 patients who participated, 57 patients (56.4%) were men and 57 patients (56.4%) were aged 65 years or older. Eighty-four patients (83.2%) underestimated scar length, whereas 67 of the 86 surgeons (77.9%) correctly estimated the scar length (P < .001). The actual postoperative scar length was 2.2 (interquartile range, 1.5-3.6) times larger than the patients' preoperative estimate but only 1.1 (interquartile range, 1.0-1.2) times larger than the surgeons' preoperative estimate (P < .001). Preoperative consultation with the surgeon, a personal history of MMS, or patient-directed research about MMS were not associated with improvement of patients' estimations of scar length. CONCLUSIONS AND RELEVANCE This study's findings suggest that patients with facial skin cancers have unrealistic expectations regarding scars that measure, on average, less than half the length of the actual postoperative scars. Surgeons appear to accurately estimate the length of most surgical scars and have an opportunity to set realistic patient expectations about scar length before surgery.

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Accuracy and Completeness of Patient Information in Organic World-Wide Web Search for Mohs Surgery: A Prospective Cross-Sectional Multirater Study Using Consensus Criteria

Abstract: High-ranking websites provide basic information about MMS. Academic practice and professional society sites provide more-comprehensive information, but private practice sites and web-based medical information sources also provide additional information.

Cited by 12 publications

References 23 publications

Patient education information material assessment criteria: A scoping review

Patient education information material assessment criteria: A scoping review

Mistaken Conclusions in a Nonmelanoma Skin Cancer Article Published in JAMA

Comparison of Accuracy of Patient and Physician Scar Length Estimates Before Mohs Micrographic Surgery for Facial Skin Cancers

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