An Analysis of Online Ratings of Pediatric Orthopaedic Surgeons

Jay, Jordan H.; Runge, Nicholas E.; Vergara, Franz Henryk; Sabatini, Coleen S.; Oni, Julius K.

doi:10.1097/bpo.0000000000001932

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…Damodar et al 15 suggested that this may be influenced by younger surgeons encouraging more patients to utilize online reviews, indicating that it may serve surgeons well to cultivate a social media presence 5 , 16 and/or focus on improving factors discussed later in this study. Regarding the impact of surgeon sex on reviews, the literature is less clear as some studies found no difference in online ratings between sexes 17 – 19 while others found female surgeons to be rated more highly. 14 , 20 However, male surgeons in this study were found to have significantly higher star ratings with no difference in sentiment score.…”

Section: Discussionmentioning

confidence: 99%

Building better pediatric surgeons: A sentiment analysis of online physician review websites

Butler

Tang

Hess

et al. 2022

Journal of Children's Orthopaedics

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Purpose: Physician review websites are a heavily utilized patient tool for finding, rating, and reviewing surgeons. Natural language processing such as sentiment analysis provides a comprehensive approach to better understand the nuances of patient perception. This study utilizes sentiment analysis to examine how specific patient sentiments correspond to positive and negative experiences in online reviews of pediatric orthopedic surgeons. Methods: The online written reviews and star ratings of pediatric surgeons belonging to the Pediatric Orthopaedic Society of North America were obtained from healthgrades.com . A sentiment analysis package obtained compound scores of each surgeon’s reviews. Inferential statistics analyzed relationships between demographic variables and star/sentiment scores. Word frequency analyses and multiple logistic regression analyses were performed on key terms. Results: A total of 749 pediatric surgeons (3830 total online reviews) were included. 80.8% were males and 33.8% were below 50 years of age. Male surgeons and younger surgeons had higher mean star ratings. Surgeon attributes including “confident” (p < 0.01) and “comfortable” (p < 0.01) improved the odds of positive reviews, while “rude” (p < 0.01) and “unprofessional” (p < 0.01) decreased these odds. Comments regarding “pain” lowered the odds of positive reviews (p < 0.01), whereas “pain-free” increased these odds (p < 0.01). Conclusion: Pediatric surgeons who were younger, communicated effectively, eased pain, and curated a welcoming office setting were more likely to receive positively written online reviews. This suggests that a spectrum of interpersonal and ancillary factors impact patient experience and perceptions beyond surgical skill. These outcomes can advise pediatric surgeons on behavioral and office qualities that patients and families prioritize when rating/recommending surgeons online. Level of evidence: IV

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Section: Discussionmentioning

confidence: 99%

Building better pediatric surgeons: A sentiment analysis of online physician review websites

Butler

Tang

Hess

et al. 2022

Journal of Children's Orthopaedics

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“…Several studies have analyzed the correlation between physician ratings with physician sex. A number of studies have found no correlation between the two variables 21,26,27 ; however, others have found mixed association. 10,28,29 The surgical fields in general have historically been male-saturated, and orthopaedic surgery is certainly no exception.…”

Section: Discussionmentioning

confidence: 98%

What Affects an Orthopaedic Surgeon's Online Rating? A Large-Scale, Retrospective Analysis

et al. 2022

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Introduction: In the past decade, online physician review websites have become an important source of information for patients, with the largest and most popular being Healthgrades.com. Our study aims to investigate demographic and volume-based trends for online reviews of every Healthgrades-listed orthopaedic surgeon through a nationwide, retrospective analysis. Methods: All available demographic and rating information for orthopaedic surgeons (n = 28,713; Healthgrades.com) was analyzed using one-way Analysis of Variance, Tukey Studentized Range (Honestly Significant Difference), linear regression, and Pearson correlation coefficient. Results: The mean rating for all surgeons was 3.99 (SD 0.92), and the mean number of ratings was 13.43 (SD 20.4). Men had a greater mean rating at 4.02 compared with women at 3.91 (P , 0.0001), and DO surgeons had greater mean rating at 4.11 compared with MD surgeons at 3.90 (P , 0.0001). The correlation between rating and age had a significant negative correlation (P , 0.0001). The correlation between average online rating and number of reviews had a significant positive correlation (P , 0.0001). Discussion: Our analysis suggests that greater online ratings are associated with the male sex and DO degrees. In addition, our study discovered that the number of ratings was positively correlated with greater mean online ratings, whereas older age was negatively correlated with greater mean online ratings. With the advent of digital information technology, online physician review websites have become a major source of information for patients. Studies suggest that 25% to 72% of Americans use online reviews when selecting a healthcare provider. 1,2 As of 2010, over 33 different physician rating websites had been identified, 3 with the largest and most popular being Healthgrades.com. 4 Healthgrades.com allows anyone with internet access to rate a physician or hospital from one to five stars in several different categories. The mean of all reviews is posted anonymously on the physician's public

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“…Our research demonstrated similar findings, noting that only 18.2% of reviews written about pediatric orthopaedic surgeons on PRWs were rated as one-star. While the impact of negative reviews may contribute to increased job-related stress, research has shown that an emphasis on nonclinical aspects of care, including bedside manner, improved wait times, and increased time spent with the patient, can help increase a physician’s rating on PRWs 1,4,12,16–18 . Therefore, possible administrative goals to decrease the number of negative one-star reviews may be to decrease total patient involvement while increasing the ratio of surgical to nonsurgical patients seen by the surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown that 68% of patients will utilize PRWs when searching for a new physician 3 . Previous literature has shown that 98.5% of pediatric orthopaedic surgeons have been rated at least one time on PRWs, with an average rating of 4.14 out of 5.0 stars 4 . A recent study investigating 26 various medical specialties demonstrated that 37% of patients will avoid a provider with an overall rating of <2 out of 5 on PRWs 5 .…”

mentioning

confidence: 99%

“…3 Previous literature has shown that 98.5% of pediatric orthopaedic surgeons have been rated at least one time on PRWs, with an average rating of 4.14 out of 5.0 stars. 4 A recent study investigating 26 various medical specialties demonstrated that 37% of patients will avoid a provider with an overall rating of <2 out of 5 on PRWs. 5 Despite the decisions made based on ratings from PRWs, research has not shown any correlation between a physician's online rating and their mortality rate.…”

mentioning

confidence: 99%

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An Analysis of Negative One-star Patient Reviews and Complaints for Pediatric Orthopaedic Surgeons throughout the United States: A Retrospective Study

Hitchman,

Baumann,

Glasgow

et al. 2023

Journal of Pediatric Orthopaedics

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Objective: Patients commonly use physician review websites when choosing a surgeon for an elective procedure. Although data exist regarding other orthopaedic specialties, no study has investigated one-star reviews for pediatric orthopaedic surgeons. The goal of this retrospective study was to classify the factors contributing to one-star reviews of pediatric orthopaedic surgeons to identify which areas contribute to lower patient satisfaction. Methods: Patient ratings on a 5-star system and comments about pediatric orthopaedic surgeons were collected from the state with the most physicians registered in the “Pediatric Orthopaedic Society of North American” database for each of the 9 geographical regions of the United States as defined by the Association of American Medical Colleges. One-star reviews that included comments were classified as either surgical or nonsurgical. These comments were then further classified based on their content. Results: Three hundred fifty-four one-star reviews with 700 complaints were included in this study. Of these complaints, 481 (68.7%) were from nonsurgical patients and 219 (31.3%) were from surgical patients. Nonsurgical patients were significantly more likely to reference the amount of time spent with the physician (12.9% to 6.6%, P = 0.026), wait time (11.9% to 0.0%, P < 0.001), and bedside manner (41.2% to 22.8%, P < 0.001). Patients who said they had undergone a surgical procedure in their one-star review were significantly more likely to reference a disagreement with the physician’s decision or plan (35.3% to 17.5%, P < 0.001), and uncontrolled pain (21.6% to 5.2%, P < 0.001). There was no significant difference in the comments that referenced medical staff or institutional complaints between surgical and nonsurgical patients (13.8% to 11.4%, P = 0.424). Conclusion: Most one-star reviews of pediatric orthopaedic surgeons referenced interpersonal skills and other nonclinical aspects of a clinical encounter, with bedside manner being the most frequent complaint. Patients who had undergone surgical procedures were less likely to leave a one-star review, but if they did, their comment was usually about a disagreement with the physician’s plan. Clinical Relevance: Prognostic studies III.

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An Analysis of Online Ratings of Pediatric Orthopaedic Surgeons

Cited by 7 publications

References 13 publications

Building better pediatric surgeons: A sentiment analysis of online physician review websites

Building better pediatric surgeons: A sentiment analysis of online physician review websites

What Affects an Orthopaedic Surgeon's Online Rating? A Large-Scale, Retrospective Analysis

An Analysis of Negative One-star Patient Reviews and Complaints for Pediatric Orthopaedic Surgeons throughout the United States: A Retrospective Study

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