Assessment of the Quality of Web-based Information on Bunions

Chong, Yew Ming; Fraval, Andrew; Chandrananth, Janan; Plunkett, Virginia R. L.; Tran, Phong

doi:10.1177/1071100713481458

Cited by 13 publications

(5 citation statements)

References 24 publications

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“…Over half the patient’s attending the Western Health orthopaedic outpatient clinic already access the internet for information relating to their condition [ 15 ]. Unfortunately, websites frequently encountered via search engines are often not written at the appropriate reading level, of poor quality or financially biased [ 16 - 18 ]. This undermines the use of patient directed online education and re-enforces the need for clinicians to be providing their patients with high quality online education resources.…”

Section: Discussionmentioning

confidence: 99%

Internet based patient education improves informed consent for elective orthopaedic surgery: a randomized controlled trial

Fraval

Chandrananth

Chong

et al. 2015

BMC Musculoskelet Disord

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BackgroundObtaining informed consent is an essential step in the surgical pathway. Providing adequate patient education to enable informed decision making is a continued challenge of contemporary surgical practice. This study investigates whether the use of a patient information website, to augment patient education and informed consent for elective orthopaedic procedures is an effective measure.MethodsA randomised controlled trial was conducted comparing the quality of informed consent provided by a standard discussion with the treating surgeon compared to augmentation of this discussion with an online education resource (www.orthoanswer.org). Participants were recruited from orthopaedic outpatient clinics. Patients undergoing five common orthopaedic procedures were eligible to participate in the trial. The primary outcome measure was knowledge about their operation. Satisfaction with their informed consent and anxiety relating to their operation were the secondary outcome measures.ResultsThere was a statistically significant increase in patient knowledge for the intervention arm as compared to the control arm (p < 0.01). Patients in the intervention arm, had an average score of 69.25% (SD 14.91) correct answers as compared to 47.38% (SD 17.77) in the control arm. Satisfaction was also improved in the intervention arm (p = 0.043). There was no statistically significant difference between the control and intervention arm relating to their anxiety scores (p = 0.195).ConclusionsThe use of a patient education website as an augment to informed consent improves patient knowledge about their planned operation as well as satisfaction with the consent process whilst not increasing their anxiety levels. We recommend that all patients be directed to web based education tools to augment their consent.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12614001058662.

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Section: Discussionmentioning

confidence: 99%

Internet based patient education improves informed consent for elective orthopaedic surgery: a randomized controlled trial

Fraval

Chandrananth

Chong

et al. 2015

BMC Musculoskelet Disord

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“…This is the first study to evaluate the availability, quality, and accuracy of hallux valgus–specific resources as a function of Internet search terms. In a work by Chong et al, 23 the quality of 42 websites was assessed based on a search for “bunions.” The authors found the websites to vary in quality, recommending that readers of the websites process the information with great caution. Unlike our study, the role of different search terms was not investigated, nor was the accuracy of the material presented.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Quality, Accuracy, and Readability of Online Resources Pertaining to Hallux Valgus

Tartaglione

Rosenbaum

Abousayed

et al. 2015

Foot & Ankle Specialist

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“…The DISCERN overall score rated the publications as moderate, indicating the websites as being a useful source of information, although they would benefit from additional information. Given the DISCERN scores across studies, information on rTSA was comparable with studies using the DISCERN instrument to evaluate other conditions such as rotator cuff repair, 4 chronic pain, 7 general anesthesia, 9 bunions 11 and anterior cruciate ligament reconstruction. 12…”

Section: Discussionmentioning

confidence: 99%

Evaluation of information available on the internet regarding reverse total shoulder arthroplasty

et al. 2017

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Background: Prior studies have analyzed the quality of information available on the Internet regarding common orthopaedic surgical procedures. The purpose of the present study was to evaluate the quality of information available for reverse total shoulder arthroplasty (rTSA). Methods: Websites were identified using the search term 'reverse total shoulder arthroplasty' and the first 50 websites from three separate search engines (Google, Yahoo, and Bing) were selected for evaluation of authorship and quality of information using the DISCERN instrument (www.discern.org.uk). After disregarding duplicated or overlapping websites within and among search engines, 90 of the total 150 websites were evaluated. A one-way analysis of variance test was used to compare differences in DISCERN scores between three categories of authorship (academic, private, other). Results: The majority of the websites evaluated were authored by academic (43%) and private institutions (36%). These were the most credible sources, providing overall better quality and reliability than other sources. DISCERN reliable (p ¼ 0.017) and overall scores (p ¼ 0.020) were significantly higher for academic institutions compared to other websites. Conclusions: The information available on the Internet pertaining to reverse total shoulder arthroplasty is highly variable and provides moderate quality information about treatment choices with some limitations based on the DISCERN instrument.

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Assessment of the Quality of Web-based Information on Bunions

Abstract: Patients are commonly using the internet as an information resource, in spite of the highly variable quality of this information. They should be encouraged to exercise caution and to utilize only well-known sites.

Cited by 13 publications

References 24 publications

Internet based patient education improves informed consent for elective orthopaedic surgery: a randomized controlled trial

Internet based patient education improves informed consent for elective orthopaedic surgery: a randomized controlled trial

Evaluating the Quality, Accuracy, and Readability of Online Resources Pertaining to Hallux Valgus

Evaluation of information available on the internet regarding reverse total shoulder arthroplasty

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