Modern Internet Search Analytics and Total Joint Arthroplasty: What Are Patients Asking and Reading Online?

Shen, Tony S.; Driscoll, Daniel A.; Islam, Wasif; Bovonratwet, Patawut; Haas, Steven B.; Su, Edwin P.

doi:10.1016/j.arth.2020.10.024

Cited by 56 publications

(116 citation statements)

References 41 publications

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“…Regarding surgeon proficiency, it can be considered that spending extra time to explain the diagnosis or treatment of a patient's condition may alleviate their feelings of dissatisfaction. A recent study by Shen et al found that the most common questions searched on the internet regarding total joint arthroplasty pertained to arthritis management, rehabilitation, and patients' ability to perform specific tasks [18]. Addressing these topics with patients may potentially improve satisfaction and alleviate surgeon-dependent complaints pertaining to bedside manner or surgeon proficiency.…”

Section: Discussionmentioning

confidence: 99%

Negative Online Ratings of Joint Replacement Surgeons: An Analysis of 6,402 Reviews

et al. 2021

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Background: With the expanding accessibility of online health-care information, patients frequently report visiting physician rating websites before choosing a surgeon. As such, it is important to analyze patients' perception of arthroplasty surgeons as reflected on physician rating websites. Methods: A total of 6402 online reviews of arthroplasty surgeons were extracted for analysis. Each review rated less than 5 on a 5-point scale was deemed a "negative" review and was subsequently assigned to an appropriate category. Reviews were stratified by practice type, years in practice, gender, and low (<3) vs high (> 3) ratings. Results: A total of 6402 reviews comprising 315 physicians were included in the analysis. The average rating for all surgeons was 4.35. The average rating for physicians in private practice was 4.3, compared to 4.5 for those in an academic setting. The average rating for physicians in practice for 1-10 years was 4.46, compared to 4.03 for those with >10 years of experience (P < .001). The most common factors contributing to negative reviews were bedside manner, wait time, poor outcome, and surgeon proficiency. Surgeon-dependent factors were more commonly associated with lower rated reviews (P < .001). Conclusions: Arthroplasty surgeons typically receive high online ratings, with a mean of 4.35 on a 5-point scale. Physicians in academic practice received higher ratings than those in private practice, and physicians who have been in practice for 1-10 years received higher ratings than those with more than 10 years in practice. The most common factors contributing to negative reviews are surgeon-dependent, including bedside manner, poor outcome, and surgeon proficiency.

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Section: Discussionmentioning

confidence: 99%

Negative Online Ratings of Joint Replacement Surgeons: An Analysis of 6,402 Reviews

et al. 2021

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“…Linked answers to each FAQ reveal which information sources individuals are likely to encounter when searching Google for medical information. Our methodology was adapted from a study by Shen et al [ 21 ], who used Google FAQs to reliably reveal common concerns about orthopedic procedures and to assess the transparency of the suggested information.…”

Section: Methodsmentioning

confidence: 99%

“…By expanding the tab on a FAQ, additional FAQs appear. We repeated this process until reaching a minimum of 150 FAQs for each search, as studies using similar methodology have recommended using 50-150 sources [ 21 ]. We used the high end of the recommended number of sources (150) for two reasons: to increase the likelihood of encountering an FAQ that would be pertinent to the current study and to reflect the precedent set in the literature.…”

Section: Methodsmentioning

confidence: 99%

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Examining the Public’s Most Frequently Asked Questions Regarding COVID-19 Vaccines Using Search Engine Analytics in the United States: Observational Study

Sajjadi¹,

Shepard²,

Ottwell³

et al. 2021

JMIR Infodemiology

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Background The emergency authorization of COVID-19 vaccines has offered the first means of long-term protection against COVID-19–related illness since the pandemic began. It is important for health care professionals to understand commonly held COVID-19 vaccine concerns and to be equipped with quality information that can be used to assist in medical decision-making. Objective Using Google’s RankBrain machine learning algorithm, we sought to characterize the content of the most frequently asked questions (FAQs) about COVID-19 vaccines evidenced by internet searches. Secondarily, we sought to examine the information transparency and quality of sources used by Google to answer FAQs on COVID-19 vaccines. Methods We searched COVID-19 vaccine terms on Google and used the “People also ask” box to obtain FAQs generated by Google’s machine learning algorithms. FAQs are assigned an “answer” source by Google. We extracted FAQs and answer sources related to COVID-19 vaccines. We used the Rothwell Classification of Questions to categorize questions on the basis of content. We classified answer sources as either academic, commercial, government, media outlet, or medical practice. We used the Journal of the American Medical Association’s (JAMA’s) benchmark criteria to assess information transparency and Brief DISCERN to assess information quality for answer sources. FAQ and answer source type frequencies were calculated. Chi-square tests were used to determine associations between information transparency by source type. One-way analysis of variance was used to assess differences in mean Brief DISCERN scores by source type. Results Our search yielded 28 unique FAQs about COVID-19 vaccines. Most COVID-19 vaccine–related FAQs were seeking factual information (22/28, 78.6%), specifically about safety and efficacy (9/22, 40.9%). The most common source type was media outlets (12/28, 42.9%), followed by government sources (11/28, 39.3%). Nineteen sources met 3 or more JAMA benchmark criteria with government sources as the majority (10/19, 52.6%). JAMA benchmark criteria performance did not significantly differ among source types (χ24=7.40; P=.12). One-way analysis of variance revealed a significant difference in mean Brief DISCERN scores by source type (F4,23=10.27; P<.001). Conclusions The most frequently asked COVID-19 vaccine–related questions pertained to vaccine safety and efficacy. We found that government sources provided the most transparent and highest-quality web-based COVID-19 vaccine–related information. Recognizing common questions and concerns about COVID-19 vaccines may assist in improving vaccination efforts.

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“…To the best of our knowledge, ours is the first study of its kind which analyzes the online resources Indian patients utilize to approach an orthopedic surgeon before undergoing total knee replacement. Few other studies like Shen et al, 16 Fraval et al, 5 Meneghini et al 17 and Carlin et al 18 have analyzed the trends of the internet usage by the orthopedic outpatients. In the current study, seventy percent (32% patients themselves and 38% relatives) of our patients searched information on internet about TKR before approaching the surgeon for getting the procedure done.…”

Section: Discussionmentioning

confidence: 99%

The influence of the internet on the patients’ choice of surgeon for their total knee replacement surgery

Londhe

Shah

Agrawal

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: To study the influence of the internet on the patient's choice about Total Knee Replacement surgery and about their choice of surgeon for their Total Knee Replacement procedure. Significance: Insight into patient's decision making will help the surgeon to increase his/her visibility and also will help in providing true and reliable information about the patient's ailment. Materials and methods: We studied 200 patients who were operated by a single surgeon. They were given a questionnaire which had various questions regarding their name, age, sex, date of operation. It also had leading questions like did you or your relative searched the net about the operation and the operating surgeon? The information was collected by self filled questionnaire form. Results: There were 166 females and 34 males. 70% of to be operated patients or their relatives searched the net before undergoing the Total knee replacement. Also 36% of patient relatives (mainly son or daughter) searched the surgeon on the net before finalizing the operation. 10% of patients searched the operating surgeon on the internet. 15% of patients or their relatives chose the operating surgeon based on their net search. Conclusion:Our study shows that a sizable number of decision makers (patients and their children) search the information about the operation and about their operating surgeon. Hence it is recommended that the surgeon should have an information portal to increase his/her visibility, patient reach and imparting proper information to the prospective patients regarding the operative procedure.

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Modern Internet Search Analytics and Total Joint Arthroplasty: What Are Patients Asking and Reading Online?

Cited by 56 publications

References 41 publications

Negative Online Ratings of Joint Replacement Surgeons: An Analysis of 6,402 Reviews

Negative Online Ratings of Joint Replacement Surgeons: An Analysis of 6,402 Reviews

Examining the Public’s Most Frequently Asked Questions Regarding COVID-19 Vaccines Using Search Engine Analytics in the United States: Observational Study

The influence of the internet on the patients’ choice of surgeon for their total knee replacement surgery

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