Obstetric anal sphincter injury: a systematic review of information available on the internet

Ghai, Vishalli; Pergialiotis, Vasilios; Jan, H; Duffy, James M N; Doumouchtsis, Stergios K.

doi:10.1007/s00192-018-3753-9

Cited by 15 publications

(27 citation statements)

References 27 publications

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“…Few websites provided a complete description of the management options (ie, radiological surveillance vs surgical treatment). Similar limitations have been described for other health conditions such as pancreatic cancer and gynecological disorders [4,5,7,35,36]. Despite the overall lack of high-quality web-based health information, a few sources were excellent.…”

Section: Discussionmentioning

confidence: 72%

“…Across different health conditions, these high-quality websites represent the minority of cases. Three studies comparing the educational materials for obstetric and pelvic diseases reported that only 5% (3/58) [5], 15% (8/54) [7], and 4% (1/24) [4] of the materials achieved DISCERN scores greater than 60. Encouragingly, in our review, high-quality websites appeared as earlier search hits (our 2 high scorers appeared as the 16th and 17th hits), suggesting that they are more recognizable sources of information for internet users.…”

Section: Discussionmentioning

confidence: 99%

“…This is problematic for most readers since only 35% of American citizens complete an undergraduate college education and most Americans read at an elementary school level (Table 4) [37]. Studies have similarly found that the readability levels of web-based health information are above the reading levels of most Americans [4,5,7,35,36]. The American Medical Association, therefore, recommends a sixth-grade reading level for all patient-oriented educational materials [36].…”

Section: Discussionmentioning

confidence: 99%

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Quality and Readability of Web-Based Information for Patients With Pancreatic Cysts: DISCERN and Readability Test Analysis

Oman¹,

Zaver²,

Waddle³

et al. 2021

JMIR Cancer

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Background Pancreatic cysts are a complex medical problem with several treatment options. Patients use web-based health information to understand their conditions and to guide treatment choices. Objective The goal of this study was to describe the quality and readability of publicly available web-based information on pancreatic cysts and to compare this information across website affiliations. Methods A Google search for “pancreatic cysts” was performed and the first 30 websites were evaluated. Website affiliations were classified as academic, media, nonprofit, government, or not disclosed. Information describing cancer risk was recorded. The DISCERN instrument measured the quality of content regarding treatment choices. Four standardized tests were used to measure readability. Results Twenty-one websites were included. The majority of the websites (20/21, 95%) described the cancer risk associated with pancreatic cysts. Nearly half of the websites were written by an academic hospital or organization. The average DISCERN score for all websites was 40.4 (range 26-65.5, maximum 80). Websites received low scores due to lack of references, failure to describe the risks of treatment, or lack of details on how treatment choices affect quality of life. The average readability score was 14.74 (range 5.76-23.85, maximum 19+), indicating a college reading level. There were no significant differences across website affiliation groups. Conclusions Web-based information for patients with pancreatic cysts is of moderate quality and is written above the reading level of most Americans. Gastroenterological, cancer treatment organizations, and physicians should advocate for improving the available information by providing cancer risk stratification, treatment impact on quality of life, references, and better readability.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Quality and Readability of Web-Based Information for Patients With Pancreatic Cysts: DISCERN and Readability Test Analysis

Oman¹,

Zaver²,

Waddle³

et al. 2021

JMIR Cancer

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“…The dissemination of inaccurate health information has been clearly demonstrated in other areas of women's health. [7][8][9] The implications and sequelae of this information is difficult to quantify.…”

Section: Relevancementioning

confidence: 99%

“…[6] Previous systematic reviews of online information in areas of women's health including: endometriosis; obstetric anal sphincter injury; and bladder pain syndrome have revealed poor quality, accuracy, and readability. [7][8][9] A single systematic review relating to online information of fibroids has been published, however this only assess quality. [10] We systematically assessed the accuracy, quality, and readability of webpages providing information regarding the diagnosis and management of fibroids.…”

Section: Introductionmentioning

confidence: 99%

Googling fibroids: A critical appraisal of information available on the internet

Hirsch

Wojtaszewska

Sarıdoğan

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Tsiapakidou

Nygaard

Pape

et al. 2021

Intl J Gynecology & Obste

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Objective To systematically evaluate the content and quality of national and international guidelines on vaginal mesh procedures for pelvic organ prolapse (POP). Methods We searched PubMed, Medline, Web of Science, and ScienceDirect from inception to March 2020 and organizations’ websites. The quality of the guidelines was assessed independently by six appraisers using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Results Five guidelines were included. Most guidelines recommended individualized treatments, clinical observation, and conservative treatment for asymptomatic women discouraging the use of mesh. Vaginal pessary and pelvic floor muscle training are unanimously considered effective treatments. Only two guidelines recommended weight loss. Each guideline recommended patient counseling supported by data on success rates and complications. Most guidelines highlighted the importance of a specialist experienced surgeon, multidisciplinary teams, and national/international registries. All guidelines highlighted potential benefits of the use of mesh and reported possible complications. The overall quality rating ranged between 4.2 and 6.3, suggestive of moderate to high quality. The highest mean score (92.5%) pertained to “Scope and Purpose” and “Clarity of Presentation”, and the lowest to “Editorial Independence” (18%). Three out of five guidelines were “strongly recommended” by the appraisers. Conclusion Although most guidelines were of moderate to high quality, methodological applicability, stakeholder involvement, and editorial independence were domains with low scores.

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Obstetric anal sphincter injury: a systematic review of information available on the internet

Abstract: Online information concerning obstetric anal sphincter injury often uses language that is inappropriate for a lay audience and lacks sufficient accuracy, credibility, and reliability.

Cited by 15 publications

References 27 publications

Quality and Readability of Web-Based Information for Patients With Pancreatic Cysts: DISCERN and Readability Test Analysis

Quality and Readability of Web-Based Information for Patients With Pancreatic Cysts: DISCERN and Readability Test Analysis

Googling fibroids: A critical appraisal of information available on the internet

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

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