Quality of Web-Based Patient Information on Robotic Radical Cystectomy Remains Poor: A Standardized Assessment

Abstract

Introduction: Patients frequently use the Web to obtain health information. This trend increased during the COVID19 pandemic. We aimed to assess the quality of Web-based information on robotassisted radical cystectomy.Methods: A Web search was conducted in November 2021 using the 3 most common engines (Google/Bing/Yahoo). Search terms were "robotic cystectomy," "robot-assisted cystectomy," and "robotic radical cystectomy." The top 25 results generated for each term by each search engine were included. Duplicate pages, pages advertised, and pages with paywall access were excluded. Selected websites were classified as academic, physician, commercial, and unspecified. The quality of site contents was evaluated using the DISCERN and Journal of the American Medical Association (JAMA) assessment instruments, and HONcode (Health on the Net Foundation) seal and reference presence. Flesch Reading Ease Score was used for readability assessment.Results: Of the 225 sites examined only 34 were eligible for analysis, including 35.3% classified as "academic," 44.1% "physician," 11.8% "commercial," and 8.8% "unspecified." AverageAESD DISCERN and JAMA scores were 45.5AE15.7 and 1.9AE1.1, respectively. Commercial websites had the highest DISCERN and JAMA scores with a meanAESD of 64.7AE8.7 and 3.6AE0.5, respectively. Physician websites had a significantly lower JAMA mean score than commercial ones (p <0.001). Six websites had HONcode seals and 10 reported references. Readability was difficult as it was at the level of college graduate.Conclusions: As the role of robot-assisted radical cystectomy continues to grow worldwide, the overall quality of Web-based information related to this procedure remains poor. An effort should be made by health care providers to assure patients can have better access to reliable and readable informational material.

Is Systemic Immune-Inflammation Index a Real Non-Invasive Biomarker to Predict Oncological Outcomes in Patients Eligible for Radical Cystectomy?

“…Guven et al showed that a high baseline NLR and early NLR changes in patients treated with ICIs were associated with poor OS [40,41]. A PIV was also included in the prognostic scores of patients receiving treatment with ICIs, and again, higher values of these biomarkers were associated with lower OS and PFS and poorer responses to ICIs [42,43]. This research has limitations, including the retrospective cohort study was conducted at a single center and the relatively small patient sample size.…”

Evaluating AI in medicine: a comparative analysis of expert and ChatGPT responses to colorectal cancer questions

“…It comprises a collection of carefully curated 152 questions gathered from healthcare professionals, patients, and their families. These questions cover various aspects of CRC, including basic information (14), surgical management (16), internal medicine treatments (34), radiation therapy (7), interventional treatments (8), ostomy care (17), deep vein care (14), pain control (21). The psychology and Chinese traditional medicine (TCM) sections were not included in this research.…”

“…However, a lack of accessible knowledge often results in patients overlooking crucial signs and delaying their first visit to the hospital 5 . Additionally, misleading information online may lead to misdiagnosis or improper treatment 3 , 6 , 7 . While there are valuable resources like UpToDate 8 and MSD Manuals 9 that provide peer-reviewed information, they are primarily tailored towards healthcare professionals rather than patients.…”