What Are Patients Saying About Minimally Invasive Spine Surgeons Online: A Sentiment Analysis of 2,235 Physician Review Website Reviews

Tang, Justin E.; White, Christopher A.; Arvind, Varun; Cho, Samuel K.; Kim, Jun; Steinberger, Jeremy

doi:10.7759/cureus.24113

Cited by 4 publications

(3 citation statements)

References 28 publications

(63 reference statements)

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“…Te R-squared value of this model was also used to optimize the minimum number of reviews required per physician to be included in this study. Tis method in determining the exclusion criteria was also used in the studies by Tang et al [14][15][16]. Te Student's t-tests were used to evaluate relationships between gender and both sentiment analysis scores and star ratings.…”

Section: Discussionmentioning

confidence: 99%

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Physician Review Websites: Understanding Patient Satisfaction with Ophthalmologists Using Natural Language Processing

Cheng

Ying

et al. 2023

Journal of Ophthalmology

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Introduction. The presence and influence of physician review websites (PRW) have increased significantly in the field of medicine. This study aims to better understand determinants of patient satisfaction and the sentiment of ophthalmologists using natural language processing of Healthgrades reviews. Methods. Healthgrades is a PRW where patients submit verified reviews, containing a star rating and a narrative review, of US-based ophthalmologists. This was a quantitative observational study conducted on May 23, 2022. We identified associations between physician demographics and both the sentiment analysis scores of narrative reviews and star ratings using the Student’s t-tests and one-way ANOVA tests. After natural language processing the reviews, a logistic regression explored the impacts of the most frequent words on the positivity of a given review. Results. This study examined a total of 16700 reviews of 1125 ophthalmologists. Ophthalmologists of younger age and male gender received statistically significantly higher star ratings and sentiment analysis scores; analysis of location of practice did not affect scores. Textual analysis revealed that words describing the physician’s personality, such as “friendly” and “caring,” increased the likelihood of reviews being positive more than descriptors of the visit’s effectiveness, such as “results” and “efficient.” Conclusion. Younger and male ophthalmologists received higher star ratings and sentiment analysis scores. Additionally, results indicated that words describing the ophthalmologist’s pleasant personality and the visit’s effectiveness most positively impacted a review, whereas descriptors of a wait or an unpleasant personality most negatively impacted a review.

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Section: Discussionmentioning

confidence: 99%

“…Finally, the scores are normalized to a compound score that ranges from a negative one to a positive one. We selected VADER given its past uses in online patient review analysis as well as its sensitivity to the language and format of social media platforms [14][15][16].…”

Section: Natural Language Processing (Vader Sentiment Analysismentioning

confidence: 99%

Physician Review Websites: Understanding Patient Satisfaction with Ophthalmologists Using Natural Language Processing

Cheng

Ying

et al. 2023

Journal of Ophthalmology

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“…In this study, the authors stipulated that the impact of lumbar spine incisions on patient satisfaction with clinical outcomes after spine surgery likely depends on several factors, including the type of surgical procedure performed, the extent of the incision, and the patient’s overall health status. The contemporary literature suggests that minimally invasive procedures requiring smaller incisions result in higher patient satisfaction rates than traditional open surgery, which mandates larger incisions [ 1 , 2 , 3 , 4 ]. Minimally invasive procedures can result in less blood loss, a shorter hospital stay, and a faster recovery time, which may contribute to higher patient satisfaction [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions

Quiring

Lorio²,

León

et al. 2023

JPM

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Background: In clinical outcome studies, patient input into the factors that drive higher satisfaction with lumbar minimally invasive spinal surgery (MISS) is rare. The skin incision is often the only visible consequence of surgery that patients can assess. The authors were interested in patients’ opinions about the type of lumbar paramedian minimally invasive spinal (MIS) skin incision employed during MISS and how novel skin incisions could impact patients’ interpretation of the outcome. The authors wanted to compare traditional lumbar stab incisions to three novel lumbar paramedian (MIS) skin incisions to determine if further study is indicated. The primary objective was to examine patient satisfaction and perceptions regarding lumbar paramedian MIS skin incisions. Methods: We reviewed the literature and conducted a patient opinion survey. Responses were solicited from back pain patients from a single chiropractic office. Survey questions regarding novel skin incisions for minimally invasive spine surgery (NSIMISS) were conceptualized. The three novel skin incisions were designed using Langer’s lines to reduce the total number of incisions; improve patient satisfaction; increase ease of surgical approach/fixation; and reduce operative time/radiation exposure. Results: One hundred and six participants were surveyed. When shown traditional lumbar paramedian MIS skin stab incisions, 76% of respondents indicated negative responses, n = 65. The majority of patients chose traditional stab incisions (n = 41) followed by novel larger intersecting incisions (n = 37). The least popular incisions were the novel horizontal (n = 20) and the novel mini oblique (n = 5) incisions. Female patients worried more than male patients about how their incision looked. However, there was no statistically significant difference (p value of 0.0418 via Mann–Whitney U one-tailed test and p value of 0.0836 via Mann–Whitney U two–tailed test). Patients less than or equal to 50 years of age worried more than patients over 51 years of age, which was statistically significant (p value of 0.0104 via Mann–Whitney U one-tailed test and p value of 0.0208 via Mann–Whitney U two-tailed test). Conclusions: Patients do have opinions on the type of lumbar paramedian MIS skin incision used. It appears that younger patients and female patients worry most about how the incision on their back looks after surgery. A larger population of patients across many demographics is needed to validate these findings.

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Sentiment analysis of pain physician reviews on Healthgrades: a physician review website

Cheng,

Owusu,

Shekane

et al. 2023

Reg Anesth Pain Med

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IntroductionThere are currently no published studies using patient reviews of pain physicians to quantitatively assess patient preferences for pain physician attributes. The aim of the present study was to use natural language processing to quantitatively analyze patient reviews of pain physicians by determining the effect of physician demographics and word frequency on positive review outcomes.MethodsUsing a peer-reviewed algorithm, online Healthgrades reviews of pain physicians practicing in the USA were scored according to their positive sentiment from −1 to 1. These sentiment scores and star ratings were used to compare physicians by age, gender and region of practice. Frequency analysis of words and bigrams was performed for all reviews.ResultsThere were 15 101 reviews collected among 1275 pain physicians which showed male physicians received higher star ratings and review sentiment scores than female physicians. Pain physicians younger than 55 years received higher star ratings and sentiment scores than those of 55 years and older. Frequency analysis revealed that words most commonly used in the more positive patient reviews included ‘care’, ‘professional’, ‘patient’, ‘help’ and ‘kind’; the words most commonly used in less positive reviews included ‘pain’, ‘back’, ‘office’, ‘time’ and ‘years’.ConclusionsMale and/or younger pain physicians receive more positive reviews. Patients highly rate pain physicians who are perceived as personable. Patients lowly rate physicians who are perceived as providing ineffective treatment of their pain as well as when they experience barriers to their access to care.

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What Are Patients Saying About Minimally Invasive Spine Surgeons Online: A Sentiment Analysis of 2,235 Physician Review Website Reviews

Cited by 4 publications

References 28 publications

Physician Review Websites: Understanding Patient Satisfaction with Ophthalmologists Using Natural Language Processing

Physician Review Websites: Understanding Patient Satisfaction with Ophthalmologists Using Natural Language Processing

Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions

Sentiment analysis of pain physician reviews on Healthgrades: a physician review website

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