背景:在线健康信息(OHI)已变得广泛获取,并影响患者有关其医疗保健的决策。这项研究的目的是评估可读性,质量,以及在线患者可获得的有关阴茎假体植入物(PPI)的信息的准确性。
方法:我们使用关键字“阴茎植入物”和“阴茎假体”进行了Google搜索。“对这两个术语的前30个搜索结果进行了分析,和广告,新闻文章,重复项,视频被排除在外。网站被归类为机构,商业,和个人/患者支持。使用可读工具中的Flesch-Kincaid等级(FKGL)可读性公式确定每个网站的可读性。质量通过健康在线(HON)认证状态和DISCERN评分方法来衡量。为了网站的准确性,1-4分(1=0-25%,2=25-50%,3=50-75%,和4=75-100%)被分配。
结果:44个网站符合标准(23个机构,12商业,和9个人/患者支持)。平均总FKGL评分为9.55。在每个网站类别的平均FKGL之间没有检测到统计学差异(p=0.69)。只有8个网站(18%)评分≤8年级阅读水平(美国成年人平均水平),而36(82%)>8年级。平均DISCERN总分为39.74/75,网站类型之间的DISCERN总分无统计学差异(p=0.08)。超过一半(55%)的网站被DISCERN评分定义为“非常差”或“差”质量。平均总质量等级为2.67/5。只有9个网站(20%)验证了HON认证。25%的网站被归类为0-25%的准确率,23%的准确率为25-50%,30%的准确率为50-75%,23%的准确率为75-100%。
结论:Internet上有关PPI的大多数信息都相当准确;但是,大多数网站质量不足,普通患者无法阅读,无论网站类型。
BACKGROUND: Online health information (OHI) has become widely accessible and affects patient decisions regarding their healthcare. The purpose of this study was to assess the readability, quality, and accuracy of information available to patients online about penile prosthesis implants (PPIs).
METHODS: We performed a Google search using the keywords \"penile implant\" and \"penile prosthesis.\" The first 30 search results for both terms were analyzed, and advertisements, news articles, duplicates, and videos were excluded. Websites were categorized as institutional, commercial, and personal/patient support. Readability of each website was determined using the Flesch-Kincaid grade level (FKGL) readability formula within the readable tool. Quality was measured by Health On the Net (HON) certification status and the DISCERN scoring method. For website accuracy, a score of 1-4 (1=0-25%, 2=25-50%, 3=50-75%, and 4=75-100%) was assigned.
RESULTS: Forty-four websites met the criteria (23 institutional, 12 commercial, and 9 personal/patient support). The mean total FKGL score was 9.55. No statistical difference was detected between mean FKGL for each website category (p=0.69). Only eight websites (18%) scored ≤8th-grade reading level (average US adult level), while 36 (82%) were >8th-grade level. Mean total DISCERN sum score was 39.74/75, with no statistical difference in mean DISCERN score between website types (p=0.08). Over half (55%) of the websites were defined as \"very poor\" or \"poor\" quality by DISCERN scoring. Mean total overall quality rating was 2.67/5. HON certification was verified for only nine websites (20%). Twenty-five percent of websites were classified as 0-25% accurate, 23% were 25-50% accurate, 30% were 50-75% accurate, and 23% were 75-100% accurate.
CONCLUSIONS: Most information on the Internet about PPIs is reasonably accurate; however, the majority of websites are deficient in quality and unreadable to the average patient, irrespective of website type.