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Web Page Content and Quality Assessed for Shoulder Replacement.

John R Matthews1, Caitlyn M Harrison, Travis M Hughes

  • 1UBMD Orthopaedic and Sports Department, Buffalo, NY. jrmatthe@buffalo.edu.

American Journal of Orthopedics (Belle Mead, N.J.)
|January 14, 2016
PubMed
Summary

Searching for shoulder replacement information online yields variable quality. Nontechnical terms like "shoulder replacement" on Yahoo may offer more patient-oriented, noncommercial sites, but overall reliability is low.

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Area of Science:

  • Health Informatics
  • Medical Communications

Background:

  • The internet is a primary source for health information.
  • Assessing the quality of online health information is crucial for patient understanding and decision-making.

Purpose of the Study:

  • To compare the quality and characteristics of online information for shoulder replacement using medical (total shoulder arthroplasty) and nontechnical (shoulder replacement) search terms.
  • To evaluate website categorization (commercial vs. noncommercial) and information orientation (patient vs. health professional).

Main Methods:

  • A systematic review of 90 websites per search term across Google, Yahoo, and Bing.
  • Websites were categorized and assessed using the DISCERN questionnaire for information quality.
  • Evaluators assessed information for patient- versus health professional-orientation.

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Main Results:

  • Total shoulder arthroplasty (TSA) yielded more health professional-oriented sites (30%) than shoulder replacement (SR) sites (18%).
  • SR websites offered slightly more patient-oriented information (48%) compared to TSA sites (45%).
  • Nontechnical search terms on Yahoo provided the most noncommercial and patient-oriented websites, though overall information quality was highly variable and often unreliable.

Conclusions:

  • The quality of online information regarding shoulder replacement is inconsistent and frequently incomplete.
  • Using nontechnical search terms may lead to more patient-focused resources, but critical evaluation remains essential.
  • Healthcare providers should guide patients in navigating and discerning reliable online health information.