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Minimally Invasive Spine Surgery: Analyzing Internet-based Education Material.
Jessica Bryant1, Rohith Mohan2, Brian Koottappillil2
1Department of Orthopaedic Surgery, University of California, San Francisco, CA.
Clinical Spine Surgery
|January 10, 2018
Summary
Online information on minimally invasive spine surgery (MISS) is inconsistent. Most resources highlight benefits while inadequately detailing risks, impacting patient decision-making for this orthopedic procedure.
Area of Science:
- Spine Surgery
- Medical Information Dissemination
- Digital Health Literacy
Background:
- Patients increasingly use the internet for orthopedic procedure information.
- The accuracy and readability of online orthopedic educational materials vary significantly.
- Informed patient decision-making relies on accessible and reliable health information.
Purpose of the Study:
- To evaluate the content quality of online information regarding minimally invasive spine surgery (MISS).
- To assess the representation of benefits, risks, and techniques in MISS online resources.
- To compare information across different search engines and authorship types.
Main Methods:
- Cross-sectional analysis of the top 50 search results from Google, Yahoo!, and Bing for "minimally invasive spine surgery."
- Categorization of 150 websites and videos by authorship and content (benefits, risks, techniques).
- Statistical comparison using the Freeman-Halton extension of the Fisher exact test; evaluation of HONcode certification.
Main Results:
- Only 26% of resources were authored by hospitals/universities; 50% by private physicians/clinics.
- 84% mentioned benefits, but only 17% detailed risks.
- Almost half described the technique, with 27% offering thorough descriptions and visuals; 26% failed to describe the procedure.
- Only 12 results were HONcode certified, mostly from medical industry companies.
Conclusions:
- Internet resources on MISS offer inconsistent information.
- Online content disproportionately emphasizes the benefits of MISS over its risks.
- There is a need for more accurate, comprehensive, and balanced online patient education materials for MISS.
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