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The Quality of Online Orthopaedic Oncology Information
Ralph T Zade1, Jason P Tartaglione1, Ernest Chisena1
1Orthopaedic Associates of Central Maryland Division, Catonsville, MD (Dr. Zade); the Ortho Rhode Island, Warwick, RI (Dr. Tartaglione); and the Division of Orthopedic Surgery, Albany Medical Center, Albany, NY (Dr. Chisena, Dr. Adams, and Dr. DiCaprio).
Abstract:
"Cancer" is one of the top three health-related Internet searches, yet research shows over 30% of patients are confused after searching for medical information. The quality and accuracy of Internet oncology literature varies widely and can affect patient perceptions or seeking of care.
Purpose:
This study hypothesizes that online patient resources for orthopaedic oncology are often inconsistent, inaccurate, or incomprehensible by the standard patient and examines the readability, quality, and accuracy of common orthopaedic oncology websites.
Methods:
Three common search terms were searched in three popular search engines. The first 25 nonsponsored websites were identified for each term; randomized to search term; and evaluated via a 25-question quality score, DISCERN treatment-based score, predetermined accuracy score, and Flesch-Kincaid reading level.
Results:
Forty-eight websites were included. Website quality, DISCERN score, accuracy score, and reading level were not statistically different based on search term. Quality and DISCERN scores were markedly higher from websites without commercial gain. Websites were consistently written above the recommended reading level.
Discussion:
Online orthopaedic oncology literature is frequently confusing and complicated. The orthopaedic surgeon should be aware that patients frequently access this information and should ensure that patients receive accurate primary source material relevant to their care.
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