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Arthroplasty information on the internet: quality or quantity?

Myles T Davaris1, Michelle M Dowsey1, Samantha Bunzli1

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Online information quality for total joint replacement (TJR) varies significantly. Clinicians should guide patients to reliable orthopaedic websites, addressing the shortage of validated TJR resources.

Keywords:
ArthroplastyInternetOrthopaedicPatient educationSurgeryWebsites

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Area of Science:

  • Orthopaedic surgery
  • Health informatics
  • Patient education

Background:

  • Total joint replacement (TJR) is a common, high-cost procedure significantly impacting patient quality of life.
  • Informed patient decision-making is crucial for TJR, yet online information quality is inconsistent.
  • Assessing the quality of online TJR information is vital for improving patient outcomes.

Purpose of the Study:

  • To evaluate the quality of online information available for total joint replacement (TJR).
  • To identify disparities in TJR information quality across different search terms and languages.
  • To explore the types of providers offering TJR information online.

Main Methods:

  • Searched Google across Australia, France, Germany, and Spain using 18 TJR-related keywords.
  • Evaluated the top 150 websites per keyword using the Health on the Net (HON) toolbar.
  • Analyzed information quality, considering language, search terms, and website providers.

Main Results:

  • 'Total joint replacement' yielded 150 million results; only 9% were HON-accredited.
  • Information quality varied significantly by search term and website tertile, but not by language.
  • HON-accredited sites were more prevalent for condition/arthroplasty keywords; government/educational bodies sponsored most sites.

Conclusions:

  • A significant shortage of validated online TJR information exists, with quality disparities.
  • Clinicians must actively guide patients to reliable, ethical orthopaedic websites.
  • Developing and directing patients to trustworthy online resources is essential for informed TJR decisions.