bims-librar Biomed News on Biomedical librarianship
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Issue of 2020‒01‒19 │
sixteen papers selected by │
Thomas Krichel (Open Library │
Society) │
http://e.biomed.news/librar │
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1. Sensitive Versus Specific Search Strategy to Answer Clinical Questions.
2. You Get What You Pay for on Health Care Question and Answer Platforms:
Nonparticipant Observational Study.
3. Using the MINT Database to Search Protein Interactions.
4. Software tools to support title and abstract screening for systematic
reviews in healthcare: an evaluation.
5. Using Natural Language Processing to Examine the Uptake, Content, and
Readability of Media Coverage of a Pan-Canadian Drug Safety Research
Project: Cross-Sectional Observational Study.
6. Tools to Assess the Trustworthiness of Evidence-Based Point-of-Care
Information for Health Care Professionals: Systematic Review.
7. Medicines information: dwindling support in the age of information
overload.
8. Patient-oriented online resources in pediatric surgery: Are we failing
the readability test?
9. Recent trends in diabetes-related consumer health information
technology research.
10. Quality of Information About Bariatric Surgery on the Internet: A
Two-Continent Comparison of Website Content.
11. The informative value and design of orthodontic practice websites in
The Netherlands.
12. Systematic Analysis of Readability of Patient Information on Internet
Pages from Departments for Trauma Surgery of German University Hospitals.
13. A Qualitative Study Assessing Information on the Internet Compared
With AAOS Guidelines for the Treatment of Distal Radius Fractures.
14. QUALITY AND RELIABILITY OF PUBLICLY ACCESSIBLE INFORMATION ON LASER
TREATMENTS FOR URINARY INCONTINENCE: WHAT IS AVAILABLE TO OUR PATIENTS?
15. Use of online information in diabetes.
16. Disappearing libraries.
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J Nurs Educ. 2020 Jan 01. 59(1): 22-25
1. Sensitive Versus Specific Search Strategy to Answer Clinical Questions.
Stillwell SB, Scott JG
BACKGROUND: Students and clinicians are challenged to locate evidence to
answer clinical questions. Searching experiences include frustration with
words to query databases, lack of searching skills, lack of confidence in
nursing databases, and questioning how many databases to search. To
implement practice change based on best available evidence, search
strategies need to be efficient and effective.
METHOD: We replicated the systematic review by Stillwell, Vermeesch, and
Scott, which used a specific search, with a sensitive search to compare
search strategies to answer the clinical question.
RESULTS: The specific search produced 5,108 articles, with eight being
relevant; whereas the sensitive search produced 11,362 articles with nine
being relevant.
CONCLUSION: The sensitive search located the same eight studies and one
additional study. If PubMed instead of MEDLINE had been used in the specific
search, the results would have been identical. [J Nurs Educ.
2020;59(1):22-25.].
DOI: https://doi.org/10.3928/01484834-20191223-05
URL: http://www.ncbi.nlm.nih.gov/pubmed/31945170
J Med Internet Res. 2020 Jan 15. 22(1): e13534
2. You Get What You Pay for on Health Care Question and Answer Platforms:
Nonparticipant Observational Study.
Ameri F, Keeling K, Salehnejad R
BACKGROUND: Seeking health information on the internet is very popular
despite the debatable ability of lay users to evaluate the quality of health
information and uneven quality of information available on the Web.
Consulting the internet for health information is pervasive, particularly
when other sources are inaccessible because of time, distance, and money
constraints or when sensitive or embarrassing questions are to be explored.
Question and answer (Q&A) platforms are Web-based services that provide
personalized health advice upon the information seekers' request. However,
it is not clear how the quality of health advices is ensured on these
platforms.
OBJECTIVE: The objective of this study was to identify how platform design
impacts the quality of Web-based health advices and equal access to health
information on the internet.
METHODS: A total of 900 Q&As were collected from 9 Q&A platforms with
different design features. Data on the design features for each platform
were generated. Paid physicians evaluated the data to quantify the quality
of health advices. Guided by the literature, the design features that
affected information quality were identified and recorded for each Q&A
platform. The least absolute shrinkage and selection operator and unbiased
regression tree methods were used for the analysis.
RESULTS: Q&A platform design and health advice quality were related.
Expertise of information providers (beta=.48; P=.001), financial incentive
(beta=.4; P=.001), external reputation (beta=.28; P=.002), and question
quality (beta=.12; P=.001) best predicted health advice quality. Virtual
incentive, Web 2.0 mechanisms, and reputation systems were not associated
with health advice quality.
CONCLUSIONS: Access to high-quality health advices on the internet is
unequal and skewed toward high-income and high-literacy groups. However,
there are possibilities to generate high-quality health advices for free.
Keywords: eHealth; health care access; health information; health
literacy; information literacy; internet health information
DOI: https://doi.org/10.2196/13534
URL: http://www.ncbi.nlm.nih.gov/pubmed/31939741
Curr Protoc Bioinformatics. 2020 Mar;69(1): e93
3. Using the MINT Database to Search Protein Interactions.
Calderone A, Iannuccelli M, Peluso D, Licata L
The Molecular INTeractions Database (MINT) is a public database designed to
store information about protein interactions. Protein interactions are
extracted from scientific literature and annotated in the database by expert
curators. Currently (October 2019), MINT contains information on more than
26,000 proteins and more than 131,600 interactions in over 30 model
organisms. This article provides protocols for searching MINT over the
Internet, using the new MINT Web Page. © 2020 by John Wiley & Sons, Inc.
Basic Protocol 1: Searching MINT over the internet Alternate Protocol: MINT
visualizer Basic Protocol 2: Submitting interaction data.
Keywords: MINT; database; protein-protein interaction
DOI: https://doi.org/10.1002/cpbi.93
URL: http://www.ncbi.nlm.nih.gov/pubmed/31945268
BMC Med Res Methodol. 2020 Jan 13. 20(1): 7
4. Software tools to support title and abstract screening for systematic
reviews in healthcare: an evaluation.
Harrison H, Griffin SJ, Kuhn I, Usher-Smith JA
BACKGROUND: Systematic reviews are vital to the pursuit of evidence-based
medicine within healthcare. Screening titles and abstracts (T&Ab) for
inclusion in a systematic review is an intensive, and often collaborative,
step. The use of appropriate tools is therefore important. In this study, we
identified and evaluated the usability of software tools that support T&Ab
screening for systematic reviews within healthcare research.
METHODS: We identified software tools using three search methods: a
web-based search; a search of the online "systematic review toolbox"; and
screening of references in existing literature. We included tools that were
accessible and available for testing at the time of the study (December
2018), do not require specific computing infrastructure and provide basic
screening functionality for systematic reviews. Key properties of each
software tool were identified using a feature analysis adapted for this
purpose. This analysis included a weighting developed by a group of medical
researchers, therefore prioritising the most relevant features. The highest
scoring tools from the feature analysis were then included in a user survey,
in which we further investigated the suitability of the tools for supporting
T&Ab screening amongst systematic reviewers working in medical research.
RESULTS: Fifteen tools met our inclusion criteria. They vary significantly
in relation to cost, scope and intended user community. Six of the
identified tools (Abstrackr, Colandr, Covidence, DRAGON, EPPI-Reviewer and
Rayyan) scored higher than 75% in the feature analysis and were included in
the user survey. Of these, Covidence and Rayyan were the most popular with
the survey respondents. Their usability scored highly across a range of
metrics, with all surveyed researchers (n = 6) stating that they would be
likely (or very likely) to use these tools in the future.
CONCLUSIONS: Based on this study, we would recommend Covidence and Rayyan to
systematic reviewers looking for suitable and easy to use tools to support
T&Ab screening within healthcare research. These two tools consistently
demonstrated good alignment with user requirements. We acknowledge, however,
the role of some of the other tools we considered in providing more
specialist features that may be of great importance to many researchers.
Keywords: Feature analysis; Screening; Software tools; Systematic reviews;
Title and abstract
DOI: https://doi.org/10.1186/s12874-020-0897-3
URL: http://www.ncbi.nlm.nih.gov/pubmed/31931747
JMIR Form Res. 2020 Jan 14. 4(1): e13296
5. Using Natural Language Processing to Examine the Uptake, Content, and
Readability of Media Coverage of a Pan-Canadian Drug Safety Research
Project: Cross-Sectional Observational Study.
Mohammadhassanzadeh H, Sketris I, Traynor R, Alexander S, Winquist B,
Stewart SA
BACKGROUND: Isotretinoin, for treating cystic acne, increases the risk of
miscarriage and fetal abnormalities when taken during pregnancy. The Health
Canada-approved product monograph for isotretinoin includes pregnancy
prevention guidelines. A recent study by the Canadian Network for
Observational Drug Effect Studies (CNODES) on the occurrence of pregnancy
and pregnancy outcomes during isotretinoin therapy estimated poor adherence
to these guidelines. Media uptake of this study was unknown; awareness of
this uptake could help improve drug safety communication.
OBJECTIVE: The aim of this study was to understand how the media present
pharmacoepidemiological research using the CNODES isotretinoin study as a
case study.
METHODS: Google News was searched (April 25-May 6, 2016), using a predefined
set of terms, for mention of the CNODES study. In total, 26 articles and 3
CNODES publications (original article, press release, and podcast) were
identified. The article texts were cleaned (eg, advertisements and links
removed), and the podcast was transcribed. A dictionary of 1295 unique words
was created using natural language processing (NLP) techniques (term
frequency-inverse document frequency, Porter stemming, and stop-word
filtering) to identify common words and phrases. Similarity between the
articles and reference publications was calculated using Euclidian distance;
articles were grouped using hierarchical agglomerative clustering. Nine
readability scales were applied to measure text readability based on factors
such as number of words, difficult words, syllables, sentence counts, and
other textual metrics.
RESULTS: The top 5 dictionary words were pregnancy (250 appearances),
isotretinoin (220), study (209), drug (201), and women (185). Three distinct
clusters were identified: Clusters 2 (5 articles) and 3 (4 articles) were
from health-related websites and media, respectively; Cluster 1 (18
articles) contained largely media sources; 2 articles fell outside these
clusters. Use of the term isotretinoin versus Accutane (a brand name of
isotretinoin), discussion of pregnancy complications, and assignment of
responsibility for guideline adherence varied between clusters. For example,
the term pregnanc appeared most often in Clusters 1 (14.6 average times per
article) and 2 (11.4) and relatively infrequently in Cluster 3 (1.8).
Average readability for all articles was high (eg, Flesch-Kincaid, 13;
Gunning Fog, 15; SMOG Index, 10; Coleman Liau Index, 15; Linsear Write
Index, 13; and Text Standard, 13). Readability increased from Cluster 2
(Gunning Fog of 16.9) to 3 (12.2). It varied between clusters (average
13th-15th grade) but exceeded the recommended health information reading
level (grade 6th to 8th), overall.
CONCLUSIONS: Media interpretation of the CNODES study varied, with
differences in synonym usage and areas of focus. All articles were written
above the recommended health information reading level. Analyzing media
using NLP techniques can help determine drug safety communication
effectiveness. This project is important for understanding how drug safety
studies are taken up and redistributed in the media.
Keywords: knowledge translation; mass media; natural language processing;
pharmacoepidemiology; readability
DOI: https://doi.org/10.2196/13296
URL: http://www.ncbi.nlm.nih.gov/pubmed/31934872
J Med Internet Res. 2020 Jan 17. 22(1): e15415
6. Tools to Assess the Trustworthiness of Evidence-Based Point-of-Care
Information for Health Care Professionals: Systematic Review.
Lenaerts G, Bekkering GE, Goossens M, De Coninck L, Delvaux N, Cordyn S,
Adriaenssens J, Vankrunkelsven P
BACKGROUND: User-friendly information at the point of care should be well
structured, rapidly accessible, and comprehensive. Also, this information
should be trustworthy, as it will be used by health care practitioners to
practice evidence-based medicine. Therefore, a standard, validated tool to
evaluate the trustworthiness of such point-of-care information resources is
needed.
OBJECTIVE: This systematic review sought to search for tools to assess the
trustworthiness of point-of-care resources and to describe and analyze the
content of these tools.
METHODS: A systematic search was performed on three sources: (1) we searched
online for initiatives that worked off of the trustworthiness of medical
information; (2) we searched Medline (PubMed) until June 2019 for relevant
literature; and (3) we scanned reference lists and lists of citing papers
via Web of Science for each retrieved paper. We included all studies,
reports, websites, or methodologies that reported on tools that assessed the
trustworthiness of medical information for professionals. From the selected
studies, we extracted information on the general characteristics of the
tools. As no standard, risk-of-bias assessment instruments are available for
these types of studies, we described how each tool was developed, including
any assessments on reliability and validity. We analyzed the criteria used
in the different tools and divided them into five categories: (1)
author-related information; (2) evidence-based methodology; (3) website
quality; (4) website design and usability; and (5) website interactivity.
The percentage of tools in compliance with these categories and the
different criteria were calculated.
RESULTS: Included in this review was a total of 17 tools, all published
between 1997 and 2018. The tools were developed for different purposes, from
a general quality assessment of medical information to very detailed
analyses, all specifically for point-of-care resources. However, the
development process of the tools was poorly described. Overall, seven tools
had a scoring system implemented, two were assessed for reliability only,
and two other tools were assessed for both validity and reliability. The
content analysis showed that all the tools assessed criteria related to an
evidence-based methodology: 82% of the tools assessed author-related
information, 71% assessed criteria related to website quality, 71% assessed
criteria related to website design and usability, and 47% of the tools
assessed criteria related to website interactivity. There was significant
variability in criteria used, as some were very detailed while others were
more broadly defined.
CONCLUSIONS: The 17 included tools encompass a variety of items important
for the assessment of the trustworthiness of point-of-care information.
Overall, two tools were assessed for both reliability and validity, but they
lacked some essential criteria for the assessment of the trustworthiness of
medical information for use at the point-of-care. Currently, a standard,
validated tool does not exist. The results of this review may contribute to
the development of such an instrument, which may enhance the quality of
point-of-care information in the long term.
TRIAL REGISTRATION: PROSPERO CRD42019122565; https://www.crd.york.ac.uk/prospero/dis
play_record.php?RecordID=122565.
Keywords: evidence-based medicine; evidence-based practice; health care
quality; information science; internet information; point-of-care systems;
systematic review
DOI: https://doi.org/10.2196/15415
URL: http://www.ncbi.nlm.nih.gov/pubmed/31951213
Aust Prescr. 2019 Dec;42(6): 178-179
7. Medicines information: dwindling support in the age of information
overload.
Prior F
Keywords: drug information; pharmacists
DOI: https://doi.org/10.18773/austprescr.2019.068
URL: http://www.ncbi.nlm.nih.gov/pubmed/31937985
J Pediatr Surg. 2019 Dec 27. pii: S0022-3468(19)30881-4.
8. Patient-oriented online resources in pediatric surgery: Are we failing
the readability test?
Prieto JM, West-Santos C, Montgomery AS, Patwardhan U, Lazar DA,
Thangarajah H, Bickler SW, Huang EY, Fairbanks TJ, Ignacio RC
BACKGROUND: The study aim was to evaluate the readability of
patient-oriented resources in pediatric surgery from children's hospitals in
the US.
METHODS: The websites of 30 children's hospitals were evaluated for
information on 10 common pediatric surgical procedures. Hospitals of varying
characteristics including bed number, geographic location and ACS Children's
Surgery Verification (CSV) were selected for the study. Readability scores
were calculated using validated algorithms, and text was assigned an overall
grade level.
RESULTS: Of 195 patient-oriented resources identified, only three (2%) were
written at or below the recommended sixth grade level. Larger hospitals
provided patient information at a higher grade level than medium and smaller
sized centers (10.7 vs 9.3 vs 9.0 respectively, p < 0.001). Hospital size
also correlated with availability of information, with large and medium
sized hospitals having information more often. Hospitals with ACS CSV had
information available more often, and written at a lower grade level,
compared to nonverified centers (78% vs 62%, p = 0.023; 9.0 vs 10.0,
p = 0.013).
CONCLUSION: Most hospital provided patient-oriented resources in pediatric
surgery are written at a grade level well above the national guidelines.
Centers with ACS CSV status have improved availability and readability of
this material, while larger hospitals have improved availability, but
decreased readability.
TYPE OF STUDY: Modeling study.
LEVEL OF EVIDENCE: III.
Keywords: Educational material; Online information; Patient education;
Patient information; Readability
DOI: https://doi.org/10.1016/j.jpedsurg.2019.11.018
URL: http://www.ncbi.nlm.nih.gov/pubmed/31952681
Conf Proc IEEE Eng Med Biol Soc. 2019 Jul;2019 4283-4288
9. Recent trends in diabetes-related consumer health information
technology research.
Claiborne JP, Wellbeloved-Stone C, Valdez RS
Diabetes-related consumer health information technology (CHIT) has been
designed to facilitate self-management practices, and its use has improved
health outcomes for many consumers. This analysis sought to identify
tendencies in diabetes-related CHIT research from 2010-2015 to help
researchers find novel research topics, periodicals, collaborators, and
funding agencies and experts and lay consumers to find scholarly
information. Six search engines encompassing computer science, engineering,
and medicine yielded potential diabetes-related CHIT publications. Abstracts
and full texts were screened based on inclusion and exclusion criteria.
Information on year, periodical, periodical domain, keywords, author
location, author institutions, authors, and funding agencies were collected
from included publications. The screening process yielded 1551 publications.
Studies were published in a core of twenty periodicals, commonly comprising
medicine or technology domains. "Telemedicine" was the most frequently used
keyword. Harvard University, Dr. Eirik Årsand, and the National Institute of
Diabetes and Digestive Kidney Diseases were the most frequent author
institution, author, and funding agency, respectively, associated with
publications. This analysis revealed potential for novel research on the
sociology and economics of diabetes-related CHIT, among other topics. A lack
of collaboration between top authors in the field indicates potential for
new, impactful collaborations. Ongoing bibliometric research will be
necessary to assess changes in this field. The opportunity exists to inform
lay consumers and researchers through bibliometric analyses of other
consumer health informatics topics.
DOI: https://doi.org/10.1109/EMBC.2019.8857052
URL: http://www.ncbi.nlm.nih.gov/pubmed/31946815
Obes Surg. 2020 Jan 16.
10. Quality of Information About Bariatric Surgery on the Internet: A
Two-Continent Comparison of Website Content.
Barajas-Gamboa JS, Klingler M, Landreneau J, Strong A, Al Zubaidi A,
Sharadgah H, Del Gobbo GD, Abril C, Kroh M, Corcelles R
BACKGROUND: Many patients considering bariatric surgery will obtain medical
information through the Internet. The type and quality of information
patients access may vary significantly by geographic region.
METHODS: Searches were performed using commercial search engines in both the
United States of America (USA) and United Arab Emirates (UAE) using search
terms "bariatric surgery" and "weight loss surgery." Quality was assessed
using the scoring systems previously published by DISCERN (United Kingdom
(UK)), the Journal of the American Medical Association Benchmark (JAMA;
USA), and Expanded Ensuring Quality Information for Patients (EQIP) (UK).
RESULTS: Website types were more evenly distributed in UAE, though physician
websites were also the most common (n = 25, 25%). Within the USA, most
websites analyzed were from physicians (n = 32, 32%), followed by academic
sources (n = 26, 26%). Academic websites were the highest average quality in
the USA (p < .00001). The overall mean DISCERN scores for all websites in
the UAE group and US group had no statistically significance differences
(p = .950). The overall mean JAMA Benchmark for all websites in the UAE
group and USA had no statistically significance differences (p = 0.202).
There were no major differences between the USA and UAE in Expanded EQIP
scores.
CONCLUSIONS: The overall quality of information regarding bariatric surgery
is poor to fair in both the USA and UAE. Additionally, there are differences
in the types of sites retrieved by the most commonly used search engines in
each region. The lack of high-quality, evidence-based, information regarding
bariatric surgery online is a potential target to improve public education.
Keywords: Bariatric surgery; Information; Internet; Quality; Website;
Weight loss surgery
DOI: https://doi.org/10.1007/s11695-019-04375-5
URL: http://www.ncbi.nlm.nih.gov/pubmed/31950316
Prog Orthod. 2020 Jan 13. 21(1): 2
11. The informative value and design of orthodontic practice websites in
The Netherlands.
Oey CG, Livas C
BACKGROUND: The aims of this cross-sectional study were to investigate the
regulatory compliance of Dutch practice websites offering orthodontic
services, readability of the available treatment information, website design
as well as possible relationship with practice location and professional
qualification of practitioners.
METHODS: A comprehensive Internet search was performed using the Google
search engine and five relevant terms in Dutch. Eligibility screening of the
first 50 results of each search led to the final inclusion of 111 websites.
The content of the selected websites was evaluated in terms of compliance to
international regulations on ethical advertising guidelines (CED), treatment
information text readability using Flesch Reading Ease Score (FRES), and
website design using the BDC assessment tool.
RESULTS: Reporting of websites according to CED guidelines covered on
average 85% of the mandatory items. No significant differences were observed
between dental and orthodontic practices, and between practices located in
densely and sparsely populated regions (P > 0.05). The mean FRES of the
displayed information indicated difficult-to-understand text. BDC scores of
multi-location practices were significantly higher than the rest (P < 0.006).
CONCLUSIONS: The websites of orthodontic practices in The Netherlands do not
fully comply with CED guidelines on ethical advertising. Readability of the
displayed information and website technical performance needs to be further
optimized.
Keywords: Ethics; Patient education; Practice management; Websites
DOI: https://doi.org/10.1186/s40510-019-0302-0
URL: http://www.ncbi.nlm.nih.gov/pubmed/31930444
Z Orthop Unfall. 2020 Jan 13.
12. Systematic Analysis of Readability of Patient Information on Internet
Pages from Departments for Trauma Surgery of German University Hospitals.
Paul S, Ahrend MD, Lüers JC, Roth KS, Grimmiger PP, Bopp F, Janghorban
Esfahani B
INTRODUCTION: The need-based information transfer in education as well as
for the recruitment of patients becomes more and more relevant. Here, the
internet has emerged as an increasingly important factor in recent years and
therefore information pages on hospital homepages can be very helpful.
However, it is known that basic text comprehension skills are lacking among
large populations.
METHOD: The aim of the present study was to evaluate the readability of the
patient information available on the websites of trauma departments of
German university hospitals. For this purpose, a search for information
material on 10 different diagnoses was carried out. Out of 360 texts
possible, 185 were found and assigned to 2 superordinate thematic areas
(emergency vs. elective operations), subjected to a systematic text analysis
via software "Text-Lab" and rated using 5 known readability indices (Amstad,
G-SMOG, LIX, HIX, WSTF).
RESULTS: The indices used for both thematic complexes consistently showed
poor readability, so that the texts only seem sufficiently comprehensible to
readers with higher education. (Amstad: 21.4 ± 20.8; G-SMOG: 11.6 ± 2.0;
WSTF 13.3 ± 2.1; LIX: 60.9 ± 7.6; HIX: 4.1 ± 3.2).
CONCLUSION: For the medical information provided by university hospitals,
there is a clear need for improvement in order to make the adequate
acquisition of knowledge accessible to a broader spectrum of patients.
DOI: https://doi.org/10.1055/a-1059-9779
URL: http://www.ncbi.nlm.nih.gov/pubmed/31931534
Orthopedics. 2020 Jan 13. 1-8
13. A Qualitative Study Assessing Information on the Internet Compared
With AAOS Guidelines for the Treatment of Distal Radius Fractures.
Lamont SM, Steffensmeier AM, Harman TW, Martineau DW
The goal of this study was to compare information available on the Internet
about the treatment of distal radius fractures with the guidelines
established by the American Academy of Orthopaedic Surgeons (AAOS) in a
qualitative observational study. A scoring system was used to compare the
top 20 websites, excluding advertisements, from Google, Bing, and Yahoo with
the AAOS guidelines. In addition, the results of the advertising content and
the social media content were discussed. Of the 32 unique websites included
in the study, 22 (68.75%) suggested operative fixation for fractures with
unacceptable postreduction alignment (radial shortening >3 mm, dorsal tilt
>10°, or intra-articular displacement or step-off >2 mm) as opposed to cast
fixation. Of the 32 sites, 26 (81.25%) were unable to recommend for or
against any 1 specific operative method for fixation of distal radius
fractures. Only 2 of 32 (6.25%) sites mentioned age-specific
recommendations, and 6 of 32 (18.75%) mentioned accurate activity protocols.
Because the AAOS cannot recommend for or against immobilization of the elbow
in patients treated with cast immobilization, it is reasonable that 7 of 32
(21.88%) sites discussed these options. The websites common to all 3 search
engines also scored very well, with 84.89% of their recommendations being
consistent with the AAOS recommendations. Most websites contain appropriate
recommendations for the treatment of distal radius fractures. However, there
is a significant amount of misinformation as well. The available information
may be difficult for patients to interpret and may affect their expectations
about care. [Orthopedics. 2020;43(x):xx-xx.].
DOI: https://doi.org/10.3928/01477447-20200107-01
URL: http://www.ncbi.nlm.nih.gov/pubmed/31930412
J Minim Invasive Gynecol. 2020 Jan 09. pii: S1553-4650(20)30034-0.
14. QUALITY AND RELIABILITY OF PUBLICLY ACCESSIBLE INFORMATION ON LASER
TREATMENTS FOR URINARY INCONTINENCE: WHAT IS AVAILABLE TO OUR PATIENTS?
Perruzza D, Jolliffe C, Butti A, McCaffrey C, Kung R, Gagnon L, Lee P
STUDY OBJECTIVE: To determine the quality and reliability of the top 20
internet search results for laser treatment of SUI.
DESIGN: review of 20 websites SETTING: n/a PATIENTS: none INTERVENTIONS: An
internet search with the most popular search engine, Google, was undertaken
to identify the top 20 websites for laser treatment of stress urinary
incontinence (SUI). Standardized, validated tools for the analysis of
website quality, credibility and transparency were used independently by 7
health care workers: DISCERN instrument, JAMA benchmarks and HONcode
certification. Readability of the information was assessed by a single
reviewer using the Flesch-Kincaid Grade Level and Automated Readability
Index (ARI). The intraclass correlation coefficient (ICC) was calculated to
document reliability between website assessors.
MEASUREMENTS AND MAIN RESULTS: 15/20 websites reviewed were created by
private clinics, 2/20 by online newspaper/newsletters, and 3 by laser
medical device manufacturers. 0/20 websites met all of the JAMA criteria:
1/20 websites had attained authorship, 1/20 had clear attribution, 0/20 had
adequate disclosure and 2/20 achieved currency. None of the websites took
part in the HONcode certification program. The mean DISCERN score (to
determine quality of websites) was 40 (out of 80) with the lowest average
scores within the DISCERN tool primarily associated with clarity around
sources of information, website bias, posting dates, risks of treatment and
shared treatment decision making. The intraclass correlation coefficient
(ICC) was calculated for the DISCERN tool (0.72, 95%CI 0.48-0.87) and JAMA
benchmarks (0.85, 95%CI 0.73-0.93). The mean Flesch-Kincaid grade level was
13.2 (±3.1) and the ARI scores ranged from 7.6 to 22.8 (mean 13.5±3.5).
CONCLUSION: There is a lack of good quality, reliable and unbiased
information available to patients on laser treatment of SUI in the most
commonly searched websites. Information is presented at a reading level that
is above that of the average reader and may indicate that patients will have
trouble comprehending the information.
Keywords: laser vaginal treatment; stress urinary incontinence; website
review
DOI: https://doi.org/10.1016/j.jmig.2020.01.001
URL: http://www.ncbi.nlm.nih.gov/pubmed/31927043
J Diabetes. 2020 Jan 14.
15. Use of online information in diabetes.
Bloomgarden ZT
DOI: https://doi.org/10.1111/1753-0407.13022
URL: http://www.ncbi.nlm.nih.gov/pubmed/31943760
Natl Med J India. 2019 Mar-Apr;32(2):32(2): 125
16. Disappearing libraries.
Rao BC
DOI: https://doi.org/10.4103/0970-258X.275361
URL: http://www.ncbi.nlm.nih.gov/pubmed/31939417
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