Quality assessment of online patient information on upper gastrointestinal endoscopy using the modified Ensuring Quality Information for Patients tool.

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-11-01 Epub Date: 2024-02-20 DOI:10.1308/rcsann.2022.0078
S Chien, Ghl Miller, I Huang, D A Cunningham, D Carson, L S Gall, K S Khan
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Abstract

Introduction: Websites and online resources are increasingly becoming patients' main source of healthcare information. It is paramount that high quality information is available online to enhance patient education and improve clinical outcomes. Upper gastrointestinal (UGI) endoscopy is the gold standard investigation for UGI symptoms and yet little is known regarding the quality of patient orientated websites. The aim of this study was to assess the quality of online patient information on UGI endoscopy using the modified Ensuring Quality Information for Patients (EQIP) tool.

Methods: Ten search terms were employed to conduct a systematic review. for each term, the top 100 websites identified via a Google search were assessed using the modified EQIP tool. High scoring websites underwent further analysis. Websites intended for professional use by clinicians as well as those containing video or marketing content were excluded.

Findings: A total of 378 websites were eligible for analysis. The median modified EQIP score for UGI endoscopy was 18/36 (interquartile range: 14-21). The median EQIP scores for the content, identification and structure domains were 8/18, 1/6 and 9/12 respectively. Higher modified EQIP scores were obtained for websites produced by government departments and National Health Service hospitals (p=0.007). Complication rates were documented in only a fifth (20.4%) of websites. High scoring websites were significantly more likely to provide balanced information on risks and benefits (94.6% vs 34.4%, p<0.001).

Conclusions: There is an immediate need to improve the quality of online patient information regarding UGI endoscopy. The currently available resources provide minimal information on the risks associated with the procedure, potentially hindering patients' ability to make informed healthcare decisions.

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使用修改后的 "确保患者信息质量 "工具对上消化道内窥镜检查的在线患者信息进行质量评估。
导言:网站和在线资源正日益成为患者获取医疗保健信息的主要来源。提供高质量的在线信息对于加强患者教育和提高临床疗效至关重要。上消化道(UGI)内窥镜检查是治疗上消化道症状的金标准检查方法,但人们对面向患者的网站质量知之甚少。本研究的目的是使用修改后的 "确保患者信息质量(EQIP)"工具评估有关上消化道内窥镜检查的在线患者信息的质量:采用十个搜索词进行系统性审查。对于每个词,使用修改后的 EQIP 工具对谷歌搜索确定的前 100 个网站进行评估。对得分较高的网站进行进一步分析。排除了供临床医生专业使用的网站以及包含视频或营销内容的网站:共有 378 个网站符合分析条件。尿路内镜检查的修正 EQIP 得分中位数为 18/36(四分位间范围:14-21)。内容、识别和结构领域的 EQIP 中位数分别为 8/18、1/6 和 9/12。政府部门和国民健康服务医院制作的网站获得的修正 EQIP 分数更高(P=0.007)。只有五分之一(20.4%)的网站记录了并发症发生率。得分高的网站更有可能提供风险与收益的平衡信息(94.6% vs 34.4%,P=0.007):当务之急是提高有关 UGI 内窥镜检查的在线患者信息的质量。目前可用的资源提供的手术相关风险信息极少,可能会妨碍患者做出明智的医疗决定。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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