以患者为导向的机器人结肠手术在线信息质量评估

Grace Amaefule-Orie, Constantine Ezeme, Trevor Yeung
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摘要

随着现代医学的进步,人们不断需要准确的、最新的、随时可用的在线信息,以确保患者有充分的准备做出明智的决策。目的:本研究旨在分析提供以患者为中心的机器人结肠直肠手术信息的网站。方法使用三个搜索引擎(Google, Yahoo和Firefox)搜索“机器人结肠直肠手术”,并对每个平台上的前20个结果进行评估。在使用预定标准筛选站点后,使用DISCERN问卷和Cohen Kappa分析进行进一步分析。结果:从最初的搜索中确定的60个网站中,只有14个网站包含机器人结肠直肠手术的患者信息。在这些网站中,只有3个(21%)网站在过去一年中进行了更新,其中一个网站最近一次更新是在十年前。10个(71%)网站隶属于医院,大多数(12.86%)位于美利坚合众国(USA)。大约一半的网站探讨了替代手术技术,只有三个(21%)讨论了风险,类似数量的网站详细介绍了术后经验,没有提到成本影响,正在进行的研究或所涉及的等待名单。总的来说,没有一个网站得到5分的满分,可以被归类为“好”或“优秀”。在12个DISCERN标准(80%)中至少有一个公平水平的一致性(可靠性评分为>0.2),其中4个具有统计显著性。结论:尽管有大量关于结直肠手术的通用信息,但仍缺乏以患者为中心的关于机器人技术作为一种治疗方式的全面信息。通信:Grace Oluchi Amaefule-Orie工商管理硕士,公共卫生硕士。电子邮件oluchyorie@yahoo.com
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Assessment of the Quality of Online Patient-Oriented Information on Robotic Colorectal Surgery
Abstract INTRODUCTION With advances in modern medicine, there is a constant need for accurate and up-to-date readily available information online to ensure patients are well-equipped for informed decision making. AIM This study sets out to analyze websites that provide patient-centered information on robotic colorectal surgery. METHOD Three search engines (Google, Yahoo and Firefox) were used with search terms ‘robotic colorectal surgery’ and the first twenty results on each platform assessed. After screening sites using predetermined criteria, further analysis was performed with the DISCERN questionnaire and Cohen Kappa analysis. RESULTS Out of the 60 websites identified from the initial search, only 14 websites contained patient information on robotic colorectal surgery. Of these, only three (21%) sites had been updated in the past year and one site was last updated ten years ago. Ten (71%) websites were affiliated with hospitals and the majority (12, 86%) were based in the United States of America (USA). Approximately half of the websites explored alternative surgical techniques, only three (21%) discussed the risks, a similar number had details on post-operative experience, and none mentioned cost implications, ongoing research or the waiting list involved. Overall, no website had a perfect score of 5 to be classified as good or excellent. There was at least a fair level of agreement (reliability score of >0.2) in twelve DISCERN criteria (80%), four of which were statistically significant. CONCLUSION Despite the huge volume of generic information on colorectal surgery, there is still a paucity of comprehensive patient-centered information on robotics as a modality of treatment. CORRESPONDENCE: Grace Oluchi Amaefule-Orie M.B.B.S., MPH. Email oluchyorie@yahoo.com
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