Rajul Gupta, Aakanksha Sriwastwa, Saral J Patel, Neal Taliwal, Alvin C Jones, Peter F Sturm, Viral V Jain
{"title":"关于椎体系扎术我们对病人是否坦诚？椎体系扎术在线内容的质量、时代性和可读性分析。","authors":"Rajul Gupta, Aakanksha Sriwastwa, Saral J Patel, Neal Taliwal, Alvin C Jones, Peter F Sturm, Viral V Jain","doi":"10.1007/s43390-025-01082-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The majority of patients refer to online patient education content before elective surgeries, including Vertebral Body Tethering (VBT). The purpose of this study was to evaluate the quality, contemporaneity, and readability of patient information web pages across different sources (teaching hospital, private HCF, commercial/news, and non-profit organization) on VBT.</p><p><strong>Methods: </strong>The search results from Google and Bing were analyzed using a systematic approach, excluding peer-reviewed articles, insurance policy documents, and videos. Forty-seven web pages were reviewed for quality based on preoperative, operative, and postoperative information, alongside compliance with Journal of American Medical Association (JAMA) benchmark criteria. The web page content was assessed using a contemporaneity score, which evaluated the inclusion of the latest research. Readability was assessed using the Flesch-Kincaid Grade level and Gunning-Fog Index.</p><p><strong>Results: </strong>The overall mean quality score, JAMA score, and contemporaneity scores were 7.63 (95% CI 6.63-8.64) out of 16, one (95% CI 0.68-1.32) out of four, and 0.61 (95% CI 0.33-0.9) out of five, respectively. The mean Flesch-Kincaid grade level and Gunning-Fog index were 11.7 (95% CI 10.88-12.55) and 14.94 (95% CI 14.12-15.75), respectively. Higher Quality scores also correlated with better Flesch-Kincaid and Gunning-Fox readability scores (Quality score-Flesch-Kincaid grade level: ρ = - 0.38, p = 0.0074; Quality score-Gunning-Fog index: ρ = - 0.354, p = 0.0161).</p><p><strong>Conclusion: </strong>Existing patient education material contains limited and fragmentary information, lacks essential details, does not reflect the current limitations of VBT, and is written at a much advanced reading level than recommended. The material requires thorough revision, given that VBT is a relatively new surgical procedure with evolving indications and outcomes.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":"1099-1106"},"PeriodicalIF":1.6000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Are we being forthright with the patients about vertebral body tethering? Quality, contemporaneity, and readability analysis of the online content about vertebral body tethering.\",\"authors\":\"Rajul Gupta, Aakanksha Sriwastwa, Saral J Patel, Neal Taliwal, Alvin C Jones, Peter F Sturm, Viral V Jain\",\"doi\":\"10.1007/s43390-025-01082-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The majority of patients refer to online patient education content before elective surgeries, including Vertebral Body Tethering (VBT). The purpose of this study was to evaluate the quality, contemporaneity, and readability of patient information web pages across different sources (teaching hospital, private HCF, commercial/news, and non-profit organization) on VBT.</p><p><strong>Methods: </strong>The search results from Google and Bing were analyzed using a systematic approach, excluding peer-reviewed articles, insurance policy documents, and videos. Forty-seven web pages were reviewed for quality based on preoperative, operative, and postoperative information, alongside compliance with Journal of American Medical Association (JAMA) benchmark criteria. The web page content was assessed using a contemporaneity score, which evaluated the inclusion of the latest research. Readability was assessed using the Flesch-Kincaid Grade level and Gunning-Fog Index.</p><p><strong>Results: </strong>The overall mean quality score, JAMA score, and contemporaneity scores were 7.63 (95% CI 6.63-8.64) out of 16, one (95% CI 0.68-1.32) out of four, and 0.61 (95% CI 0.33-0.9) out of five, respectively. The mean Flesch-Kincaid grade level and Gunning-Fog index were 11.7 (95% CI 10.88-12.55) and 14.94 (95% CI 14.12-15.75), respectively. Higher Quality scores also correlated with better Flesch-Kincaid and Gunning-Fox readability scores (Quality score-Flesch-Kincaid grade level: ρ = - 0.38, p = 0.0074; Quality score-Gunning-Fog index: ρ = - 0.354, p = 0.0161).</p><p><strong>Conclusion: </strong>Existing patient education material contains limited and fragmentary information, lacks essential details, does not reflect the current limitations of VBT, and is written at a much advanced reading level than recommended. The material requires thorough revision, given that VBT is a relatively new surgical procedure with evolving indications and outcomes.</p>\",\"PeriodicalId\":21796,\"journal\":{\"name\":\"Spine deformity\",\"volume\":\" \",\"pages\":\"1099-1106\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spine deformity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s43390-025-01082-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spine deformity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s43390-025-01082-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：大多数患者在择期手术前参考在线患者教育内容，包括椎体系扎术（VBT）。本研究的目的是评估不同来源（教学医院、私立HCF、商业/新闻和非营利组织）的VBT患者信息网页的质量、时代性和可读性。方法：采用系统方法对b谷歌和必应的搜索结果进行分析，排除同行评议文章、保险政策文件和视频。根据术前、手术和术后信息对47个网页的质量进行了评估，并符合美国医学会杂志（JAMA）的基准标准。网页内容是用当代性评分来评估的，它评估了最新研究的纳入情况。采用Flesch-Kincaid分级水平和Gunning-Fog指数评价可读性。结果：总体平均质量评分、JAMA评分和同期性评分分别为7.63 (95% CI 6.63-8.64) / 16, 1 (95% CI 0.68-1.32) / 4，和0.61 (95% CI 0.33-0.9) / 5。平均Flesch-Kincaid分级水平和Gunning-Fog指数分别为11.7 （95% CI 10.88-12.55）和14.94 （95% CI 14.12-15.75）。高质量分数也与较好的Flesch-Kincaid和Gunning-Fox可读性分数相关(质量分数-Flesch-Kincaid等级水平：ρ = - 0.38, p = 0.0074；质量评分- gunning - fog指数：ρ = - 0.354, p = 0.0161)。结论：现有的患者教育材料包含有限和零碎的信息，缺乏必要的细节，不能反映当前VBT的局限性，并且编写的阅读水平比推荐的高得多。鉴于VBT是一种相对较新的外科手术，适应症和结果不断发展，材料需要彻底修订。
Are we being forthright with the patients about vertebral body tethering? Quality, contemporaneity, and readability analysis of the online content about vertebral body tethering.
Purpose: The majority of patients refer to online patient education content before elective surgeries, including Vertebral Body Tethering (VBT). The purpose of this study was to evaluate the quality, contemporaneity, and readability of patient information web pages across different sources (teaching hospital, private HCF, commercial/news, and non-profit organization) on VBT.
Methods: The search results from Google and Bing were analyzed using a systematic approach, excluding peer-reviewed articles, insurance policy documents, and videos. Forty-seven web pages were reviewed for quality based on preoperative, operative, and postoperative information, alongside compliance with Journal of American Medical Association (JAMA) benchmark criteria. The web page content was assessed using a contemporaneity score, which evaluated the inclusion of the latest research. Readability was assessed using the Flesch-Kincaid Grade level and Gunning-Fog Index.
Results: The overall mean quality score, JAMA score, and contemporaneity scores were 7.63 (95% CI 6.63-8.64) out of 16, one (95% CI 0.68-1.32) out of four, and 0.61 (95% CI 0.33-0.9) out of five, respectively. The mean Flesch-Kincaid grade level and Gunning-Fog index were 11.7 (95% CI 10.88-12.55) and 14.94 (95% CI 14.12-15.75), respectively. Higher Quality scores also correlated with better Flesch-Kincaid and Gunning-Fox readability scores (Quality score-Flesch-Kincaid grade level: ρ = - 0.38, p = 0.0074; Quality score-Gunning-Fog index: ρ = - 0.354, p = 0.0161).
Conclusion: Existing patient education material contains limited and fragmentary information, lacks essential details, does not reflect the current limitations of VBT, and is written at a much advanced reading level than recommended. The material requires thorough revision, given that VBT is a relatively new surgical procedure with evolving indications and outcomes.
期刊介绍：
Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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