A Quality Assessment of Online Patient Information Regarding Rhinoplasty

2021 ◽  
Author(s):  
Eamon Shamil ◽  
Gabriela Di Scenza ◽  
Shahi Abdul Ghani ◽  
Ka Siu Fan ◽  
Suthaharan Ragulan ◽  
...  
Keyword(s):  
Patient Information ◽  
Poor Quality ◽  
Complication Rates ◽  
Eligibility Criteria ◽  
Risks And Benefits ◽  
Search Terms ◽  
Outcome Management ◽  
Balanced Information ◽  
Unrealistic Expectations

AbstractThere is a large demand for online patient information for patients considering rhinoplasty. While there are many resources available, the quality and content of the information provided are unknown. This study aimed to assess the quality of the most popular information available online, using the “Ensuring Quality Information for Patients” (EQIP) tool to evaluate the content, structure, and readability of patient information on websites. Search terms including nose operation, nose job, nose reshaping, nose tip surgery, rhinoplasty, septorhinoplasty, were identified using Google AdWords and Trends. Unique links from the first 10 pages for each term were identified and evaluated with websites written in English and for general non-medical public use were included. 295 websites met the eligibility criteria with a median overall EQIP score of 17. Only 33% contained balanced information on the risks and benefits. Bleeding and infection risk was only mentioned in 29% and 27% of websites, respectively. Two percent described complication rates of the procedures and only 20% of articles explained further surgery may be required to achieve patient cosmetic or functional satisfaction. Information regarding rhinoplasty available online is currently of poor quality. The lack of effective risk counselling, possible outcome management, and complications may likely lead to unrealistic expectations of rhinoplasty. It is crucial the risks of surgery are communicated to the patient to ensure they can make an informed decision. Improved education through online resources would likely help to promote more realistic patient expectations.

scholarly journals Scoping review of mental health in prisons through the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046547
Author(s):  
Luke Johnson ◽  
Kerry Gutridge ◽  
Julie Parkes ◽  
Anjana Roy ◽  
Emma Plugge
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Grey Literature ◽  
Well Being ◽  
Health Impact ◽  
Poor Quality ◽  
Eligibility Criteria ◽  
Prison Staff ◽  
The Impact

ObjectiveTo examine the extent, nature and quality of literature on the impact of the COVID-19 pandemic on the mental health of imprisoned people and prison staff.DesignScoping review.Data sourcesPubMed, Embase, CINAHL, Global Health, Cochrane, PsycINFO, PsychExtra, Web of Science and Scopus were searched for any paper from 2019 onwards that focused on the mental health impact of COVID-19 on imprisoned people and prison staff. A grey literature search focused on international and government sources and professional bodies representing healthcare, public health and prison staff was also performed. We also performed hand searching of the reference lists of included studies.Eligibility criteria for selection of studiesAll papers, regardless of study design, were included if they examined the mental health of imprisoned people or prison staff specifically during the COVID-19 pandemic. Imprisoned people could be of any age and from any countries. All languages were included. Two independent reviewers quality assessed appropriate papers.ResultsOf 647 articles found, 83 were eligible for inclusion, the majority (58%) of which were opinion pieces. The articles focused on the challenges to prisoner mental health. Fear of COVID-19, the impact of isolation, discontinuation of prison visits and reduced mental health services were all likely to have an adverse effect on the mental well-being of imprisoned people. The limited research and poor quality of articles included mean that the findings are not conclusive. However, they suggest a significant adverse impact on the mental health and well-being of those who live and work in prisons.ConclusionsIt is key to address the mental health impacts of the pandemic on people who live and work in prisons. These findings are discussed in terms of implications for getting the balance between infection control imperatives and the fundamental human rights of prison populations.

scholarly journals Surgical Treatment of Radial Head Fractures: Review of Literature.

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Edvin Selmani ◽  
Agron Dogjani
Keyword(s):  
Radial Head ◽  
Functional Outcomes ◽  
Treatment Decision ◽  
Functional Score ◽  
Complication Rates ◽  
Eligibility Criteria ◽  
Radial Head Fractures ◽  
Search Terms ◽  
Functional Scores ◽  
Type 3

The aim of this systematic review was to search for and critically appraise articles directly comparing functional outcomes and complications for fixation (ORIF) versus arthroplasty for comminuted radial head fractures (Mason type 3) in adults. Material and methods: A comprehensive study of Medline, Embase and Cochrane databases using specific search terms and limits was conducted. Strict eligibility criteria were applied to stringently screen resultant articles. Three comparative studies were identified and reviewed. Results: Two studies found significantly better functional scores after replacement compared with ORIF in Mason type 3 fractures. The third study found no significant differences in functional score or range of motion, but did find that grip strength was better after ORIF. Complication rates were too heterogenous for conclusion. Conclusion: Fixation with good reduction may be attempted in unstable Mason type 3 fractures, and arthroplasty may be considered if this is not possible. Further randomised comparative trials are required to clarify the decision-making between fixation and replacement. Functional outcomes and complications were conflicting in the studies included here. Ideally, treatment decision should take into account elbow stability and degree of comminution.

scholarly journals YouTube™ as a source of patient information for lumbar discectomy

2014 ◽  
Vol 96 (2) ◽  
pp. 144-146 ◽  
Author(s):  
FM Brooks ◽  
H Lawrence ◽  
A Jones ◽  
MJH McCarthy
Keyword(s):  
Patient Education ◽  
Patient Information ◽  
Lumbar Discectomy ◽  
Systematic Search ◽  
The Internet ◽  
Missing Information ◽  
Management Options ◽  
Search Terms ◽  
Website Content

Introduction YouTube™ contains more than 60% of all videos on the internet. Its popularity has increased, and it has now become a source of patient education and information. It is unregulated for the quality of its videos. This project was designed to assess the quality of videos on YouTube™ on lumbar discectomy. Methods A systematic search of YouTube™ was performed. The search terms used were ‘lumbar’ and ‘discectomy’. The first ten pages were reviewed. Information was recorded relating to the date of publishing, the publisher and the number of viewings. The content was reviewed using criteria based on recommendations from the British Association of Spine Surgeons website. Content was assessed and points were awarded for information relating to management options, description of the procedure (including anaesthetic, likely recovery and outcome) and complications as well as information relating to the author and his or her institute. An overall rating of ‘inadequate’, ‘poor’, ‘average’ or ‘good’ was given. Results Overall, 81 videos were identified. The total number of viewings was 2,722,964 (range: 139–111,891), with an average number of 34,037 viewings per video. There were 16 with a rating of ‘good’, 25 with a rating of ‘average’ and 40 with a rating of ‘poor’ or ‘inadequate’. The most common missing information related to anaesthesia or complications. Most videos (69/81) were broadcast by surgeons or surgical institutes. Conclusions The quality of YouTube™ videos is variable and we believe this represents the unregulated nature of broadcasts on YouTube™. Thought should be given to information in videos prior to placement.

scholarly journals Evaluating YouTube as a Source of Patient Information for Functional Endoscopic Sinus Surgery

2020 ◽  
pp. 014556132096286
Author(s):  
Vincent Wu ◽  
Daniel J. Lee ◽  
Allan Vescan ◽  
John M. Lee
Keyword(s):  
Patient Information ◽  
Endoscopic Sinus Surgery ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Poor Quality ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Professional Organizations ◽  
For Profit

Objective: To evaluate the quality of information presented on YouTube regarding functional endoscopic sinus surgery (FESS) for patients. Methods: YouTube was searched using FESS-specific keywords under the setting of “relevance.” The first 50 videos from each keyword were reviewed and analyzed by 2 independent physician reviewers. Videos not related to FESS and duplicates were excluded. Outcome measures included the modified DISCERN score (range 0-5), the Journal of the American Medical Association ( JAMA) benchmark criteria (range: 0-4), a novel scoring checklist for FESS assessing usefulness (range: 0-16), and the Video Power Index (VPI). Intraclass correlation coefficient (ICC) was calculated. Results: Of the 200 videos identified, 95 videos were analyzed after exclusions. Videos had an average VPI of 40.8 and SD 133.2. Average scores from the 3 objective checklists among all videos were low: modified DISCERN: 1.91, SD: 1.15; JAMA benchmark: 1.91, SD: 0.76; and FESS score: 3.54, SD: 1.77. The ICC between the 2 independent reviewers was excellent for all 3 checklists. We noted significant positive Pearson correlation between all 3 checklist scores ( P < .001). In between-group comparisons of mean scores, there was significantly higher DISCERN and JAMA scores for videos from university/professional organizations, as compared to videos from medical advertising/for-profit companies and independent users. There were no significant differences in FESS scores noted between the 3 groups. Conclusion: There were overall low scores across the modified DISCERN, JAMA benchmark criteria, and FESS scoring checklists, reflecting the poor quality of YouTube videos as a source of patient information for FESS.

scholarly journals Is YouTube a Reliable Source of Health-Related Information? A Systematic Review 

2021 ◽  
Author(s):  
Wael Osman ◽  
Fatma Mohamed ◽  
Mohamed Elhassan ◽  
Abdulhadi Shoufan
Keyword(s):  
Systematic Review ◽  
Health Information ◽  
Scoring Systems ◽  
Professional Associations ◽  
Poor Quality ◽  
Qualitative Synthesis ◽  
Eligibility Criteria ◽  
Related Information ◽  
Health Related

Abstract Background: You Tube is a valuable source of health-related educational material which can have a profound impact on people's health-related behaviors and decisions. However, YouTube contains a wide variety of unverified content that may promote unhealthy behaviors and activities. We aim in this systematic review to provide insight into the published literature concerning the quality of health information and educational videos found on YouTube.Methods: A search of peer-reviewed original articles was conducted regarding the educational value of YouTube medical videos which were published in English. We searched Google Scholar, Medline (through PubMed), EMBASE, Scopus, Direct Science, Web of Science, and ProQuest databases. A literature search was conducted between April 1 and April 31 of 2021. Based on the eligibility criteria, 202 artilces covering 30 medical categories were included in the qualitative synthesis.Results: We reviewed approximately 22,300 videos in all of the studies we reviewed, with a mean of 115 videos per paper, which were assessed by 2.6 assessors. The quality of the videos was rated based on either scores or categories. Researchers commonly employed scoring systems that were either standardized (e.g., GQS, DISCERN, and JAMA) or based upon the guidelines and recommendations of professional associations. The results using different scores indicated an average to below-average quality. According to our aggregate quality assessment data, most of the videos were of poor quality. In terms of bias, only 32% of the videos appear neutral toward the health content, indicating that bias occurs frequently in these videos. Furthermore, the majority of the studies found a negative correlation between the quality and popularity of the videos.Conclusions: YouTube is currently a poor to average source of health information. Furthermore, YouTube metrics are indeed tricky and can be misleading when determining the quality of videos. The future solution should be to implement ranking filtering algorithms that consider experts' endorsements, peer-review, and other metrics that can push up endorsed videos in the search results.

scholarly journals P-BN24 Quality assessment of online patient information on upper gastrointestinal endoscopy using the Modified Ensuring Quality Information for Patients (EQIP) tool

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Gillian Miller ◽  
Siobhan Chien ◽  
Ivory Huang ◽  
Danielle Cunningham ◽  
Daniel Carson ◽  
...  
Keyword(s):  
Patient Education ◽  
Patient Information ◽  
Online Resources ◽  
Upper Gastrointestinal Endoscopy ◽  
Quality Information ◽  
Complication Rates ◽  
High Quality ◽  
Google Search ◽  
Upper Gastrointestinal

Abstract Background Online resources are rapidly becoming patients’ primary source of healthcare information due to the Internet’s ease of access. The availability of high-quality online information is paramount to improving patient education and clinical outcomes. Upper gastrointestinal (UGI) endoscopy is the gold standard investigation for UGI symptoms, yet little is known regarding the quality of patient oriented websites. This study aims to analyse the quality of online patient information on UGI endoscopy using the modified Ensuring Quality Information for Patients (EQIP) tool. Methods A systematic review was conducted using 10 search terms. The top 100 websites for each term identified using Google search were assessed using the modified EQIP tool (score 0-36). Sub-analysis was performed on high-scoring websites. Websites for medical professional use or containing video and marketing content were excluded. Results 378 websites were eligible for analysis. The median modified EQIP score for UGI endoscopy was 18/36 (IQR 14-21). Median EQIP scores for the content, identification and structure domains were 8/18, 1/6 and 9/12, respectively. Websites produced by government health departments and NHS hospitals had a higher modified EQIP score (p = 0.007). Complication rates were included in only 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 &lt; 0.001). Conclusions The current quality of online patient information on UGI endoscopy is limited, with minimal information available on risks of the procedure, potentially hindering patients’ ability to make informed healthcare decisions. There is an immediate need for high-quality online resources to improve patient education.

EP.TH.375Inguinal hernia repair: A systematic analysis of online patient information using the modified Ensuring Quality Information for Patients tool

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Siobhan Chien ◽  
Danielle Cunningham ◽  
Khurram Khan
Keyword(s):  
Inguinal Hernia ◽  
Patient Education ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Patient Information ◽  
International Standards ◽  
Online Resources ◽  
Quality Information ◽  
Complication Rates

Abstract Aims Online resources are a fundamental source of healthcare information due to the increasing popularity of the Internet, therefore ensuring accuracy and reliability of websites is crucial to improving patient education and enhancing patient outcomes. Inguinal hernia repair is the most commonly performed general surgical procedure worldwide. This study aims to analyse the quality of online patient information on inguinal hernia repair using the modified Ensuring Quality Information for Patents (EQIP) tool. Method A systematic review of online information on inguinal hernia repair was conducted using 4 search terms: “inguinal hernia”, “groin hernia”, “inguinal hernia repair” and “inguinoscrotal hernia”. The top 100 websites for each term identified using Google were assessed using the modified EQIP tool (score 0-36). Websites for the paediatric population or intended for medical professional use were excluded from analysis. Results 142 websites were eligible for analysis. 52.8% of websites originated from the UK. The median EQIP score for all websites was 17/36 (IQR 14-21). The median EQIP scores for Content, Identification and Structure were 8/18, 2/8, and 8/12, respectively. Complications of inguinal hernia repair were included in 46.5% of websites, with 9.2% providing complication rates and 14.1% providing information on how complications are handled. Conclusions This study highlights that the current quality of online patient information on inguinal hernia repair is poor, with minimal information available on complications, hindering patients’ ability to make informed decisions regarding their healthcare. To improve patient education, there is an immediate need for improved quality online resources to meet international standards.

50 Using A Targeted Teaching Intervention to Drive up the Quality of Discharge Summaries. Shop 75+

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
R C Robey ◽  
A Danson ◽  
J Evans ◽  
J Froggatt ◽  
A Pederson ◽  
...  
Keyword(s):  
Patient Information ◽  
Poor Quality ◽  
Teaching Intervention ◽  
Intended Audience ◽  
Improvement Project ◽  
Group Settings ◽  
Questionnaire Surveys ◽  
Discharge Summaries

Abstract Background Quality improvement project examining discharge communication, and a targeted teaching intervention. Introduction Poor quality, incomplete or missing discharge summaries (DSs) are associated with avoidable/ameliorable adverse events after discharge [1]; preventable readmission [2,3]; failure to implement discharge plans [4]; and medication continuity errors [4,5]. Methods To review the quality of DSs produced, each month forty representative DSs are randomly selected from four clinical areas and qualitatively assessed (total &gt; 1,000, August 2017—to date). Alongside this, in August 2018, incoming foundation doctors were surveyed on perceptions of the purpose/importance of DSs, and training provided on writing them. They were resurveyed after teaching delivery in November 2018 and April 2019. Interventions Data from QI review and survey were used to generate a teaching intervention, in the form of an interactive slide set for delivery in small group settings. This was delivered in weekly mandatory teaching sessions. PDSA cycles were completed for teaching sessions, and the slide set was developed accordingly. Results After the teaching sessions, we noted improvement in satisfaction with training provided on writing DSs (from 24% to 40%), as well as confidence in writing high-quality DSs (from 28% to 100%). We demonstrated increases in responses including the patient as an intended audience for the DS (from 51% to 84%), and rating “patient information in lay terms” of “high importance” (from 41% to 72%). These changes in perceptions were accompanied by improvement in the quality of DSs produced, particularly with respect to the quality of follow-up actions detailed and the quality of patient information provided in lay terminology. The average monthly proportion of DSs achieving a “great score” in these areas increased from 20% and 28% respectively (August 2017—June 2018), to 44% and 71% (August 2018—March 2019). Conclusions These data provide proof-of-principle that targeted teaching, constructed around prior questionnaire surveys, improves awareness of the purpose of DCs and leads to improvement in the quality of DSs produced and enhanced patient safety.

scholarly journals YouTube Information about Diabetes and Oral Healthcare (Preprint)

2018 ◽  
Author(s):  
Eduardo Pons-Fuster ◽  
Ruiz Roca Juan ◽  
Asta Tvarijonaviciute ◽  
Pia Lopez- Jornet
Keyword(s):  
Personal Experience ◽  
User Interaction ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Cross Sectional ◽  
Misleading Information ◽  
Search Terms ◽  
Global Quality ◽  
Quality Scale

BACKGROUND Diabetes mellitus is a chronic disease that is increasing at an alarming rate all over the world OBJECTIVE The aim of this study was to assess the information available on YouTube on diabetes and oral healthcare METHODS This cross-sectional study made a search in YouTube (https://www.youtube.com/) applying the search terms “oral healthcare for diabetics.” Two reviewers assessed the videos and categorized them into useful, misleading or personal experience, and scored them using a global quality scale (GQS) from 1-5 according to their overall quality (1 = poor quality; 5 = excellent quality). The source of each video was also registered, as was user interaction with each video RESULTS A total of 97 videos were included for analysis. Of these, 30 (30.9%) contained useful information, 61 (62.9%) contained misleading information, and six (6.2%) recounted personal experiences. Overall quality scores showed statistically significant differences between those containing useful information and those with misleading information and personal experience (p=0.001). Significant differences in content were also found regarding oral hygiene (p=0.022), periodontitis (p=0.002), and infection (p=0.04). CONCLUSIONS YouTube provides informative videos about oral healthcare for diabetics. The quality of the videos was variable and the videos recorded by dental professionals and Universities showed a higher quality. Further research is needed into oral healthcare for diabetics.

scholarly journals Can it wait? A systematic review of immediate vs. delayed surgical repair of penile fractures

2017 ◽  
Vol 11 (1-2) ◽  
pp. 53 ◽  
Author(s):  
Nathan Colin Wong ◽  
Shawn Dason ◽  
Rahul K. Bansal ◽  
Timothy O. Davies ◽  
Luis H. Braga
Keyword(s):  
Systematic Review ◽  
Methodological Quality ◽  
Scar Formation ◽  
Penile Curvature ◽  
Complication Rates ◽  
Search Terms ◽  
Delayed Repair ◽  
Full Text Review ◽  
Delayed Group

Introduction: Penile fractures have classically been thought to require immediate surgical intervention; however, recent series have described acceptable outcomes with delayed repair. In this systematic review, we compared complication rates between immediate and delayed repair of penile fractures.Methods: A systematic search of MEDLINE, Embase, CENTRAL, and Web of Science was performed with predefined search terms between 1974 and 2015. Titles and abstracts were screened prior to full-text review and quality appraisal by two independent investigators. Abstracted outcomes included postoperative erectile dysfunction (ED), tunical scar formation, and penile curvature. Only studies reporting a direct comparison of complications following immediate (<24 hours from injury to presentation/surgery) and delayed (>24 hours) repair of penile fractures were included.Results: A total of 12 studies met inclusion criteria. All were retrospective, observational studies of low or moderate methodological quality. Of the reported 502 patients, 391 underwent immediate repair and 111 delayed repair. In the immediate repair group, the percent of patients with postoperative ED, tunical scars, and curvature were 6.6%, 5.4%, and 1.8%, respectively, while in the delayed group, the rates of ED, tunical scars, and curvature were 4.5% across the board. Rates of ED and tunical scar formation following immediate compared to delayed repair trended towards favouring immediate repair, but did not differ significantly, while rates of curvature significantly favoured immediate repair. However, cases of curvature were typically reported as mild and none affected sexual functioning.Conclusions: In this systematic review, we demonstrated that ED and tunical scar formation rates between immediate and delayed repair of penile fractures were statistically similar, while immediate repair had a lower rate of penile curvature. Although this suggests that a brief delay in repair may be acceptable in select patients, the results should be interpreted with caution, as the included studies were of low or moderate methodological quality. Most importantly, this review highlights the deficiencies in the current penile fracture literature, setting the stage to improve the quality of future studies.

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