Reliability of women epilepsy related information from main web search engines in China?deceitful web search environment and illumination (Preprint)
BACKGROUND All electronic health practices like app/software are involved in web search engine due to its convenience for receiving information. The success of electronic health has link with the success of web search engines in field of health. Yet information reliability from search engine results remains to be evaluated. A detail analysis can find out setbacks and bring inspiration. OBJECTIVE Find out reliability of women epilepsy related information from the searching results of main search engines in China. METHODS Six physicians conducted the search work every week. Search key words are one kind of AEDs (valproate acid/oxcarbazepine/levetiracetam/ lamotrigine) plus "huaiyun"/"renshen", both of which means pregnancy in Chinese. The search were conducted in different devices (computer/cellphone), different engines (Baidu/Sogou/360). Top ten results of every search result page were included. Two physicians classified every results into 9 categories according to their contents and also evaluated the reliability. RESULTS A total of 16411 searching results were included. 85.1% of web pages were with advertisement. 55% were categorized into question and answers according to their contents. Only 9% of the searching results are reliable, 50.7% are partly reliable, 40.3% unreliable. With the ranking of the searching results higher, advertisement up and the proportion of those unreliable increase. All contents from hospital websites are unreliable at all and all from academic publishing are reliable. CONCLUSIONS Several first principles must be emphasized to further the use of web search engines in field of healthcare. First, identification of registered physicians and development of an efficient system to guide the patients to physicians guarantee the quality of information provided. Second, corresponding department should restrict the excessive advertisement sale trades in healthcare area by specific regulations to avoid negative impact on patients. Third, information from hospital websites should be carefully judged before embracing them wholeheartedly.