Received: 8 May 2017
|
Accepted: 23 June 2017
DOI: 10.1002/nau.23359
ORIGINAL CLINICAL ARTICLE
Patient-targeted websites on overactive bladder: What are our
patients reading?
Aisling A. Clancy
1
| Duane Hickling
2,3
| Laura Didomizio
4
| May Sanaee
5
|
Fady Shehata
1
| Rebekah Zee
1
| Hisham Khalil
1
1
Division of Urogynecology, Department
of Obstetrics and Gynecology, The Ottawa
Hospital, Ottawa, Ontario
2
Division of Urology, Department of
Surgery, The Ottawa Hospital, Ottawa,
Ontario
3
Ottawa Health Research Institute, The
Ottawa Hospital, Ottawa, Ontario
4
Division of Urogynecology, Department
of Obstetrics and Gynecology, McMaster
University, Hamilton, Ontario
5
Division of Urogynecology, Department
of Obstetrics and Gynecology, University of
British Columbia, Vancouver,
British Columbia
Correspondence
Aisling A. Clancy, Division of
Urogynecology, Department of Obstetrics
and Gynecology, The Ottawa Hospital, 501
Smyth Road, Ottawa, ON.
Email: aclancy@toh.ca
Aims: Patients often turn to the Internet for information on medical conditions. We
sought to evaluate the quality and readability of highly visible websites on overactive
bladder (OAB).
Methods: A survey of 42 consecutive patients attending outpatient urogynecology
clinics was performed to identify the most commonly used Internet search engines
and search terms for information on OAB. The three most commonly used search
engines (Google, Bing, and Yahoo!) were then queried using the three most
commonly used search terms. The first 20 relevant websites from each search were
reviewed. After excluding duplicates, 35 websites were analyzed. Website quality of
information on OAB was evaluated using the DISCERN score, JAMA benchmark
criteria, and Health on the Net code (HONcode) accreditation status. Readability was
assessed using the Simplified Measure of Gobbledygook (SMOG) and Dale-Chall
indices.
Results: Websites were classified as advertisement/commercial (31%), health portal
(29%), professional (26%), patient group (6%), and other (9%). The overall mean
DISCERN score was 44 ± 18 (maximum possible score of 80). Three websites (9%)
met all four JAMA benchmark criteria. Seventeen percent of websites provided
adequate information on content authorship and contributions. Median SMOG and
Dale-Chall indices were 9.9 (IQR 9.3-11.2) and 9.0 (IQR 8.1-9.4), respectively. Nine
websites (26%) were HONcode certified.
Conclusions: Popular websites on OAB are of low quality, written for a high school
to college-level readership, and often lack adequate information to assess the
potential for commercial bias. Patients should be cautioned that incomplete and
potentially biased information on OAB is prevalent online.
KEYWORDS
Internet, overactive, patient care, social media, urinary bladder
Abbreviations: HONcode, Health on the Net Foundation Code of Conduct; ICC, Intraclass correlation coefficient; OAB, Overactive bladder; SMOG,
Simplified Measure of Gobbledygook.
David Ginsberg led the peer-review process as the Associate Editor responsible for the paper.
Neurourology and Urodynamics. 2017;1–10. wileyonlinelibrary.com/journal/nau © 2017 Wiley Periodicals, Inc. | 1