%0期刊文章%@ 2369-1999 %I JMIR出版物%V 4% 卡塔尔世界杯8强波胆分析N 2% P e10031 %T互联网上癌症治疗信息的可靠性:观察性研究%A小浅原，亮%A胜俣，Noriyuki %A丰冢，达寿%A秋石，优子%A横山，高明%A角仓，金木%+日本医学院武藏小杉医院肿瘤内科，1-396，小杉町，川崎市，2118533，日本，81 44 733 5181 ext 3040, nkatsuma@nms.ac.jp %K互联网%K癌症治疗%K临床实践指南%K手机%D 2018 %7 17.12.2018 %9原始论文%J JMIR癌症%G英文%X背景:对于癌症患者来说，在互联网上大量的信息中找到正确的医疗信息是一个重大问题。目的:基于医学肿瘤学家、医学生和癌症幸存者的评估，我们调查了互联网上关于癌症治疗方法的信息的可靠性。方法:以谷歌和Yahoo为搜索引擎，以“癌症治疗”和“癌症治愈”2个关键词进行信息搜索，找出排名前20位的信息网站。对5种癌症也进行了类似的研究。所提供信息的可靠性分为3级(a、B、C)， a级是指可靠站点(提供符合各种癌症临床实践指南的信息)，B级包括不属于a级或C级的站点，C级包括危险或有害站点(提供未经日本监管机构批准的治疗信息和没有任何相关临床证据的夸大其词的广告)。评估是由医学肿瘤学家、医学生和癌症幸存者进行的。利用kappa值评估医学生或癌症幸存者与医学肿瘤学家之间的信息可靠性等级评级的一致性。结果:共评估了247个站点的可靠性。 The ratings provided by the medical students’ group were as follows: Level A, 12.1% (30/247); Level B, 56.3% (139/247); and Level C, 31.6% (78/247). The ratings provided by the cancer survivors’ group were as follows: Level A, 16.8% (41/244); Level B, 44.7% (109/244); and Level C, 38.5% (94/244). The ratings provided by the oncologists’ group were as follows: Level A, 10.1% (25/247); Level B, 51.4% (127/247); and Level C, 38.5% (95/247). The intergroup rating consistency between the medical students’ group and oncologists’ group was 87.4% (216/247, kappa=0.77) and that between the cancer survivors’ group and oncologists’ group was 76.2% (186/244, kappa=0.61). Conclusions: Of the investigated sites providing information on cancer treatment on the internet, the percentage of sites that seemed to provide harmful information was much higher than that of sites providing reliable information. The reliability level rating was highly consistent between the medical students’ group and the medical oncologists’ group and also between the cancer survivors’ group and the medical oncologists’ group. %M 30559090 %R 10.2196/10031 %U http://cancer.www.mybigtv.com/2018/2/e10031/ %U https://doi.org/10.2196/10031 %U http://www.ncbi.nlm.nih.gov/pubmed/30559090