@Article{info:doi/10.2196/13357,作者=“Ferreira, Giovanni and Traeger, Adrian C and Machado, Gustavo and O'Keeffe, Mary and Maher, Christopher G”,标题=“基于互联网的腰痛信息的可信度、准确性和全全性:一项系统综述”,期刊=“J Med Internet Res”,年=“2019”,月=“May”,日=“07”,卷=“21”,数=“5”,页=“e13357”,关键词=“医学信息学”;腰痛;病人门户;系统评价;背景:腰痛(LBP)影响着全世界数百万人,对这种疾病的有效治疗选择的误解非常普遍。政府机构、医院、大学、专业协会、卫生保健组织和消费者组织等被公众认可为值得信赖的组织主办的网站是许多人获取健康信息的重要来源。然而,这些网站关于腰痛治疗建议的内容尚未得到充分评估。目的:本研究旨在确定非商业、免费访问的网站上LBP治疗建议的可信度、准确性和全面性。方法:我们对来自政府机构、医院、大学、专业协会、卫生保健组织和消费者组织的网站进行了系统的评价。我们在谷歌上进行了搜索。 Treatment recommendations were coded based on the 2016 National Institute for Health and Care Excellence (NICE) guidelines and the 2017 American College of Physicians guideline on LBP. Primary outcomes were credibility of the website (4-item Journal of the American Medical Association benchmark), accuracy (proportion of website treatment recommendations that were appropriate), and comprehensiveness of website treatment recommendations (proportion of guideline treatment recommendations that were appropriately covered by a website). Results: We included 79 websites from 6 English-speaking countries. In terms of credibility, 31{\%} (25/79) of the websites clearly disclosed that they had been updated after the publication of the NICE guidelines. Only 43.28{\%} (487/1125) website treatment recommendations were judged as accurate. Comprehensiveness of treatment recommendations correctly covered by websites was very low across all types of LBP. For acute LBP, an average of 28{\%} (4/14) guideline recommendations were correctly covered by websites. Websites for radicular LBP were the least comprehensive, correctly covering an average of 16{\%} (2.3/14) recommendations. Conclusions: Noncommercial freely accessible websites demonstrated low credibility standards, provided mostly inaccurate information, and lacked comprehensiveness across all types of LBP. ", issn="1438-8871", doi="10.2196/13357", url="//www.mybigtv.com/2019/5/e13357/", url="https://doi.org/10.2196/13357", url="http://www.ncbi.nlm.nih.gov/pubmed/31066689" }
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