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Metal-on-Metal Total Hip Arthroplasty: Quality of Online Patient Information

机译：金属金属总髋关节置换术：在线患者信息的质量

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Metal-on-metal total hip arthroplasty (THA) has generated much attention in the media because of early failure of certain implant systems. This study assessed the quality, accuracy, and readability of online information on metal-on-metal THA. The search terms "metal-on-metal hip replacement" and "metal hip replacement" were entered into the 3 most popular search engines. Information quality was assessed with the DISCERN score and a specific metal-on-metal THA content score. Accuracy of information was assessed with a customized score. Readability of the websites was assessed with the Flesch-Kincaid grade level score. A total of 61 unique websites were assessed. For 56% of websites, the target audience was patients. Media or medicolegal sources accounted for 44% of websites. As assessed by DISCERN (range, 16-80) and metal-on-metal THA (range, 0-25) scores, quality of the websites was moderate at best (47.1 and 9.6, respectively). Accuracy (range, 0-8) of the information presented also was moderate, with a mean score of 6.6. Media and medicolegal websites had the lowest scores for both quality and accuracy, despite making up the greatest proportion of sites assessed. Only 1 website (2%) had a Flesch-Kincaid grade level at or less than the recommended level of 8th grade. This study found that online information on metal-on-metal THA was of poor quality, often was inaccurate, and was presented at an inappropriately high reading level, particularly for media and medicolegal websites. Health care providers should counsel patients on the quality of information available and recommend appropriate online resources.
机译：由于某些植入系统的早期失效，金属金属总髋关节置换术（THA）在介质中产生了很多关注。本研究评估了金属金属THA上的在线信息的质量，准确性和可读性。搜索条件“金属贴髋关节置换”和“金属髋部替换”已进入3个最受欢迎的搜索引擎。通过辨别得分和特定金属金属含量评分评估信息质量。通过定制分数评估信息的准确性。通过Flesch-Kincaid等级分数评估网站的可读性。共评估了61个独特的网站。对于56％的网站，目标受众是患者。媒体或医院资源占网站的44％。如辨别辨别（范围，16-80）和金属金属THA（范围，0-25）分数，网站的质量最佳（分别为47.1和9.6）。提出的信息的准确性（范围，0-8）也适中，平均得分为6.6。尽管构成了评估的最大比例，媒体和医学律网站的分数最低，而且精度都具有最低的质量和准确性。只有1个网站（2％）的氟氯虫蛋白级等级，或少于推荐的8年级水平。本研究发现，金属金属THA的在线信息具有差的质量差，通常是不准确的，并且在不恰当的阅读水平下呈现，特别是对于媒体和医用原始网站。医疗保健提供者应咨询患者对可用信息的质量并建议适当的在线资源。

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