1
|
Hassan AK, Eleiwa TK, Hassan MA, Sallam AB, Ali HT, Abdelnaem S, Gise R, Phillips PH, Elhusseiny AM. Quality, Reliability, and Readability of Online Information on Idiopathic Intracranial Hypertension. J Neuroophthalmol 2024:00041327-990000000-00597. [PMID: 38527126 DOI: 10.1097/wno.0000000000002130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
BACKGROUND To evaluate the quality & reliability, technical quality, and readability of patient-targeted online information on idiopathic intracranial hypertension. METHODS In this cross-sectional study, we searched Google and Bing search engines for the terms "idiopathic intracranial hypertension" and "pseudotumor cerebri." We evaluated the first 50 search outcomes for each search term. Peer-reviewed articles, targeted advertisements, book chapters, videos, personal blogs, websites intended for healthcare professionals, and non-English websites were excluded. Websites were classified as institutional or private. Two independent reviewers assessed each website for 1) quality and reliability using DISCERN, Health on the Net Code of Conduct (HONcode), and JAMA criteria and 2) technical quality based on 11 criteria. Readability was evaluated using 6 measures (Flesch-Kincaid Reading Ease score and grade level, Gunning Fog, Simple Measure of Gobbledygook (Smog) index, Coleman-Liau index, and automated readability index). RESULTS Sixty-three websites (37 institutional) were included. The mean scores for the DISCERN, HONcode, and JAMA criteria were 3.6 ± 1 (1-4.8; 1: worse, 5: best), 10.3 ± 2.8 (2-16; 0: worse, 16: best), and 2 ± 1.3 (0-4; 0: worse, 4: best), respectively. The mean technical quality score was 0.8 ± 0.1 (0.5-1). The mean Flesch-Kincaid grade level score was 8.9 ± 1.8 (3.3-13.3). For Flesch-Kincaid grade level, 47 (74.6%) websites scored a grade level of 10 or less. For Gunning Fog Score, 35 websites (55.6%) scored from 7.3 to 10.8. For the Smog Index, 46 (73%) websites scored 5.7-8. The mean Coleman Liau Index was 16 ± 2.1 (9.6-22.2). For the automated readability index, 30 (50.7%) websites scored less than the eighth grade. No statistically significant difference was present between institutional and private websites except for JAMA, which scored higher in private websites (2.4 vs 1.7, P = 0.03). CONCLUSIONS Our findings suggest that online information on idiopathic intracranial hypertension/pseudotumor cerebri for patients generally demonstrates moderate to good quality and reliability. Although most websites maintain credible technical quality, the readability exceeds recommended levels for the average American reader. This may impede understanding, emphasizing the need for future improvements.
Collapse
Affiliation(s)
- Amr K Hassan
- Department of Ophthalmology (AKH, HTA), Faculty of Medicine, South Valley University, Qena, Egypt; Department of Ophthalmology (TKE), Benha Faculty of Medicine, Benha University, Benha, Egypt; Department of Ophthalmology (MAH, SA), Al Mabaret Al Ma'adi Hospital, Cairo, Egypt; Department of Ophthalmology (ABS, PHP, AME), Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas; and Department of Ophthalmology (RG, AME), Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts
| | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Yacoub MS, El-Nakhal T, Hasabo EA, Shehata N, Wilson K, Ismail KH, Bakr MS, Mohsen M, Mohamed A, Abdelazim E, Ali HT, Soliman Z, Sayed A, Abdelsayed K, Caliskan K, Soliman O. A systematic review and meta-analysis of the efficacy and safety of Mavacamten therapy in international cohort of 524 patients with hypertrophic cardiomyopathy. Heart Fail Rev 2024; 29:479-496. [PMID: 38112937 DOI: 10.1007/s10741-023-10375-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/26/2023] [Indexed: 12/21/2023]
Abstract
Hypertrophic cardiomyopathy (HCM) is the most common heritable myocardial disorder worldwide. Current pharmacological treatment options are limited. Mavacamten, a first-in-class cardiac myosin inhibitor, targets the main underlying pathology of HCM. We conducted a systematic review and meta-analysis to evaluate the efficacy and safety of Mavacamten in patients with HCM. PRISMA flow chart was utilized using PubMed, SCOPUS, and Cochrane databases for all up-to-date studies using pre-defined keywords. Pre-specified efficacy outcomes comprised several parameters, including an improvement in peak oxygen consumption (pVO2) and ≥ 1 NYHA class, the need for septal reduction therapy (SRT), change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ), changes in biochemical markers and LVEF, along with peak left ventricular outflow tract gradient at rest and after Valsalva maneuver. Safety outcomes included morbidity and serious adverse events. This systematic review included five studies, four RCTs and one non-randomized control trial comprised a total of 524 (Mavacamten [273, 54.3%] vs placebo [230, 45.7%] adult (≥ 18 years) patients with a mean age of 56 years. The study. comprised patients with Caucasian and Chinese ethnicity and patients with obstructive (oHCM) and non-obstructive (nHCM) HCM. Most baseline characteristics were similar between the treatment and placebo groups. Mavacamten showed a statistically significant increase in the frequency of the primary composite endpoint (RR = 1.92, 95% CI [1.28, 2.88]), ≥ 1 NYHA class improvement (RR = 2.10, 95% CI [1.66, 2.67]), a significant decrease in LVEF, peak left ventricular outflow tract gradient at rest and after Valsalva maneuver. Mavacamten also showed a significant reduction in SRT rates (RR = 0.29, 95% CI [0.21, 0.40], p < 0.00001), KCCQ clinical summary scores (MD = 8.08, 95% CI [4.80, 11.37], P < 0.00001) troponin levels and N-terminal pro-B-type natriuretic peptide levels. However, there was no statistically significant difference between Mavacamten and placebo regarding the change from baseline peak oxygen consumption. Mavacamten use resulted in a small increase in adverse events but no statistically significant increment in serious adverse events. Our study showed that Mavacamten is a safe and effective treatment option for Caucasian and Chinese patients with HCM on the short-term. Further research is needed to explore the long-term safety and efficacy of Mavacamten with HCM. In addition, adequately powered studies including patients with nHCM is needed to ascertain befits of Mavacamten in those patients.
Collapse
Affiliation(s)
- Magdi S Yacoub
- Discipline of Cardiology, Saolta Healthcare Group, Health Service Executive, Galway University Hospital, Galway, Ireland
- CORRIB Research Centre for Advanced Imaging and Core Laboratory, Clinical Science Institute, University of Galway, Galway, H91 TK33, Ireland
| | - Tamer El-Nakhal
- University Hospitals of Leicester NHS Trust, Leicester, United Kingdom
| | - Elfatih A Hasabo
- Discipline of Cardiology, Saolta Healthcare Group, Health Service Executive, Galway University Hospital, Galway, Ireland
- CORRIB Research Centre for Advanced Imaging and Core Laboratory, Clinical Science Institute, University of Galway, Galway, H91 TK33, Ireland
| | - Nahla Shehata
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Karim Wilson
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | | | - Mohamed S Bakr
- Faculty of Medicine, New Mansoura University, Coast Road, New Mansoura, Egypt
- Aswan Heart Centre, Magdi Yacoub Foundation, Aswan, Egypt
| | - Maram Mohsen
- School of Medicine, University of Jordan, Amman, Jordan
| | - Asmaa Mohamed
- Faculty of Medicine, South Valley University, Qena, Egypt
| | - Eslam Abdelazim
- Faculty of Medicine, Misr University for Science and Technology, Giza, Egypt
| | - Hossam T Ali
- Faculty of Medicine, South Valley University, Qena, Egypt
| | - Ziad Soliman
- Faculty of Medicine, South Valley University, Qena, Egypt
| | - Ahmed Sayed
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | | | - Kadir Caliskan
- Erasmus MC University Medical Center, Rotterdam, Netherlands
| | - Osama Soliman
- Discipline of Cardiology, Saolta Healthcare Group, Health Service Executive, Galway University Hospital, Galway, Ireland.
- CORRIB Research Centre for Advanced Imaging and Core Laboratory, Clinical Science Institute, University of Galway, Galway, H91 TK33, Ireland.
- CURAM Centre for Medical Devices, Galway, Ireland.
- Euro Heart Foundation, Schiedam, Netherlands.
| |
Collapse
|
3
|
Elhusseiny AM, Hassan AK, Hassan MA, Eleiwa TK, Ali HT, Abdelnaem S, Chauhan MZ, Shaikh O, Khouri AS, Sallam AB. Quality, Reliability, Technical Quality, and Readability of Google Online Information on Childhood Glaucoma. J Pediatr Ophthalmol Strabismus 2023:1-6. [PMID: 38112390 DOI: 10.3928/01913913-20231114-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
PURPOSE To evaluate the quality, reliability, technical quality, and readability of online information related to childhood glaucoma. METHODS In this cross-sectional study, no human subjects were studied. Analysis was done for online websites on childhood glaucoma. The terms "childhood glaucoma," "pediatric glaucoma," "congenital glaucoma," "buphthalmos," and "big eyes" were entered into the Google search engine and the first 100 search results were assessed for quality, reliability, technical quality, and readability. Peer-reviewed articles, patient forum posts, dictionary definitions, and websites that appeared as targeted ads, were not in English, or were not focused on humans were excluded. Each website was evaluated for (1) quality and reliability using the DISCERN, HONcode, and JAMA criteria; (2) technical quality assessing 11 technical aspects; and (3) readability using six separate criteria (Flesch-Kincaid Reading Ease Score and Grade Level, Gunning Fog Index score, the Simple Measure of Gobbledygook Index, Coleman-Liau Index, and Automated Readability Index). RESULTS The median scores for the DISCERN, HONcode, and JAMA criteria were 2.6 (range = 1 to 4.75; 1 = worst, 5 = best), 10 (range = 0 to 16; 0 = worst, 16 = best), and 2 (range = 0 to 4; 0 = worst, 4 = best), respectively. The median technical quality score was 0.7. Readability was poor among most websites, with a median Flesch-Kincaid grade Grade Level Score of 9.3. The median Gunning Fog Index score was 9.8. There was a statistically significantly higher JAMA score and Gunning Fog Index score among the private websites compared to the institutional websites. However, institutional websites had higher technical quality. CONCLUSIONS Online information on childhood glaucoma had poor to moderate quality and reliability. The technical quality is good; however, most websites' readability was above the recommended 5th to 6th grade reading level. [J Pediatr Ophthalmol Strabismus. 20XX;X(X):XXX-XXX.].
Collapse
|
4
|
Ali HT, Ashour Y, Rais MA, Barakat M, Rezeq TA, Sharkawy MM, Lapic M, Soliman ZA, Abdullah A, Allahham A, Abdelaal A, Amer SA, Rohilla R, Mohanty A, Sah R. Unravelling COVID-19 vaccination attributes worldwide: an extensive review regarding uptake, hesitancy, and future implication. Ann Med Surg (Lond) 2023; 85:3519-3530. [PMID: 37427228 PMCID: PMC10328684 DOI: 10.1097/ms9.0000000000000921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 05/14/2023] [Indexed: 07/11/2023] Open
Abstract
Since the declaration of the coronavirus disease 2019 pandemic, all efforts were directed towards limiting the transfer of the disease and preventing severe disease forms from occurring. In this regard, numerous vaccines were quickly developed to limit the associated morbidity and mortality of the disease and to reduce the burden on healthcare systems worldwide. However, to date, vaccine hesitancy remains a major limitation to vaccine distribution, with varying degrees in different countries. Therefore, the authors conducted this literature review to highlight the magnitude of this issue throughout the globe and summarize some of its major causes (i.e. governmental, healthcare system-related, population-related, and vaccine-related) and contributing factors (i.e. knowledge/awareness, social media, etc.). In addition, the authors highlighted some of the main motivating factors that can minimize the burden of vaccine hesitancy at the population, governmental, and worldwide levels. These include structural (i.e. government, country), extrinsic (i.e. family, friends), intrinsic (i.e. self-perception), and other factors (financial and nonfinancial). Finally, the authors proposed some implications for future research to ease the vaccination process and hopefully, put an end to this problem.
Collapse
Affiliation(s)
- Hossam T. Ali
- Qena Faculty of Medicine, South Valley University, Qena
| | | | | | | | | | | | - Mina Lapic
- Anesthesia and ICU Fellowship, Egyptian Ministry of Health
| | | | | | - Abdulrahman Allahham
- College of Medicine, Sulaiman Alrajhi University, Albukayriah, Al-Qassim, Saudi Arabia
| | - Abdelaziz Abdelaal
- Founder, Tanta Research Team
- Faculty of Medicine, Tanta University, El-Gharbia, Egypt
- Clinical Research Scholar
- MMSCI Candidate, Harvard Medical School, Boston
- Research Volunteer, Doheny Eye Institute, UCLA, USA
| | - Samar A. Amer
- Department of Public Health and Community Medicine, Family Medicine, Ministry Of Health (MOH) Saudi Arabia , Zagazig University
- Membership at Royal College of General Practice [INT], London, United Kingdom
| | - Ranjana Rohilla
- Department of Clinical Microbiology, SGRRIMS, Dehradun, Uttarakhand
| | - Aroop Mohanty
- Department of Clinical Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh
| | - Ranjit Sah
- Department of Public Health Dentistry, Dr D.Y. Patil Dental College and Hospital
- Department of Clinical Microbiology, DY Patil Medical College, Hospital and Research Center, DY Patil Vidyapeeth, Pune, Maharashtra, India
- Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| |
Collapse
|