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Castillo-Ortiz JD, de Jesus Valdivia-Nuno J, Ramirez-Gomez A, Garagarza-Mariscal H, Gallegos-Rios C, Flores-Hernandez G, Hernandez-Sanchez L, Brambila-Barba V, Castaneda-Sanchez JJ, Barajas-Ochoa Z, Suarez-Rico A, Sanchez-Gonzalez JM, Ramos-Remus C. Fifteen-year trend in information on the World Wide Web for patients with rheumatoid arthritis: evolving, but opportunities for improvement remain. Rheumatol Int 2016; 36:1281-9. [PMID: 27295190 DOI: 10.1007/s00296-016-3507-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 05/25/2016] [Indexed: 10/21/2022]
Abstract
The aim of this study was to assess the changes in the characteristics of rheumatoid arthritis information on the Internet over a 15-year period and the positioning of Web sites posted by universities, hospitals, and medical associations. We replicated the methods of a 2001 study assessing rheumatoid arthritis information on the Internet using WebCrawler. All Web sites and pages were critically assessed for relevance, scope, authorship, type of publication, and financial objectives. Differences between studies were considered significant if 95 % confidence intervals did not overlap. Additionally, we added a Google search with assessments of the quality of content of web pages and of the Web sites posted by medical institutions. There were significant differences between the present study's WebCrawler search and the 2001-referent study. There were increases in information sites (82 vs 36 %) and rheumatoid arthritis-specific discussion pages (59 vs 8 %), and decreases in advertisements (2 vs 48 %) and alternative therapies (27 vs 45 %). The quality of content of web pages is still dispersed; just 37 % were rated as good. Among the first 300 hits, 30 (10 %) were posted by medical institutions, 17 of them in the USA. Regarding readability, 7 % of these 30 web pages required 6 years, 27 % required 7-9 years, 27 % required 10-12 years, and 40 % required 12 or more years of schooling. The Internet has evolved in the last 15 years. Medical institutions are also better positioned. However, there are still areas for improvement, such as the quality of the content, leadership of medical institutions, and readability of information.
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Affiliation(s)
- Jose Dionisio Castillo-Ortiz
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Jose de Jesus Valdivia-Nuno
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Andrea Ramirez-Gomez
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Heber Garagarza-Mariscal
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Carlos Gallegos-Rios
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Gabriel Flores-Hernandez
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Luis Hernandez-Sanchez
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Victor Brambila-Barba
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Jose Juan Castaneda-Sanchez
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Zalathiel Barajas-Ochoa
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Angel Suarez-Rico
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico
| | - Jorge Manuel Sanchez-Gonzalez
- Vicerrectoría Académica, Universidad Autónoma de Guadalajara, Avenida Patria 1201, Col. Lomas del Valle, 45129, Zapopan, Jalisco, Mexico
| | - Cesar Ramos-Remus
- Unidad de Investigacion en Enfermedades Cronico-Degenerativas, Colomos 2292, Providencia, 44620, Guadalajara, Jalisco, Mexico. .,Vicerrectoría Académica, Universidad Autónoma de Guadalajara, Avenida Patria 1201, Col. Lomas del Valle, 45129, Zapopan, Jalisco, Mexico.
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Castillo-Ortiz JD, Valdivia-Nuno JDJ, Ramirez-Gomez A, Garagarza-Mariscal H, Gallegos-Rios C, Flores-Hernandez G, Hernandez-Sanchez L, Brambila-Barba V, Castaneda-Sanchez JJ, Barajas-Ochoa Z, Suarez-Rico A, Sanchez-Gonzalez JM, Ramos-Remus C. Readability, relevance and quality of the information in Spanish on the Web for patients with rheumatoid arthritis. ACTA ACUST UNITED AC 2016; 13:139-144. [PMID: 27260945 DOI: 10.1016/j.reuma.2016.04.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 04/22/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Education is a major health determinant and one of the main independent outcome predictors in rheumatoid arthritis (RA). The use of the Internet by patients has grown exponentially in the last decade. OBJECTIVE To assess the characteristics, legibility and quality of the information available in Spanish in the Internet regarding to rheumatoid arthritis. MATERIAL AND METHODS The search was performed in Google using the phrase rheumatoid arthritis. Information from the first 30 pages was evaluated according to a pre-established format (relevance, scope, authorship, type of publication and financial objective). The quality and legibility of the pages were assessed using two validated tools, DISCERN and INFLESZ respectively. Data extraction was performed by senior medical students and evaluation was achieved by consensus. RESULTS The Google search returned 323 hits but only 63% were considered relevant; 80% of them were information sites (71% discussed exclusively RA, 44% conventional treatment and 12% alternative therapies) and 12.5% had a primary financial interest. 60% of the sites were created by nonprofit organizations and 15% by medical associations. Web sites posted by medical institutions from the United States of America were better positioned in Spanish (Arthritis Foundation 4th position and American College of Rheumatology 10th position) than web sites posted by Spanish speaking countries. CONCLUSIONS There is a risk of disinformation for patients with RA that use the Internet. We identified a window of opportunity for rheumatology medical institutions from Spanish-speaking countries to have a more prominent societal involvement in the education of their patients with RA.
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Affiliation(s)
| | | | - Andrea Ramirez-Gomez
- Unidad de Investigación en Enfermedades Crónico-Degenerativas, Guadalajara, México
| | | | - Carlos Gallegos-Rios
- Unidad de Investigación en Enfermedades Crónico-Degenerativas, Guadalajara, México
| | | | | | | | | | | | - Angel Suarez-Rico
- Unidad de Investigación en Enfermedades Crónico-Degenerativas, Guadalajara, México
| | | | - Cesar Ramos-Remus
- Unidad de Investigación en Enfermedades Crónico-Degenerativas, Guadalajara, México; Vicerrectoría Académica, Universidad Autónoma de Guadalajara, Zapopan, México
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