3.8 Article

Internet search analytics for shoulder arthroplasty: what questions are patients asking?

Journal

CLINICS IN SHOULDER AND ELBOW
Volume 26, Issue 1, Pages 55-63

Publisher

Korean Shoulder and Elbow Soc
DOI: 10.5397/cise.2022.01347

Keywords

Arthroplasty, replacement, shoulder; Internet; Patient preference; Search engine; Quality improvement

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This study uncovered the questions that shoulder arthroplasty patients search online and assessed the types and quality of webpages encountered. The most common questions involved postoperative activities and recovery timeline. The majority of information came from low-quality, non-peer-reviewed websites, emphasizing the need for improvement in online resources.
Background: Common questions about shoulder arthroplasty (SA) searched online by patients and the quality of this content are unknown. The purpose of this study is to uncover questions SA patients search online and determine types and quality of webpages encountered. Methods: The People also ask section of Google Search was queried to return 900 questions and associated webpages for general, anatomic, and reverse SA. Questions and webpages were categorized using the Rothwell classification of questions and assessed for quality using the Journal of the American Medical Association (JAMA) benchmark criteria. Results: According to Rothwell classification, the composition of questions was fact (54.0%), value (24.7%), and policy (21.3%). The most common webpage categories were medical practice (24.6%), academic (23.2%), and medical information sites (14.4%). Journal articles represented 8.9% of results. The average JAMA score for all webpages was 1.69. Journals had the highest average JAMA score (3.91), while medical practice sites had the lowest (0.89). The most common question was, How long does it take to recover from shoulder replacement? Conclusions: The most common questions SA patients ask online involve specific postoperative activities and the timeline of recovery. Most information is from low-quality, non-peer-reviewed websites, highlighting the need for improvement in online resources. By understanding the questions patients are asking online, surgeons can tailor preoperative education to common patient concerns and improve postoperative outcomes.

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