Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 6 Issue: 1

The digital dilemma of Haglund deformity: assessing online information's reliability and readability-a cross-sectional study

Haglund deformitesine ilişkin çevrimiçi bilgilerin kalitesi ve okunabilirliğinin değerlendirilmesi: kapsamlı bir analiz

Mehmet Okan Atahan(Afyonkarahisar Devlet Hastahanesi)0000-0003-2828-700X
Alper Ozer(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KAYSERİ ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0009-0003-8622-9438
Aydoğan Aşkın(Antalya Training and Research Hospital)0000-0003-2144-3647
Furkan Soy(Kırıkkale University Faculty of Medicine)0000-0002-3513-8240
Göker Yurdakul(Bozok University Faculty of Medicine)0000-0001-6570-164X
Mehmet Fatih Uzun(Ceylanpınar State Hospital)0000-0003-2327-5536
Pages
—
Publication Date
2025-02-14
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings emphasize the need for accessible, high-quality online resources to enhance patient education and support informed decision-making.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:ABSTRACT Aims: This study aimed to evaluate the quality, reliability, and readability of online information on Haglund deformity.
📊
Key Findings & Data:Results: Academic webpages exhibited markedly superior ratings in DISCERN, JAMA, GQS, and HCS compared to other subcategories (p<0.05).
💡
Conclusion & Impact:These findings emphasize the need for accessible, high-quality online resources to enhance patient education and support informed decision-making.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Haglund · internet · online information

Abstract

ABSTRACT Aims: This study aimed to evaluate the quality, reliability, and readability of online information on Haglund deformity. Methods: The three most popular browsers were selected, and two reviewers categorized the websites by type. The quality of each site was assessed based on its adherence to the HONcode and evaluated using scoring instruments like the DISCERN, JAMA benchmark, and GQS. The Flesch-Kincaid grade level (FKGL) score was utilized to evaluate the readability of the websites. Results: Academic webpages exhibited markedly superior ratings in DISCERN, JAMA, GQS, and HCS compared to other subcategories (p<0.05). Websites with a HON code also demonstrated higher scores across most metrics, except for FKGL and FKRS. However, readability scores indicated that much of the content was above the recommended comprehension level for the general public. A strong positive correlation was observed between DISCERN and JAMA scores (r=0.935; p<0.05), while a negative correlation was noted between FKRS and HCS scores (r=-0.723; p<0.05). Conclusion: The study highlights significant variability in the quality and accessibility of online information on Haglund deformity. While academic sources offer higher-quality information, their complexity may limit public understanding. These findings emphasize the need for accessible, high-quality online resources to enhance patient education and support informed decision-making.

Özet

ÖZET Amaç: Bu çalışmanın amacı Haglund deformitesi ile ilgili çevrimiçi bilgilerin kalitesini, güvenilirliğini ve okunabilirliğini değerlendirmektir. Yöntemler: En popüler üç tarayıcı seçildi ve iki değerlendirici web sitelerini türlerine göre kategorize etti. Her sitenin kalitesi HONcode'a uygunluğuna göre değerlendirildi ve DISCERN, JAMA benchmark ve GQS gibi puanlama araçları kullanılarak değerlendirildi. Web sitelerinin okunabilirliğini değerlendirmek için Flesch-Kincaid Grade Level (FKGL) skoru kullanılmıştır. Sonuçlar: Akademik web sayfaları DISCERN, JAMA, GQS ve HCS'de diğer alt kategorilere kıyasla belirgin şekilde üstün puanlar sergilemiştir (p<0.05). HON koduna sahip web siteleri de FKGL ve FKRS hariç diğer metriklerde daha yüksek puanlar göstermiştir. Bununla birlikte, okunabilirlik puanları, içeriğin çoğunun genel halk için önerilen anlama seviyesinin üzerinde olduğunu göstermiştir. DISCERN ve JAMA puanları arasında güçlü bir pozitif korelasyon gözlenirken (r=0.935; p<0.05), FKRS ve HCS puanları arasında negatif bir korelasyon kaydedilmiştir (r=-0.723; p<0.05). Sonuçlar: Bu çalışma, Haglund deformitesine ilişkin çevrimiçi bilgilerin kalitesi ve erişilebilirliği konusunda önemli değişkenlikler olduğunu vurgulamaktadır. Akademik kaynaklar daha yüksek kalitede bilgi sunarken, karmaşıklıkları halkın anlayışını sınırlayabilir. Bu bulgular, hasta eğitimini geliştirmek ve bilinçli karar vermeyi desteklemek için erişilebilir, yüksek kaliteli çevrimiçi kaynaklara duyulan ihtiyacı vurgulamaktadır.

🔖

Cite This Article

Atahan, M. O., Ozer, A., Aşkın, A., Soy, F., Yurdakul, G., Uzun, M. F. (2025). The digital dilemma of Haglund deformity: assessing online information's reliability and readability-a cross-sectional study. Journal of Medicine and Palliative Care, Volume: 6 Issue: 1. https://doi.org/10.47582/jompac.1583950

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (32)

  1. Yüce A, Yerli M, Misir A, Çakar M. Enhancing patient information texts in orthopaedics: how OpenAI's 'ChatGPT' can help. J Exp Orthop. 2024; 11(3):e70019. doi:10.1002/jeo2.70019
  2. Brunnekreef JJ, Schreurs BW. Total hip arthroplasty: what information do we offer patients on websites of hospitals? BMC Health Serv Res. 2011; 11(1):83. doi:10.1186/1472-6963-11-83
  3. Hungerford DS. Internet access produces misinformed patients: managing the confusion. Orthopedics. 2009;32(9):658-660. doi:10.3928/ 01477447-20090728-04
  4. Gunduz ME, Matis GK, Ozduran E, Hanci V. Evaluating the readability, quality, and reliability of online patient education materials on spinal cord stimulation. Turk Neurosurg. 2024;34(4):588-599. doi:10.5137/1019-5149.JTN.42973-22.3
  5. Şahin AA, Boz M, Keçeci T, Ünal A, Çıraklı A. Readability and quality levels of websites that contain written information about anterior cruciate ligament injury: a survey of Turkish websites. Acta Orthop Traumatol Turc. 2022;56(2):88-93. doi:10.5152/j.aott.2022.21142
  6. Vaishya R, Agarwal AK, Azizi AT, Vijay V. Haglund's syndrome: a commonly seen mysterious condition. Cureus. 2016;8(10):e820. doi:10. 7759/cureus.820
  7. Scholten PE, van Dijk CN. Endoscopic calcaneoplasty. Foot Ankle Clin. 2006;11(2):439-viii. doi:10.1016/j.fcl.2006.02.004
  8. Wu Z, Hua Y, Li Y, Chen S. Endoscopic treatment of Haglund's syndrome with a three portal technique. Int Orthop. 2012;36(8):1623-1627. doi:10.1007/s00264-012-1518-5
  9. Leitze Z, Sella EJ, Aversa JM. Endoscopic decompression of the retrocalcaneal space. J Bone Joint Surg Am. 2003;85(8):1488-1496. doi: 10.2106/00004623-200308000- 00009
  10. Plus M. How to write easy-to-read health materials 2013. Available at: http://www. nlm.nih.gov/medlineplus/etr.html. Accessed November 1, 2019.
  11. Key S, Yalın M, Erten M. Growing taller without hormones? Dr. Consult Google-an evaluation of online information related to limb lengthening. Healthcare (Basel). 2023;11(2):172. doi:10.3390/healthcare11020172
  12. Golgelioglu F, Canbaz SB. From quality to clarity: evaluating the effectiveness of online ınformation related to septic arthritis. J Orthop Surg Res. 2023;18(1):689. doi:10.1186/s13018-023-04181-x
  13. Market share for mobile, browsers, operating systems and search engines | NetMarketShare [Internet]. Market share for mobile, browsers, operating systems and search engines | NetMarketShare. Available from: https://netmarketshare.com
  14. DISCERN- Welcome to DISCERN [Internet]. DISCERN- Welcome to DISCERN. Available from: http://www.discern.org.uk/.
  15. Cassidy JT, Baker JF. Orthopaedic patient information on the World Wide Web: an essential review. J Bone Joint Surg Am. 2016;98(4):325-338. doi:10.2106/JBJS.N.01189
  16. Bernard A, Langille M, Hughes S, Rose C, Leddin D, Veldhuyzen van Zanten S. A systematic review of patient inflammatory bowel disease information resources on the World Wide Web. Am J Gastroenterol. 2007;102(9):2070-2077. doi:10.1111/j.1572- 0241.2007.01325.x
  17. Agar A, Sahin A. Kyphosis-related information on the internet is the quality, content and readability sufficient for the patients? Global Spine J. 2022;12(3):476-482. doi:10.1177/21925682211015955
  18. Yalın M, Key S. Is the internet sufficient and trustworthy for torticollis parents? Evaluation of online information for torticollis. Med J Bakirkoy. 2024;20(1):85-91. doi:10.4274/BMJ.galenos.2023.2022.12-1
  19. Boyer C, Selby M, Appel RD. The health on the net code of conduct for medical and health web sites. Stud Health Technol Inform. 1998;52(Pt 2):1163-1166. doi:10.1016/S0010-4825(98)00037-7
  20. Lim ST, Kelly M, O'Neill S, D'Souza L. Assessing the quality and readability of online resources for plantar fasciitis. J Foot Ankle Surg. 2021;60(6):1175-1178. doi:10.1053/j.jfas.2021.02.014
  21. Schwarz GM, Lisy M, Hajdu S, Windhager R, Willegger M. Quality and readability of online resources on chronic ankle instability. Foot Ankle Surg. 2022;28(3):384-389. doi:10.1016/j.fas.2021.05.003
  22. Ghodasra JH, Wang D, Jayakar RG, et al. The assessment of quality, accuracy, and readability of online educational resources for platelet-rich plasma. Arthroscopy. 2018;34(1):272-278. doi:10.1016/j.arthro.2017. 06.023
  23. Hartnett DA, Philips AP, Daniels AH, Blankenhorn BD. Readability and quality of online information on total ankle arthroplasty. Foot (Edinb). 2023;54:101985. doi:10.1016/j.foot.2023.101985
  24. Nason GJ, Baker JF, Byrne DP, Noel J, Moore D, Kiely PJ. Scoliosis-specific information on the internet: has the "information highway" led to better information provision? Spine (Phila Pa 1976). 2012;37(21):E1364-E1369. doi:10.1097/BRS.0b013e31826619b5
  25. O'Neill SC, Baker JF, Fitzgerald C, et al. Cauda equina syndrome: assessing the readability and quality of patient information on the internet. Spine (Phila Pa 1976). 2014;39(10):E645-E649. doi:10.1097/BRS.0000000000000282
  26. Goldenberg BT, Schairer WW, Dekker TJ, Lacheta L, Millett PJ. Online resources for rotator cuff repair: what are patients reading? Arthrosc Sports Med Rehabil. 2019;1(1):e85-e92. doi:10.1016/j.asmr.2019.06.002
  27. Weiss BD. Health literacy and patient safety: help patients understand, 2007.
  28. Irwin SC, Lennon DT, Stanley CP, Sheridan GA, Walsh JC. Ankle conFUSION: the quality and readability of information on the internet relating to ankle arthrodesis. Surgeon. 2021;19(6):e507-e511. doi:10.1016/ j.surge.2020.12.001
  29. Plusch K, Carfagno J, Givner D, et al. An evaluation of the source and content of dupuytren's disease information available on the internet. Cureus. 2021;13(11):e19356. doi:10.7759/cureus.19356
  30. Wang D, Jayakar RG, Leong NL, Leathers MP, Williams RJ, Jones KJ. Evaluation of the quality, accuracy, and readability of online patient resources for the management of articular cartilage defects. Cartilage. 2017;8(2):112-118. doi:10.1177/1947603516648737
  31. Kaya E, Görmez S. Quality and readability of online information on plantar fasciitis and calcaneal spur. Rheumatol Int. 2022;42(11):1965-1972. doi:10.1007/s00296-022-05165-6
  32. Kaya E, Görmez S. Quality and readability of online information on plantar fasciitis and calcaneal spur. Rheumatol Int. 2022;42(11):1965-1972. doi:10.1007/s00296-022-05165-6