6533b834fe1ef96bd129d5f2

RESEARCH PRODUCT

Accordance of Online Health Information on Prostate Cancer with the European Association of Urology Guidelines.

Johannes BruendlSandra ReimannClemens RothbauerChristian WolffJohannes BreyerBernhard DotzlerHendrik BorgmannBernd LudwigMaximilian Burger

subject

Malemedicine.medical_specialtyAssociation (object-oriented programming)Urology030232 urology & nephrologyurologic and male genital diseasesAccess to Information03 medical and health sciencesProstate cancer0302 clinical medicinePatient Education as TopicGermanymedicineHumansSocieties MedicalInternetbusiness.industryInformation seekingInformation qualityProstatic Neoplasmsmedicine.diseaseInformation behaviorEuropeAccess to information030220 oncology & carcinogenesisFamily medicinePractice Guidelines as TopicThe InternetHealth informationNeoplasm Recurrence Localbusiness

description

<b><i>Background:</i></b> The internet is an emerging source of information for prostate cancer (PCa) patients. Since little is known about the quality of information on PCa provided online, we investigated its accordance to the latest European Association of Urology (EAU) guidelines. <b><i>Methods:</i></b> A total of 89 German web pages were included for analysis. A quality model classifying the provider of information and its expertise was introduced. Correctness of provided information was systematically compared to the EAU guidelines. <b><i>Results:</i></b> Information was provided by medical experts (41%), media (11%), and pharmaceutical companies (6%). Certificates were found in 23% with a significantly higher rate if provided by medical experts (<i>p</i> = 0.003). The minority of web pages showed information in accordance with the EAU guidelines regarding screening (63%), diagnosis (32%), classification (39%), therapy (36%), complications (8%), and follow-up (27%). Web pages by medical experts as well as websites with any kind of certification showed a significantly higher guideline conformity regarding diagnosis (<i>p</i> = 0.027, <i>p</i> = 0.002), therapy (<i>p </i>= 0.010, <i>p</i> = 0.011), follow-up (<i>p</i> = 0.005, <i>p</i> < 0.001), and availability of references (<i>p</i> = 0.017, <i>p</i> = 0.003). <b><i>Conclusions:</i></b> The present study reveals that online health information on PCa lacks concordance to current guidelines. Certified websites or websites provided by medical experts showed a significantly higher quality and accordance with guidelines.

10.1159/000487146https://pubmed.ncbi.nlm.nih.gov/29514140