{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:08:57Z","timestamp":1784300937911,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This study aimed to systematically evaluate\u00a0the quality of widely accessible, English language, patient\u2010facing resources on heavy menstrual bleeding (HMB), identifying strengths, gaps, and opportunities for improvement. Resources were obtained from (1) a systematic Google Trends\u2010informed Google search and (2) submissions from subject matter experts. Eligible resources were independently reviewed and scored using validated tools for credibility (QUEST), aesthetics (modified Abbott's scale), and readability. To evaluate clinical utility, resources were graded using a tool designed by international experts for comprehensiveness and accuracy across six domains. Inter\u2010rater reliability was assessed with the intraclass correlation coefficient (ICC) and Cohen's kappa. Of 353 resources identified, 63 met the inclusion criteria. Mean QUEST score (maximum\u2009=\u200928) was 18.7\u2009\u00b1\u20095.1, with 4\/63 (6%) resources meeting all credibility criteria. Mean aesthetics score (maximum\u2009=\u20097) was 5.3\u2009\u00b1\u20091.1, with only 15\/63 (24%) resources with graphics. Most resources (40\/63, 64%) were written at a grade 10\u201312 reading level. Mean comprehensiveness score (maximum\u2009=\u20096) was 4.6\u2009\u00b1\u20090.8, with gaps most often observed in advice on when to seek emergency care and information about iron deficiency. Mean accuracy score (maximum\u2009=\u200912) was 8.0\u2009\u00b1\u20092.3, with only 3\/63 (13%) resources containing completely accurate content. There was moderate\u2010to\u2010substantial agreement across reviewers (ICC\u2009=\u20090.60\u201365 for aesthetics credibility;\n                    <jats:italic>\u03ba<\/jats:italic>\n                    \u2009=\u20090.38\u201349 for accuracy comprehensiveness). In conclusion, most online resources accessed by patients are moderately credible, difficult to read, and underutilize figures. Content gaps exist mainly related to education on safety and iron deficiency. Very few resources are entirely accurate. We recommend targeted revisions to patient education resources to better inform and empower patients experiencing HMB.\n                  <\/jats:p>","DOI":"10.1002\/ijgo.71102","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:37:33Z","timestamp":1781177853000},"page":"521-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Appraisal of international, patient\u2010facing resources on heavy menstrual bleeding"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2522-9011","authenticated-orcid":false,"given":"Olivia","family":"Carere","sequence":"first","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6486-5447","authenticated-orcid":false,"given":"Lauren","family":"Clarfield","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9859-2654","authenticated-orcid":false,"given":"Lacey","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Calgary  Calgary Alberta Canada"},{"name":"Department of Obstetrics and Gynaecology Peter Lougheed Centre  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1913-4044","authenticated-orcid":false,"given":"Hilary O. D.","family":"Critchley","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health, Institute for Regeneration and Repair University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8378-9814","authenticated-orcid":false,"given":"Jade","family":"Desilets","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mount Sinai Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6590-4567","authenticated-orcid":false,"given":"Laura","family":"Diamond","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0241-9780","authenticated-orcid":false,"given":"Yasushi","family":"Hirota","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3642-4868","authenticated-orcid":false,"given":"Kinshuk","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"},{"name":"Trillium Health Partners &amp; Institute for Better Health  Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4187-3708","authenticated-orcid":false,"given":"Sarah","family":"Maheux\u2010Lacroix","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine Universit\u00e9 Laval  Qu\u00e9bec City Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen A.","family":"Matteson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Massachusetts Chan Medical School  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9536-0564","authenticated-orcid":false,"given":"Ilza","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Department School of Medical Sciences University of Campinas (UNICAMP)  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-6961","authenticated-orcid":false,"given":"Malcolm G.","family":"Munro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology David Geffen School of Medicine at the University of California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9091-4679","authenticated-orcid":false,"given":"Orli","family":"Silverberg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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