{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:33:11Z","timestamp":1784122391344,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T00:00:00Z","timestamp":1514246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T00:00:00Z","timestamp":1514246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T00:00:00Z","timestamp":1514246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the readability and comprehension of written text by the most commonly visited websites containing patient education materials on common conditions that can be treated arthroscopically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We examined 50 websites, assessed independently by 2 orthopaedic surgery residents (S.A. and G.G.), with educational materials on 5 common conditions treated by arthroscopic surgeons: anterior cruciate ligament (ACL) tear, meniscus tear, hip labral tear, shoulder labral tear, and rotator cuff tear. Following a Google search for each condition, we analyzed the 10 most visited websites for each disorder using a widely used and validated tool for assessing the reading levels of written materials (Flesch\u2010Kincaid formula).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average grade reading level of the 50 websites studied was 9.90 with a reading ease of 52.14 (\u201cfairly difficult, high school\u201d). Only 26% of the websites were at or below the national average of an eighth\u2010grade reading level. Of the 5 conditions treated by arthroscopic surgery, ACL tear had the highest average grade reading level at 10.73 \u00b1 1.54, whereas meniscus tear had the lowest at 9.31 \u00b1 1.81. Every condition in this study had an average readability at or above the ninth\u2010grade reading level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The most frequently accessed materials for patients with injuries requiring arthroscopic surgery exceeds the readability recommendations of the American Medical Association and National Institutes of Health, as well as the average reading ability of US adults. Given the fact that these are the most commonly visited websites by the lay public, there needs to be a greater emphasis on tailoring written information to the literacy levels of the patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study emphasizes the discrepancy between the recommended versus the measured reading levels of online patient education materials related to conditions treated by arthroscopic surgeons. The subject matter of these conditions is inherently complex; thus, relying solely on text to inform patients increases the likelihood that the reading level of the material exceeds that of the majority of the lay public.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.09.043","type":"journal-article","created":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T18:26:51Z","timestamp":1514312811000},"page":"1272-1279","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Readability of the Most Commonly Accessed Arthroscopy\u2010Related Online Patient Education Materials"],"prefix":"10.1002","volume":"34","author":[{"given":"Sheriff D.","family":"Akinleye","sequence":"first","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Krochak","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Richardson","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garret","family":"Garofolo","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya Deza","family":"Culbertson","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orry","family":"Erez","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center Orthopaedic Surgery Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,26]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-199612000-00022"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-4071-2"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810404002121"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2002.10603.x"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1380-y"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.08.020"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.03.003"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200011000-00004"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000188266.22041.c2"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000157754.98023.cd"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0076540"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0057532"},{"key":"e_1_2_2_14_2","volume-title":"The technique of clear writing","author":"Gunning R.","year":"1968"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0897-1897(96)80254-0"},{"key":"e_1_2_2_16_2","first-page":"1345","article-title":"Patient literacy and the readability of written cancer educational materials","volume":"22","author":"Cooley M.E.","year":"1995","journal-title":"Oncol Nurs Forum"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/13548509608400003"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.04.008"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2005.01.013"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-014-9657-3"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.6.1027"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2008.03.070217"},{"key":"e_1_2_2_23_2","volume-title":"Health literacy: A manual for clinicians","author":"Weiss B.D.","year":"2003"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0287"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.3810\/psm.2014.11.2099"},{"key":"e_1_2_2_26_2","first-page":"E65","article-title":"Readability of sports medicine\u2010related patient education materials from the American Academy of Orthopaedic Surgeons and the American Orthopaedic Society for Sports Medicine","volume":"43","author":"Ganta A.","year":"2014","journal-title":"Am J Orthop (Belle Mead NJ)"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806317312793?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806317312793?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.09.043","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2017.09.043","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.09.043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:02:09Z","timestamp":1773565329000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2017.09.043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,26]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1016\/j.arthro.2017.09.043"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2017.09.043","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,26]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Readability of the Most Commonly Accessed Arthroscopy-Related Online Patient Education Materials","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2017.09.043","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}