{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:09:28Z","timestamp":1790269768511,"version":"4.1.0"},"reference-count":15,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"09","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>\n            Objective\u2003There are no published studies analyzing the quality of the information for lay women on the Internet regarding uterine fibroids. The accuracy of the provided material is also unknown. Thus, we have performed a cross-sectional study with 381 websites in the English and Brazilian Portuguese languages between May and December 2017.<\/jats:p><jats:p>\n            Methods\u2003Two investigators performed the analysis, and the Cohen kappa coefficient was calculated to analyze the agreement between them. Search terms (uterine fibroids and derivatives) in the English and Brazilian Portuguese languages were used. The accuracy was analyzed by a 10-item checklist created based on the American Society for Reproductive Medicine (ASRM), National Institutes of Health (NIH) and European Menopause and Andropause Society (EMAS) consensuses about uterine fibroids. The item\u2013test correlation and the intraclass coefficient were performed in the 16 questions from the DISCERN instrument, which was designed to measure the quality of health information on the Internet. Analysis of variance (ANOVA) measurements were performed for the independent variables and the DISCERN\/accuracy scores.<\/jats:p><jats:p>\n            Results\u2003Google was the most used search engine, and uterine fibroid was the search term that generated most of the analyzed material. The median score for accuracy in all websites was 5 out of 10, and the median score of the DISCERN instrument was 38 out of 80. The top-scoring sites in the English language were derived from scientific organizations and federal governments, and they regarded the DISCERN score (The American College of Obstetricians and Gynecologists [ACOG], the Food and Drug Administration [FDA]) and the accuracy criteria (NIH, and FDA). On the other hand, in the Brazilian Portuguese language, the highest scores in both instruments were from magazines or physician's blogs. The Cronbach \u03b1 test showed a higher correlation (0.77\u20130.79) between the sites and DISCERN; however, the item\u2013test correlation varied from 0.39 to 0.56.<\/jats:p><jats:p>\n            Conclusion\u2003There is a need to improve the quality of the information regarding uterine fibroids for lay women.<\/jats:p>","DOI":"10.1055\/s-0038-1672163","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T22:44:36Z","timestamp":1537397076000},"page":"547-553","source":"Crossref","is-referenced-by-count":3,"title":["Quality Information about Uterine Fibroids on the Internet"],"prefix":"10.61622","volume":"40","author":[{"given":"Daniela Gama de","family":"Melo","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of medicine of Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro S\u00e9rgio Soares","family":"Jallad","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of medicine of Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"},{"name":"Department of Gynecology and Obstetrics, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"issue":"S 03","key":"ref1","doi-asserted-by":"crossref","first-page":"S185","DOI":"10.4103\/2141-9248.141955","article-title":"Pharmacological treatment of uterine fibroids","volume":"4","author":"R Moroni","year":"2014","journal-title":"Ann Med Health Sci Res"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1742-4755-11-10","article-title":"Uterine leiomyoma: understanding the impact of symptoms on womens' lives","volume":"11","author":"L G Brito","year":"2014","journal-title":"Reprod Health"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/JOM.0b013e31805f6cf2","article-title":"The direct and indirect cost burden of clinically significant and symptomatic uterine fibroids","volume":"49","author":"D W Lee","year":"2007","journal-title":"J Occup Environ Med"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1111\/aogs.12220","article-title":"Motivational factors for women undergoing hysterectomy for uterine leiomyoma","volume":"92","author":"L G Brito","year":"2013","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.pec.2005.10.006","article-title":"Patients using the Internet to obtain health information: how this affects the patient-health professional relationship","volume":"63","author":"M McMullan","year":"2006","journal-title":"Patient Educ Couns"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1007\/s00404-014-3207-7","article-title":"Using a search-volume tool (Google Trends) to assess global interest for uterine fibroids","volume":"289","author":"L G Brito","year":"2014","journal-title":"Arch Gynecol Obstet"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1136\/jech.53.2.105","article-title":"DISCERN: an instrument for judging the quality of written consumer health information on treatment choices","volume":"53","author":"D Charnock","year":"1999","journal-title":"J Epidemiol Community 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Obstet"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s00192-014-2538-z","article-title":"Quality of information on pelvic organ prolapse on the Internet","volume":"26","author":"A B Kakos","year":"2015","journal-title":"Int Urogynecol J"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1007\/s00192-014-2615-3","article-title":"Patient-focused websites related to stress urinary incontinence and pelvic organ prolapse: a DISCERN quality analysis","volume":"26","author":"O F Due\u00f1as-Garcia","year":"2015","journal-title":"Int Urogynecol J"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.2196\/jmir.7.5.e55","article-title":"Website quality indicators for consumers","volume":"7","author":"K M Griffiths","year":"2005","journal-title":"J Med Internet Res"},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1001\/jama.283.12.1600","article-title":"Guidelines for medical and health information sites on the internet: principles governing AMA web sites","volume":"283","author":"M A Winker","year":"2000","journal-title":"JAMA"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.ajog.2016.11.1007","article-title":"Googling endometriosis: a systematic review of information available on the Internet","volume":"216","author":"M Hirsch","year":"2017","journal-title":"Am J Obstet Gynecol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and 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