{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T21:00:02Z","timestamp":1783026002754,"version":"3.54.6"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The Internet is a frequently used tool for patients with pectus excavatum (PE) to get information about symptoms and treatment options. In addition, it is used by both health care providers as a marketing tool and support group systems. The Internet health information varies in precision, quality, and reliability. The study purpose was to determine the quality of information on the PE Web sites using the DISCERN instrument, including information about operation and potential complications after a Nuss bar procedure.<\/jats:p><jats:p>\n          Materials and Methods\u2003Four search engines, Google, Yahoo, Ask, and Bing, were used to explore seven key terms concerning PE. Search language was English. The DISCERN quality instrument was used to evaluate the Web sites. Also, information on possible complications was scored per Web site.<\/jats:p><jats:p>\n          Results\u2003A total of 560 Web sites were assessed in March 2019. Excluded were 139 Web sites. There were 333 duplicates, leaving 88 unique Web sites. Of these, 58.1% were hospital-related information Web sites, 28.4% medical information Web sites, and 3.4% patient forum sites. Interactive multimedia was used on 21.6% of the sites. Pain postoperatively was mentioned on 64.8% of the sites, while only 9.1% mentioned the mortality risk of the surgical correction of PE for Nuss bar placement. The quality of the unique Web sites showed a mean DISCERN score of 42.5 (standard deviation 12.2). Medical information Web sites, encyclopedia, and government-sponsored sites had higher DISCERN scores. Hospital-related information sites, medical companies, and lay persons' sites, had lower total scores.<\/jats:p><jats:p>\n          Conclusion\u2003The overall quality of PE Web sites is low to moderate, with serious shortcomings.<\/jats:p>","DOI":"10.1055\/s-0040-1710026","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T22:59:06Z","timestamp":1589324346000},"page":"157-163","source":"Crossref","is-referenced-by-count":15,"title":["The Quality of Web Sites' Health Information on Minimal Invasive Repair of Pectus Excavatum Using the DISCERN Instrument"],"prefix":"10.1055","volume":"31","author":[{"given":"Wietse P.","family":"Zuidema","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten J.","family":"Graumans","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan W. A.","family":"Oosterhuis","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medical Centre Haaglanden, Den Haag, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alida F. W.","family":"van der Steeg","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Princess Maxima Center, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest","family":"van Heurn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,5,12]]},"reference":[{"issue":"12","key":"ref1","first-page":"875","article-title":"Patient use of the internet for health information","volume":"43","author":"C Wong","year":"2014","journal-title":"Aust Fam Physician"},{"issue":"20","key":"ref2","doi-asserted-by":"crossref","first-page":"2691","DOI":"10.1001\/jama.287.20.2691","article-title":"Empirical studies assessing the quality of health information for consumers on the World Wide Web: a systematic review","volume":"287","author":"G Eysenbach","year":"2002","journal-title":"JAMA"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"e202","DOI":"10.2196\/jmir.6755","article-title":"Web use for symptom appraisal of physical health conditions: a systematic review","volume":"19","author":"J Mueller","year":"2017","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1111\/hir.12143","article-title":"Where people look for online health information","volume":"34","author":"S A LaValley","year":"2017","journal-title":"Health Info Libr J"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ijmedinf.2018.03.010","article-title":"Resolving embarrassing medical conditions with online health information","volume":"114","author":"S Redston","year":"2018","journal-title":"Int J Med Inform"},{"issue":"03","key":"ref7","first-page":"E15","article-title":"eEurope 2002: quality criteria for health related websites","volume":"4","year":"2002","journal-title":"J Med Internet Res"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.2196\/jmir.5051","article-title":"Health advice from Internet discussion forums: how bad is dangerous?","volume":"18","author":"J Cole","year":"2016","journal-title":"J Med Internet Res"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s12891-015-0466-9","article-title":"Internet based patient education improves informed consent for elective orthopaedic surgery: a randomized controlled trial","volume":"16","author":"A Fraval","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/s13019-016-0470-7","article-title":"Pectus patient information website has improved access to care and patient reported outcomes","volume":"11","author":"T Tikka","year":"2016","journal-title":"J Cardiothorac Surg"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1053\/jpsu.2000.8723","article-title":"Pediatric surgery on the Internet: is the truth out there?","volume":"35","author":"L E Chen","year":"2000","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1055\/s-0038-1670690","article-title":"Minor and major complications related to minimally invasive repair of pectus excavatum","volume":"28","author":"A Hebra","year":"2018","journal-title":"Eur J Pediatr Surg"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.jpedsurg.2017.07.020","article-title":"Life-threatening complications and mortality of minimally invasive pectus surgery","volume":"53","author":"A Hebra","year":"2018","journal-title":"J Pediatr Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/MOP.0000000000000119","article-title":"Adolescent health literacy and the Internet: challenges and opportunities","volume":"26","author":"A V Jain","year":"2014","journal-title":"Curr Opin Pediatr"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"e11129","DOI":"10.2196\/11129","article-title":"Evaluating the quality of health information in a changing digital ecosystem","volume":"21","author":"A Keselman","year":"2019","journal-title":"J Med Internet Res"},{"issue":"20","key":"ref16","doi-asserted-by":"crossref","first-page":"2612","DOI":"10.1001\/jama.285.20.2612","article-title":"Health information on the Internet: accessibility, quality, and readability in English and Spanish","volume":"285","author":"G K Berland","year":"2001","journal-title":"JAMA"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"141","DOI":"10.2332\/allergolint.08-SC-0022","article-title":"Use of the DISCERN instrument by patients and health professionals to assess information resources on treatments for asthma and atopic dermatitis","volume":"58","author":"J M Batchelor","year":"2009","journal-title":"Allergol Int"},{"key":"ref18","first-page":"911","article-title":"Filtering Web pages for quality indicators: an empirical approach to finding high quality consumer health information on the World Wide Web","author":"S L Price","year":"1999","journal-title":"Proc AMIA Symp"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/S0738-3991(01)00225-7","article-title":"Evaluating the reliability of DISCERN: a tool for assessing the quality of written patient information on treatment choices","volume":"47","author":"C E Rees","year":"2002","journal-title":"Patient Educ Couns"},{"key":"ref20","volume-title":"The DISCERN Handbook","author":"D Charnock","year":"1998"},{"issue":"02","key":"ref21","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 Commun Health"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"e11254","DOI":"10.2196\/11254","article-title":"Elements of trust in digital health systems: scoping review","volume":"20","author":"A Adjekum","year":"2018","journal-title":"J Med Internet Res"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"e221","DOI":"10.5210\/ojphi.v10i3.9544","article-title":"Websites as a tool for public health education: determining the trustworthiness of health websites on Ebola disease","volume":"10","author":"R Hamzehei","year":"2018","journal-title":"Online J Public Health Inform"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s12911-019-0772-5","article-title":"Who can you trust? A review of free online sources of \u201ctrustworthy\u201d information about treatment effects for patients and the public","volume":"19","author":"A D Oxman","year":"2019","journal-title":"BMC Med Inform Decis Mak"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.2196\/jmir.5.4.e25","article-title":"Adolescents searching for health information on the Internet: an observational study","volume":"5","author":"D L Hansen","year":"2003","journal-title":"J Med Internet Res"},{"issue":"04","key":"ref26","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.2196\/jmir.7731","article-title":"Health-related Internet use by children and adolescents: systematic review","volume":"20","author":"E Park","year":"2018","journal-title":"J Med Internet Res"},{"issue":"01","key":"ref27","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1542\/peds.105.1.e1","article-title":"Parents on the web: risks for quality management of cough in children","volume":"105","author":"C Pandolfini","year":"2000","journal-title":"Pediatrics"},{"issue":"10","key":"ref28","first-page":"CD008889","article-title":"Surgical interventions for treating pectus excavatum","author":"P E de Oliveira Carvalho","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/14653125.2016.1194599","article-title":"Adult orthodontics: a quality assessment of Internet information","volume":"43","author":"S M McMorrow","year":"2016","journal-title":"J Orthod"},{"issue":"06","key":"ref30","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1213\/ANE.0000000000001590","article-title":"Internet-based resources frequently provide inaccurate and out-of-date recommendations on preoperative fasting: a systematic review","volume":"123","author":"T Roughead","year":"2016","journal-title":"Anesth Analg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1710026.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T11:55:34Z","timestamp":1615204534000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1710026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,12]]},"references-count":29,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2021,3,5]]},"published-print":{"date-parts":[[2021,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1710026","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,12]]}}}