{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:36:11Z","timestamp":1777642571412,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>In the modern-day health care environment, it is expected that a large proportion of patients will utilize the Internet to gather health care-related information. However, online sources are often not subjected to adequate quality control measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the quality of printed online education materials (POEMs) pertaining to elective facial cosmetic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, Setting, and Participants:<\/jats:title>\n                    <jats:p>This is a descriptive correlational study. Independent Internet searches for the terms \u201crhinoplasty,\u201d \u201crhytidectomy,\u201d \u201cblepharoplasty,\u201d and \u201cbrowlift\u201d were carried out using the Google search engine. The top 20 web resources for each term were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures:<\/jats:title>\n                    <jats:p>All web resources were analyzed for HONcode certification. The DISCERN instrument was then used to determine reliability and specificity of information, whereas readability was assessed using the Flesch Reading Ease (FRE) score and the Flesch-Kincaid Grade Level (FKGL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the resulting 80 web resources, 30% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924) were HONcode certified. None of the surgical society web resources (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200912) were HONcode certified, and only 42% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098) of web resources associated with academic institutions were HONcode certified. Out of a maximum DISCERN score of 80, the mean (standard deviation [SD]) scores were 48 (11) for rhinoplasty, 50 (11) for rhytidectomy, 47 (11) for blepharoplasty, and 45 (10) for browlift. The mean DISCERN scores of the HONcode-certified web resources did not differ significantly from scores of uncertified web resources (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.069). There was no significant difference in overall mean DISCERN scores for the different web resource categories. The mean (SD) FRE score was 45.7 (11.9), whereas the mean FKGL score was 10.7 (1.9). HONcode-certified web resources had significantly higher FRE scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.028) and significantly lower FKGL scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>A significant proportion of POEMs regarding elective cosmetic facial plastic surgery remains uncertified and of inadequate quality. This can negatively impact the informed decision-making process and increase the risk of poor outcomes and lower satisfaction rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2019.0013","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T15:43:57Z","timestamp":1586360637000},"page":"255-261","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Evaluation of the Quality of Printed Online Education Materials in Cosmetic Facial Plastic Surgery"],"prefix":"10.1177","volume":"22","author":[{"given":"Mohamedkazim M.","family":"Alwani","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent J.","family":"Campiti","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elhaam H.","family":"Bandali","sequence":"additional","affiliation":[{"name":"Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley R.","family":"Nesemeier","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan Y.","family":"Ting","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA."},{"name":"Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taha Z.","family":"Shipchandler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,2]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"American Academy of Facial Plastic and Reconstructive Surgery. AAFPRS 2018 annual survey reveals key trends in facial plastic surgery: rhinoplasty reigns supreme millennials are the new influencers return to natural look is trending non-invasive treatments continue to surge. 2019. https:\/\/www.aafprs.org\/media\/stats_polls\/m_stats.html. Accessed May19 2019."},{"key":"e_1_3_3_3_2","unstructured":"American Society of Plastic Surgeons. 2018. national plastic surgery statistics. 2019. https:\/\/www.plasticsurgery.org\/documents\/News\/Statistics\/2018\/plastic-surgery-statistics-report-2018.pdf. Accessed May19 2019."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.1636"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001264"},{"key":"e_1_3_3_6_2","article-title":"Readibility, understandability, and quality of online education materials for vocal fold nodules","author":"Doruk C","year":"2018","unstructured":"Doruk C, , Enver N, , \u00c7aytemel B, , Azezli E, , Ba\u015faran B. Readibility, understandability, and quality of online education materials for vocal fold nodules. J Voice, 2018. [Epub ahead of print]; DOI:10.1016\/j.jvoice.2018.08.015.","journal-title":"J Voice"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2017.07.011"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.0730"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23773"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-017-0937-5"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000798"},{"key":"e_1_3_3_12_2","unstructured":"How to write easy to read health materials. June 2017. www.nlm.nih.gov\/medlineplus\/etr.html. Accessed January9 2019."},{"key":"e_1_3_3_13_2","unstructured":"Weiss B. Health Literacy: A Manual for Clinicians. Chicago IL: American Medical Association 2003."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26359"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.10379"},{"key":"e_1_3_3_16_2","unstructured":"Team HON. Health on the Net Foundation. April 2019. https:\/\/www.hon.ch\/en. Accessed January9 2019."},{"key":"e_1_3_3_17_2","unstructured":"Charnock D. The DISCERN Handbook: Quality Criteria for Consumer Health Information on Treatment Choices. Abingdon UK: Radcliffe Medical Press 1998."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.08.033"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23939"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2016.09.020"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000660"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215118001792"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717744340"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1715163515569212"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2017.12.011"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2018.05.003"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.12.004"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.155.7.807"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815626146"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23157"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414567938"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.04.031"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.09.036"}],"container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/fpsam.2019.0013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2019.0013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2019.0013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:23:31Z","timestamp":1777443811000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/fpsam.2019.0013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,2]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8,1]]}},"alternative-id":["10.1089\/fpsam.2019.0013"],"URL":"https:\/\/doi.org\/10.1089\/fpsam.2019.0013","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,2]]}}}