{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:20:51Z","timestamp":1784820051283,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the availability and readability of online patient information (OPI) provided by paediatric hospitals in the United States using clubfoot as a model condition<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The websites of the top 95 paediatric hospitals identified using US News &amp; World Report were included. The names of paediatric hospitals and the terms \u201cclubfoot\u201d, \u201cclubfeet\u201d and \u201ctalipes equinovarus\u201d were entered into the Google search engine. Readability was assessed using five validated metrics and the composite grade level (CGL). The number of unpaid monthly visits was calculated with the Ahrefs Organic Traffic Score (OTS) tool. Data for paediatric hospitals were compared with the same metrics for the top ten Google search results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 95 paediatric hospitals, 29 (30.5%) did not have at least one web page dedicated to clubfoot. The 128 web pages representing 66 paediatric hospitals had an average CGL of 9.4, representing a readability level requiring some high school education. The mean OTS for all paediatric hospitals was 116 estimated visits per month, which was significantly less than that for the top ten Google clubfoot search results (3035.1; p &lt; 0.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Paediatric hospital web pages on clubfoot were visited much less frequently than those from the top ten Google search results. Only two web pages (1.6%) from paediatric hospitals offered OPI on clubfoot that met the American Medical Association recommended reading level (sixth-grade level). Paediatric hospitals should create OPI on clubfoot with appropriate readability and accessibility for patient families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.15.210013","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T03:58:44Z","timestamp":1619755124000},"page":"291-297","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Availability and readability of online patient information on clubfoot: Assessment of paediatric hospital clubfoot web pages"],"prefix":"10.1177","volume":"15","author":[{"given":"Michael","family":"Xie","sequence":"first","affiliation":[{"name":"Harvard University, Cambridge, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Young","sequence":"additional","affiliation":[{"name":"Harvard Combined Orthopedic Residency Program, Boston, \u00adMassachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin","family":"May","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"bibr1-1863-2548.15.210013","unstructured":"Fox S, Duggan M. Health Online 2013. Pew Research Center; 2013. https:\/\/www.pewresearch.org\/internet\/2013\/01\/15\/health-online-2013\/ (date last accessed 10 October 2020)."},{"key":"bibr2-1863-2548.15.210013","unstructured":"Fox S, Rainie L, Horrigan J, The online health care revolution: how the web helps Americans take better care of themselves. https:\/\/www.pewinternet.org\/wp-content\/uploads\/sites\/9\/media\/Files\/Reports\/2000\/PIP_Health_Report.pdf.pdf, last accessed 19 April 2021)."},{"key":"bibr3-1863-2548.15.210013","first-page":"407","volume":"60","author":"Tonsaker T","year":"2014","journal-title":"Can Fam Physician"},{"key":"bibr4-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.1.e7"},{"key":"bibr5-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.20.00054"},{"key":"bibr6-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01189"},{"key":"bibr7-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1111\/hir.12143"},{"key":"bibr8-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-4071-2"},{"key":"bibr9-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00043"},{"key":"bibr10-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1177\/1062860617751639"},{"key":"bibr11-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1542"},{"key":"bibr12-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318257640c"},{"key":"bibr13-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0734-9"},{"key":"bibr14-1863-2548.15.210013","unstructured":"No authors listed. Best Children's Hospitals for Orthopedics. US News & World Report. https:\/\/health.usnews.com\/best-hospitals\/paediatric-rankings\/orthopedics (Date last accessed 21 December 2020)."},{"key":"bibr15-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1089\/cpb.2004.7.497"},{"key":"bibr16-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1177\/001872087001200505"},{"key":"bibr17-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1109\/ICEMT.2010.5657684"},{"key":"bibr18-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.3414\/ME0474"},{"key":"bibr19-1863-2548.15.210013","first-page":"87","volume":"11","author":"Kim Y-S","year":"2010","journal-title":"J Internet Computing and Services"},{"key":"bibr20-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-018-0660-4"},{"key":"bibr21-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1109\/ICEDEG.2018.8372368"},{"key":"bibr22-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.128876"},{"key":"bibr23-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.7400"},{"key":"bibr24-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1080\/20479700.2018.1470816"},{"key":"bibr25-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5729"},{"key":"bibr26-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4018"},{"key":"bibr27-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-2-201107190-00005"},{"key":"bibr28-1863-2548.15.210013","first-page":"1","volume":"6","author":"Battineni G","year":"2020","journal-title":"Digit Health"},{"key":"bibr29-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/07-144"},{"key":"bibr30-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182793338"},{"key":"bibr31-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.0730"},{"key":"bibr32-1863-2548.15.210013","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2632"},{"key":"bibr33-1863-2548.15.210013","unstructured":"Soulo T. 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