{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:15:13Z","timestamp":1792419313311,"version":"4.5.0"},"reference-count":46,"publisher":"PAGEPress Publications","issue":"2","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reumatismo"],"abstract":"<jats:p>There are concerns over the reliability and comprehensibility of health-related information on the internet. The goal of our research was to analyze the readability, reliability, and quality of information obtained from websites associated with Beh\u00e7et\u2019s disease (BD). On September 20, 2021, the term BD was used to perform a search on Google, and 100 eligible websites were identified. The Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL), and Gunning Fog (GFOG) were used to evaluate the readability of the website. The JAMA score was used to assess the websites\u2019 reliability, the DISCERN score and the Health on the Net Foundation code of conduct (HONcode) were used to assess quality, and Alexa was used to analyze their popularity. Sections of the text were evaluated, and the results revealed that the mean FRES was 35.49\u00b114.42 (difficult) and the mean GFOG was 14.93\u00b13.13 years (very difficult). According to the JAMA scores, 36% of the websites had a high reliability rating and 20% adhered to the HONcode. The readability was found to significantly differ from the reliability of the websites (p&lt;0.05). Moreover, websites with scientific content were found to have higher readability and reliability (p&lt;0.05). The readability of BD-related information on the Internet was found to be considerably higher than that recommended by the National Health Institute\u2019s Grade 6, with moderate reliability and good quality. We believe that online information should have some level of readability and must have reliable content that is appropriate to educate the public, particularly for websites that provide with patient education material.<\/jats:p>","DOI":"10.4081\/reumatismo.2022.1495","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T14:00:29Z","timestamp":1663077629000},"source":"Crossref","is-referenced-by-count":27,"title":["Evaluating the readability, quality and reliability of online information on Beh\u00e7et\u2019s disease"],"prefix":"10.4081","volume":"74","author":[{"given":"E.","family":"\u00d6zduran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Hanci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"1986","unstructured":"Hatemi G, Seyahi E, Fresko I, et al. One year in review 2020: Beh\u00e7et\u2019s syndrome. Clin Exp Rheumatol. 2020; 127: 3-10."},{"key":"1987","doi-asserted-by":"crossref","unstructured":"Davatchi F, Chams-Davatchi C, Shams H, et al. Beh\u00e7et\u2019s disease: epidemiology, clinical manifestations, and diagnosis. Exp Rev Clin Immunol. 2017; 13: 57-65.","DOI":"10.1080\/1744666X.2016.1205486"},{"key":"1988","doi-asserted-by":"crossref","unstructured":"Chen J, Yao X. A contemporary review of Beh\u00e7et\u2019s syndrome. Clin Rev Allergy Immunol 2021 [Epub ahead of print].","DOI":"10.1007\/s12016-021-08864-3"},{"key":"1989","doi-asserted-by":"crossref","unstructured":"Yeh TK, Yeh J. Chest pain in pediatrics. Pediatr Ann. 2015; 44: e274-8.","DOI":"10.3928\/00904481-20151110-01"},{"key":"1990","doi-asserted-by":"crossref","unstructured":"Murray KE, Murray TE, O\u2019Rourke AC, et al. Readability and quality of online information on osteoarthritis: an objective analysis with historic comparison. Interact J Med Res. 2019; 8: e12855.","DOI":"10.2196\/12855"},{"key":"1991","doi-asserted-by":"crossref","unstructured":"Amante DJ, Hogan TP, Pagoto SL, et al. Access to care and use of the Internet to search for health information: results from the US National Health Interview Survey. J Med Internet Res. 2015; 17: e106.","DOI":"10.2196\/jmir.4126"},{"key":"1992","doi-asserted-by":"crossref","unstructured":"Scott BB, Johnson AR, Doval AF, et al. Readability and understandability analysis of online materials related to abdominal aortic aneurysm repair. Vasc Endovascular Surg. 2020; 54: 111-7.","DOI":"10.1177\/1538574419879855"},{"key":"1993","doi-asserted-by":"crossref","unstructured":"Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor--Let the reader and viewer beware. JAMA. 1997; 277: 1244-5.","DOI":"10.1001\/jama.277.15.1244"},{"key":"1994","doi-asserted-by":"crossref","unstructured":"AlKhalili R, Shukla PA, Patel RH, et al. Readability assessment of internet-based patient education materials related to mammography for breast cancer screening. Acad Radiol. 2015; 22: 290-5.","DOI":"10.1016\/j.acra.2014.10.009"},{"key":"1995","doi-asserted-by":"crossref","unstructured":"Crawford-Manning F, Greenall C, Hawarden A, et al. Evaluation of quality and readability of online patient information on osteoporosis and osteoporosis drug treatment and recommendations for improvement. Osteoporos Int. 2021; 32: 1567-84.","DOI":"10.1007\/s00198-020-05800-7"},{"key":"1996","doi-asserted-by":"crossref","unstructured":"Wang Q, Xie L, Wang L, et al. Readability in printed education materials for Chinese patients with systemic lupus erythematosus: a mixed-method design. 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