Analysis of cases of harm associated with use of health information on the Internet
Analysis of cases of harm associated with use of health information on the Internet
复制标题
DOI：
10.1001/jama.287.21.2869
复制
发表时间：
2002-06-05
影响因子：
120.7
通讯作者：
Jadad, AR
中科院分区：
文献类型：
--
作者：
Crocco, AG;Villasis-Keever, M;Jadad, AR
背景有人对在互联网上使用质量不佳的健康信息可能造成的危害表示关切。方法我们对同行评议的文献进行了系统的回顾，以评估报告的与使用互联网上的健康信息相关的伤害案例的数量和特点。使用改进的策略，我们检索了MEDLINE(1966年至2001年2月)、CINAHL(1982年至2001年3月)、HealthStar(1975年至2000年12月)、SqucINFO(1967年至2001年3月)和EMBASE(1980年至2001年3月)。与此相补充的是对参考文献清单的搜索。两位作者分别审查了摘要，以确定描述至少1例与使用互联网上发现的健康信息有关的危害的文章。两项研究都获得了任何格式和任何语言的文章，并对其进行了综述。结果检索到1512篇摘要。其中186篇论文进行了全文综述。其中，3篇文章符合入选标准。一篇文章描述了两个不正当的互联网搜索导致情感伤害的案例。第二篇文章描述了狗因互联网上获得的错误信息而中毒。第三篇文章描述了一名肿瘤患者在互联网上获得错误用药信息后发生的肝肾衰竭。结论尽管流行的出版物警告使用互联网上的健康信息相关的潜在危害，但我们的搜索发现几乎没有报告的伤害案例。这可能是因为与使用互联网上可获得的信息有关的损害的实际风险很低，可能是因为案件报告不足，或者是由于偏见。
Context There is concern about the potential harm associated with the use of poor quality health information on the Internet. To date, there have been no systematic attempts to examine reported cases of such harm.Methods We conducted a systematic review of the peer-reviewed literature, to evaluate the number and characteristics of reported cases of harm associated with the use of health information obtained on the Internet. Using a refined strategy, we searched MEDLINE (from 1966 to February 2001), CINAHL (from 1982 to March 2001), HealthStar (from 1975 to December 2000), PsycINFO (from 1967 to March 2001), and EMBASE (from 1980 to March 2001). This was complemented with searches of reference lists. Two authors separately reviewed the abstracts to identify articles that describe at least 1 case of harm associated with the use of health information found on the Internet. Articles of any format and in any language deemed possibly relevant by either researcher were obtained and reviewed by both researches.Results The search yielded 1512 abstracts. Of these 186 papers were reviewed in full text. Of these, 3 articles satisfied the selection criteria. One article described 2 cases in which improper Internet searches led to emotional harm. The second article described dogs being poisoned because of misinformation obtained on the Internet. The third article described hepatorenal failure in an oncology patient who obtained misinformation about the use of medication on the Internet.Conclusions Despite the popularity of publications warning of the potential harm associated with using health information from the Internet, our search found few reported cases of harm. This may be due to an actual low risk for harm associated with the use of information available on the Internet, to underreporting of cases, or to bias.