Consumerism and its impact on robotic-assisted radical prostatectomy
Consumerism and its impact on robotic-assisted radical prostatectomy
复制标题
DOI：
10.1111/j.1464-410x.2011.10117.x
复制
发表时间：
2011-12-01
影响因子：
4.5
通讯作者：
Lawrentschuk, Nathan
中科院分区：
文献类型：
--
作者：
Alkhateeb, Sultan;Lawrentschuk, Nathan
许多专家认为媒体报道、市场营销和/或直接面向消费者的广告，特别是基于互联网的形式，是广泛采用机器人辅助前列腺切除术（RARP）的基础。然而，这一点以前并没有被探索过。本研究的主要目的是描述RARP在互联网上的媒体报道和营销的作用，而次要目标是关注网站质量与前列腺切除术的介绍。材料和方法：在使用谷歌和Yahoo检索前50个网站的“机器人前列腺切除术、腹腔镜前列腺切除术（LP）和开放式根治性前列腺切除术（ORP）”这三个术语后，对网站内容进行直接面向消费者的广告评估。对每个程序在过去十年中每年的互联网新闻点击数进行了线性回归分析。网站质量评估采用世卫组织互联网诚信准则原则进行。结果在检索到的网站中，使用谷歌的RARP、LP和ORP直接面向消费者的广告比例分别为64%、14%和0% (P < 0.001)，使用Yahoo的RARP、LP和ORP的比例分别为80%、16%和0% （P < 0.001）。在线性回归分析中，RARP、LP和ORP在过去10年中每年的新闻点击率的r(2)值分别为0.89、0.74和0.76。网站质量评估发现，少数网站符合HONcode原则，程序类型之间没有差异（P > 0.05）。结论与LP和ORP相比，RARP在互联网上的媒体报道和营销更为广泛。令人不安的是，当使用诚实信息呈现原则时，使用任何前列腺切除术技术的网站质量都很差，这些发现需要在获得患者知情同意方面进行讨论。
OBJECTIVESMany experts consider that media coverage, marketing and/or direct-toconsumer advertising, particularly Internet-based forms, are fundamental to the widespread adoption of robotic-assisted prostatectomy (RARP). However, this has not been explored previously.The primary objective of the present study was to delineate the role of media coverage and marketing of RARP on the Internet, whereas the secondary goal focused on website quality with respect to the presentation of prostatectomy.MATERIALS AND METHODSWebsite content was evaluated for direct-to-consumer advertising after the retrieval of the first 50 websites using Google and Yahoo for each of the terms: 'robotic prostatectomy, laparoscopic prostatectomy (LP) and open radical prostatectomy (ORP)'.A linear regression analysis was performed for the annual number of Internet news hits over the last decade for each procedure. Website quality assessment was performed using WHO Honesty on the Internet (HON) code principles.RESULTSOf the retrieved sites, the proportion containing direct-to-consumer advertising for RARP vs LP vs ORP using Google was 64% vs 14% vs 0%, respectively (P < 0.001) and, using Yahoo, 80% vs 16% vs 0%, respectively (P < 0.001).In a linear regression analysis, the r(2) values for news hits for each year over the last 10 years were 0.89, 0.74 and 0.76 for RARP, LP and ORP, respectively.Website quality assessment found that a minority of the websites were accredited with HONcode principles, with no difference between procedure types (P > 0.05).CONCLUSIONSMedia coverage and marketing of RARP on the Internet is more widespread compared to LP and ORP.Disturbingly, the quality of websites using any technique for prostatectomy was of poor quality when using principles of honest information presenting and such findings need to be discussed with respect to obtaining informed consent from patients.