A quality analysis of internet patient information for immediate, sequential, bilateral cataract surgery (ISBCS)

Abstract

Background Due to surgical capacity pressures, induced by the COVID-19 pandemic, immediate bilateral simultaneous cataract surgery (ISBCS) has been utilised increasingly throughout the U.K. This surgical method comes with both novel risks and benefits, so the consent process must be modified. Prior randomised trials have demonstrated that appropriate online information may act as an adjunct to the surgical consent process. This study aims to assess the quality of available internet information for ISBCS. Methods Terms searched were ‘bilateral cataract surgery patient information’, ‘double cataract surgery patient information’, and ‘immediate sequential bilateral cataract surgery patient information’. The Google search engine was used. The DISCERN instrument and JAMA benchmarks were used to assess healthcare information for quality. The Flesch Reading Ease Score (FRE), Flesch Kincaid Grade (FKG) Level and Gunning Fog Score (GFS) were used to assess for readability. HONcode certification was used to assess transparency and quality. Results Forty-six websites were found. The average DISCERN score was 41.3, meaning a “fair” quality which is below what many patients would anticipate discovering when trying to find information. National Healthcare Service websites had higher DISCERN scores than private healthcare-provided websites ( p < 0.01; 95% CI: 1.13–1.88.) Conclusions Fair patient information for ISBCS has been demonstrated. Specific internet information sources with appropriate information should be further developed, with cited sources, and patients signposted to them if felt appropriate.