[Evaluation of neuro-oncology information for French speaking patients on the Internet].
OBJECTIVE
Internet has become the first place where patients go to when seeking information about their disease. Little is known about the type and the quality of the medical information available on French-speaking websites, especially in the field of neuro-oncology. The purpose of this study was to evaluate the quality of these sites.


METHODS
We entered six key words "glioblastome", "méningiome", "métastase cérébrale", "neurinome de l'acoustique", "adénome à prolactine" and "lymphome primitif cérébral" into 2 different search engines and, for each key word, the first fifty websites were reviewed using the tool "DISCERN", and with the help of two neuro-oncologists, we rated their content in terms of quality and comprehension.


RESULTS
On 612 websites only 110 (18%) contained information that proved to be somewhat useful to patients. The average score for quality was 32, which is considered to be <<poor>>. According to our scoring system, 1.8% of websites were found to be "excellent", 11.8% "good", 24.5% "fairly good", 15.4% "average", 32.7% "poor" and 13.6% "very poor". Just over 50% of the websites were found to be clear. The study also showed that the order in which these websites were ranked in the search engine, their affiliation, their target or who financed them had little impact on quality. The websites were more likely to be of high quality if they were managed by doctors and had bibliographical references as well as a date indicating a recent website's update.


CONCLUSIONS
This study shows that the search for medical information on the Internet is time consuming and often disappointing: very few websites provide information that is both clear and exhaustive. However, we also found that very few websites contained information that was seriously inaccurate. Given the growing popularity of the Internet, patients could certainly benefit from a high quality French speaking website that would specialize in cerebral tumors, as well as from a neuro-oncological portal that would take them to selected websites as it would save time and would be a guarantee for quality.
Lévêque
M
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Département de neurochirurgie, hôpital Notre-Dame du CHUM, 1560, rue Sherbrooke-Est, H2L 4M1 Montréal, Québec, Canada. marc.leveque@umontreal.ca
Dimitriu
C
C
Gustin
T
T
Jamart
J
J
Gilliard
C
C
Bojanowski
M W
MW
D005602:France; D033181:Information Dissemination; D016247:Information Storage and Retrieval; D020407:Internet / Q000592:standards; D007802:Language; D009423:Nervous System Neoplasms; D009493:Neurosurgery; D010353:Patient Education as Topic