title: Gastric cancer-related information on the Internet: incomplete, poorly accessible, and overly commercial.
abstract: BACKGROUND
  Patients increasingly use the Internet for gastric cancer information. However, the quality of the information is questionable. We evaluated the accuracy, completeness, accessibility, reliability, and readability of gastric cancer websites.
  
  
  METHODS
  The Internet was searched for the terms "gastric cancer" or "stomach cancer" using general search engines. Websites were evaluated for completeness (CS) and accuracy (AS) using predefined quality appraisal instruments (QAIs), reliability using an integrity score (IS), readability using the Flesch-Kincaid (FK) grade level, and accessibility using automated accessibility appraisal tools. Site sponsor and the presence of quality labels were noted.
  
  
  RESULTS
  Fifty-one websites were evaluated. The mean CS was 100.3 (SD ±44.9), AS was 107.22 (SD ±47.9), IS was 15.3 (SD ±3.7), and the mean readability grade level was 10.4 (SD ±2.5). Only 5 websites had the minimum mandatory basic accessibility. Commercial sites and sites with quality labels had significantly more accessibility violations.
  
  
  CONCLUSIONS
  Internet gastric cancer information is overtly commercial, generally incomplete, and poorly accessible.
authors.affiliation: Department of Surgery, Kerry General Hospital, Tralee, Co. Kerry, Ireland. sdfkilleen@eircom.net
authors.forename: Shane
authors.initials: S
authors.lastname: Killeen
authors.forename: Arthur
authors.initials: A
authors.lastname: Hennessey
authors.forename: Yahear
authors.initials: Y
authors.lastname: El Hassan
authors.forename: Kelvin
authors.initials: K
authors.lastname: Killeen
authors.forename: Nick
authors.initials: N
authors.lastname: Clarke
authors.forename: Kevin
authors.initials: K
authors.lastname: Murray
authors.forename: Brian
authors.initials: B
authors.lastname: Waldron
mesh_terms: D003132:Commerce; D032882:Comprehension; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D020407:Internet / Q000592:standards; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards; D057386:Search Engine; D013274:Stomach Neoplasms