title: Glue ear: how good is the information on the World Wide Web?
abstract: OBJECTIVE
  This paper objectively evaluates current information available to the general public related to glue ear on the World Wide Web.
  
  
  METHODS
  The term 'glue ear' was typed into the 3 most frequently used internet search engines - Google, Bing and Yahoo - and the first 20 links were analysed. The first 400 words of each page were used to calculate the Flesch-Kincaid readability score. Each website was subsequently graded using the Discern instrument, which gauges quality and content of literature.
  
  
  RESULTS
  The websites Webmd.boots.com, Bupa.co.uk and Patient.co.uk received the highest overall scores. These reflected top scores in either readability or Discern instrument assessment, but not both. Readability and Discern scores increased with the presence of a marketing or advertising incentive. The Patient.co.uk website had the highest Discern score and third highest readability score.
  
  
  CONCLUSIONS
  There is huge variation in the quality of information available to patients on the internet. Some websites may be accessible to a wide range of reading ages but have poor quality content, and vice versa. Clinicians should be aware of indicators of quality, and use validated instruments to assess and recommend literature.
authors.affiliation: ENT Department,St Mary's Hospital,Imperial College Healthcare NHS Trust,London,UK.
authors.forename: L
authors.initials: L
authors.lastname: Ritchie
authors.affiliation: ENT Department,St George's Hospital,St George's Healthcare NHS Trust,London,UK.
authors.forename: C
authors.initials: C
authors.lastname: Tornari
authors.affiliation: ENT Department,St George's Hospital,St George's Healthcare NHS Trust,London,UK.
authors.forename: P M
authors.initials: PM
authors.lastname: Patel
authors.affiliation: ENT Department,St George's Hospital,St George's Healthcare NHS Trust,London,UK.
authors.forename: R
authors.initials: R
authors.lastname: Lakhani
mesh_terms: D054626:Consumer Health Information; D000068598:Data Accuracy; D006801:Humans; D020407:Internet; D010034:Otitis Media with Effusion / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D057386:Search Engine
keywords: Discern; Flesch–Kincaid; Glue Ear; Internet; Readability