Assessing the accuracy of Internet-based patient information for whiplash
Abstract
Objective: The aim of this study was to evaluate the quality and reliability of websites which provide information to patients on whiplash injury using an Internet search tool.
Methods: On the application of inclusion criteria, 16 relevant websites were found that met the criteria. These were evaluated using the DISCERN tool, which assesses and scores the reliability and quality of consumer information for health problems. The maximum possible score awarded for an excellent website is 80.
Results: Of the 16 websites scored by DISCERN, the majority fell below the maximum. The highest score achieved was 63 and the lowest score 30.
Conclusions: The results confirm that clinicians should ensure that they direct patients only to high-value validated websites so that they access appropriate and accurate information.
Whiplash injury is a combined flexion/extension soft-tissue injury of the cervical spine, commonly found in road traffic accidents and contact sports. There are two common modes of injury: hyperextension from a rear end shunt, or a rapid deceleration injury, which throws the head forward and flexes the cervical spine. Insurers pay £2 billion per year in claims for whiplash injury. The cost to the NHS of treating this injury has been estimated to be £8 million a year (Association of British Insurers, 2011). Many patients will seek further advice for their injuries and treatment.
In the last 10 years, Internet use in the UK has increased exponentially. A recent estimate of the number of users confirmed this to be 41.62 million, or 82.9% of the adult population (Office for National Statistics, 2011). Among users are patients seeking clinical information (Richard et al. 1998), including treatment options and possible sequelae (Roshandel et al. 2005). Of concern is that while there is extensive medical information available on the web, the quality and accuracy is questionable (Stinson et al, 2009). This could lead patients to make inappropriate decisions in regard to management and treatment.
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