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• W4316087095 abstract "Introduction: Gastroesophageal Reflux Disease (GERD) is a chronic gastrointestinal disorder that affects about 20% of the US adult population. As more patients turn to the internet for educational resources, our aim was to evaluate the accuracy, comprehensiveness, and readability of online patient education tools that are readily available. Methods: We conducted a cross-sectional analysis of online patient educational resources for GERD using Google in June 2022. We divided the US into four major regions and performed online searches from the 1) Two of the wealthiest and poorest cities and 2) Two of the largest and smallest cities in each region to determine if variation existed in the availability of online resources. The top 10 Google websites, blogs and videos for the search of “GERD” from each of the 16 cities which were included and independently reviewed. We created a list of 36 items related to GERD that we believe should be included in patient information materials. This list was used to assess for accuracy and comprehensiveness of patient's resources (Table). The readability of each website and blog was assessed using the Flesch-Kincaid readability test. Results: There was no difference in websites, blogs or videos between the 16 cities. We identified a total of 10 websites, 10 blogs and 10 videos. Six websites were from academic sites and four were a compilation of non-academic sites, which we titled “other.” No website, blog or video met 100% of the criteria. Median percentage of total GERD criteria mentioned was 82% for academic websites, 92% for other websites, 61% for blogs, and 61% for videos (Table and Figure). Of the criteria, autoimmune disease as a risk factor and sleeping on left side as a lifestyle intervention were least mentioned. All websites and blogs exceeded the average reading level of 6th grade as recommended for patient education materials by the National Institute of Health. Conclusion: The websites, blogs and videos are consistent and accessible regardless of search location. These resources were accurate, but varied in their comprehensiveness and exceeded the average recommended reading level. It is important for clinicians to be familiar with these patient resources, especially with patients blogs as they were more geared towards lifestyle modifications and included many misconceptions about adverse drug effects.Figure 1.: Percentage of total Gastroesophageal reflux disease (GERD) criteria and average grade level readability for website, blog, and video. Table 1. - Percentage of each Gastroesophageal Reflux Disorder (GERD) criteria met by each category of websites, blogs and videos Criteria (n=36) Website Blogs (n=10) Videos (n=10) Academic (n=6) Other (n=4) Background Defines GERD 100% 100% 100% 100% Explains disease pathophysiology 83% 75% 80% 80% Clinical Manifestation Heartburn 100% 100% 100% 100% Chest pain 100% 100% 70% 60% Dysphagia 100% 100% 100% 70% Regurgitation or sour taste 100% 100% 100% 90% Cough 100% 100% 90% 70% Sleep disturbances 50% 75% 30% 20% Risk Factors Obesity 67% 100% 60% 70% Hiatal hernia 67% 100% 50% 50% Pregnancy 67% 100% 60% 40% Diabetes or Gastroparesis 0% 50% 0% 30% Autoimmune 17% 50% 0% 10% Complications Esophageal stricture 83% 100% 60% 40% Gastroesophageal ulcers or esophagitis 83% 100% 50% 30% Barrett’s Esophagus 83% 100% 90% 40% Diagnosis Endoscopy 100% 100% 50% 40% pH monitoring 100% 75% 40% 40% Manometry 67% 75% 30% 20% Barium swallow 83% 75% 30% 30% Management Antacids 100% 100% 70% 80% Proton pump inhibitors 100% 100% 90% 80% Histamine 2 Receptor Antagonists 100% 100% 70% 70% Surgery 83% 100% 80% 70% Endoscopic interventions 33% 50% 20% 30% Modifiable risks Weight loss 100% 100% 70% 60% Smoking cessations 100% 100% 70% 60% Avoid alcohol 100% 75% 100% 60% Avoid coffee 100% 100% 70% 60% Avoid medications that can worsen symptoms (i.e. aspirin, NSAID) 50% 100% 40% 50% Avoid trigger foods 50% 100% 90% 50% Lifestyle interventions Eat small meals 83% 100% 50% 40% Eat food slowly/chew 100% 100% 70% 60% Elevate head of the bed 0% 0% 30% 10% Sleep on left side 100% 100% 80% 50% Avoid laying flat after eating or eating 2-3 hours prior to bedtime 50% 100% 90% 50%" @default.
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• W4316087095 date "2022-10-01" @default.
• W4316087095 modified "2023-09-29" @default.
• W4316087095 title "S424 Online Patient Education for Gastroesophageal Reflux Disease – Are Patients Being Misinformed?" @default.
• W4316087095 doi "https://doi.org/10.14309/01.ajg.0000858336.66478.9a" @default.
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