Online Patient Information for Hysterectomies: A Systematic Environmental Scan of Quality and Readability

Published:April 25, 2022DOI:



      Hysterectomy is a common gynaecological procedure, and therefore online information is highly valuable to patients. Our objective was to evaluate the quality, readability, and comprehensiveness of online patient information on hysterectomy.


      The first 25 patient-directed websites on hysterectomy, identified using 5 online search engines (Google, Yahoo, AOL, Bing, as well as clinical professional societies, were assessed using validated tools for quality (DISCERN, JAMA benchmark), readability (Flesch-Kincaid Grade Level [FKGL], Gunning Fog, Simple Measure of Gobbledygook [SMOG], Flesch Reading Ease Score [FRES]), and completeness of information.


      We identified 50 websites for inclusion. Overall, websites were of good quality (median DISCERN score 53/80 [interquartile range {IQR} 47–61]; median JAMA score 3/4 [IQR 1–4]). Most websites described surgical risks (39, 78%), benefits (45, 90%), and types of hysterectomy (48, 96%). Content readability corresponded to grade 11 using FKGL (median 11.1 [IQR 10.2–13.0]) and SMOG (median 10.9 [IQR 10.2–12.4]), or 15 years education using Gunning Fog (median 14.7 [IQR 13.8–16.4]). Websites were assessed as difficult to read using FRES (median 45.6/100 [IQR 37.9–50.9]). No differences were observed in readability scores when we compared websites from clinical professional societies, government, health care, or academic organizations with other websites (P > 0.05).


      Online patient information on hysterectomy is of good quality and comprehensive. However, the content is above the American Medical Association’s recommended grade 6 reading level. Website authors should consider readability to make their content more accessible to patients.



      L’hystérectomie étant une intervention gynécologique courante, l’information en ligne s’avère très précieuse pour les patientes. Notre objectif était d’évaluer la qualité, la lisibilité et l’exhaustivité de l’information en ligne sur l’hystérectomie à l’intention des patientes.


      Les 25 premiers sites Web sur l’hystérectomie destinés aux patientes, répertoriés à l’aide de 5 moteurs de recherche en ligne (Google, Yahoo, AOL, Bing, et de sociétés cliniques professionnelles, ont été analysés au moyen d’outils validés pour évaluer la qualité (DISCERN, JAMA benchmark), la lisibilité (Flesch-Kincaid, Gunning Fog, SMOG, Flesch) et l’exhaustivité de l’information.


      Nous avons répertorié 50 sites Web répondant aux critères d’inclusion. Dans l’ensemble, les sites étaient de bonne qualité (score DISCERN médian de 53/80 [intervalle interquartile {IIQ} : 47–61]; score JAMA médian de 3/4 [IIQ : 1–4]). La plupart décrivaient les risques chirurgicaux (39, 78 %), les bénéfices (45, 90 %) et les types d’hystérectomie (48, 96 %). La lisibilité du contenu correspond à un niveau de lecture de 11e année selon le test de Flesch-Kincaid (indice médian de 11,1 [IIQ : 10,2–13,0]) et le test SMOG (score médian de 10,9 [IIQ : 10,2–12,4]) ou à 15 ans de scolarité selon la méthode de Gunning Fog (indice médian de 14,7 [IIQ : 13,8–16,4]). Selon le test de lisibilité de Flesch, les sites Web étaient difficiles à lire (indice médian de 45,6/100 [IIQ : 37,9–50,9]). Aucune différence n’a été relevée dans les scores de lisibilité lorsque nous avons comparé les sites Web de sociétés cliniques professionnelles, de gouvernements, de systèmes de santé ou d’organismes universitaires à d’autres sites Web (p > 0,05).


      L’information en ligne sur l’hystérectomie destinée aux patientes est de bonne qualité et complète. Cependant, le contenu surpasse le niveau de lecture de 6e année que recommande l’American Medical Association. Les auteurs des sites Web devraient tenir compte de la lisibilité pour rendre leur contenu plus accessible aux patientes.


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