Four articles on PainSci cite Starman 2010: 1. The Complete Guide to IT Band Syndrome 2. Complete Guide to Low Back Pain 3. The Complete Guide to Patellofemoral Pain Syndrome 4. The Complete Guide to Neck Pain & Cricks
PainSci commentary on Starman 2010: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
Researchers evaluated the accuracy of top Internet sources of information about common orthopedic conditions, such as knee injuries and low back pain. Given how they selected websites to review, it’s almost likely that they reviewed this one! What I wouldn’t give to know.
They found that “the quality and content of health information on the internet is highly variable for common sports medicine topics.” Brought to you by the Department of Duh! That conclusion is just a bit of an understatement: there are lots of prominent sites peddling the most astonishing nonsense.
Dr. Steven Novella wrote about this study, commenting specifically on privately run health information sites like PainScience.com:
It is also not surprising that individual sites also scored relatively low on average. An individually run site is only as good as the individual running it, so there is bound to be a great deal of variability. Also, individuals are more likely to make mistakes or have missing information than groups.
~ Paul Ingraham
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
BACKGROUND: Although the use of the Internet to access health information has grown quickly, the emergence of quality controls for health information web sites has been considerably slower. The primary objective of this study was to assess the quality and content of Internet-based information for commonly encountered diagnoses within orthopaedic sports medicine.
METHODS: Ten common diagnoses within the scope of orthopaedic sports medicine were chosen. Custom grading templates were developed for each condition, and they included an assessment of web-site type, the accountability and transparency of the information (Health On the Net Foundation [HON] score), and the information content. Information content was divided into five subcategories: disease summary, pathogenesis, diagnostics, treatment and complications, and outcomes and prognosis. Two popular search engines were used, and the top ten sites from each were independently reviewed by three authors. Data were evaluated for interobserver variability, HON scores, information content scores, and subgroup score comparisons.
RESULTS: After eliminating duplicate sites, a total of 154 unique sites were reviewed. The most common web-site types were commercial (seventy-four sites) and academic (thirty-two sites). Average HON scores, on a 16-point scale, were 9.8, 9.5, and 8.5, for reviewers 1, 2, and 3, respectively. Average information content scores, on a 100-point scale, were 56.8, 56.0, and 54.8 for reviewers 1, 2, and 3, respectively. Average content scores in each subgroup ranged between 45% and 61% of the maximum possible score. The presence of the HONcode seal was associated with significantly higher HON (p = 0.0001) and content scores (p = 0.002).
CONCLUSIONS: The quality and content of health information on the Internet is highly variable for common sports medicine topics. Patients should be encouraged to exercise caution and to utilize only well-known sites and those that display the HONcode seal of compliance with transparency and accountability practices.
Specifically regarding Starman 2010:
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.
- No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis. Cornish 2018 Nutr Res.
- The CANBACK trial: a randomised, controlled clinical trial of oral cannabidiol for people presenting to the emergency department with acute low back pain. Bebee 2021 Med J Aust.
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.