Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery

Introduction and aims: Nowadays, patients seek medical information online. Patient-oriented content must be easy to read and trustworthy. This study aimed to assess the quality and readability of online information about apical surgery and apicoectomy in English and Spanish. Methods: The authors per...

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Main Authors: Pablo Álvarez-Nóvoa, Ramón Miguéns-Vila, Benjamín Martín-Biedma, Gustavo De-Deus, María Pilar Pecci-Lloret, Miriam Teulé-Trull, Juan Seoane-Romero, Pablo Castelo-Baz
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:International Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S0020653925002412
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author Pablo Álvarez-Nóvoa
Ramón Miguéns-Vila
Benjamín Martín-Biedma
Gustavo De-Deus
María Pilar Pecci-Lloret
Miriam Teulé-Trull
Juan Seoane-Romero
Pablo Castelo-Baz
author_facet Pablo Álvarez-Nóvoa
Ramón Miguéns-Vila
Benjamín Martín-Biedma
Gustavo De-Deus
María Pilar Pecci-Lloret
Miriam Teulé-Trull
Juan Seoane-Romero
Pablo Castelo-Baz
author_sort Pablo Álvarez-Nóvoa
collection DOAJ
description Introduction and aims: Nowadays, patients seek medical information online. Patient-oriented content must be easy to read and trustworthy. This study aimed to assess the quality and readability of online information about apical surgery and apicoectomy in English and Spanish. Methods: The authors performed the following systematic searches on Google in February 2023: “apicoectomy”, “apicectomía”, “apical surgery”, and “cirugía apical”. The first 100 websites of each query were selected. English readability was assessed using Flesch-Kincaid Reading Grade Level, Flesch Reading Ease Score, Gunning Fog Index, Coleman-Liau Index, Automated Readability Index and Simple Measure of Gobbledygook Index. The Fernández-Huerta Index and INFLESZ were used to assess Spanish readability. Quality was measured using the DISCERN tool. Results: A total of 165 sites were included in total. Readability for English-language sites (“apical surgery” and “apicoectomy”) was categorised as “fairly difficult to read” [FRES (apical surgery) = 54.7; FRES (apicoectomy) = 54.3]. Similarly, Spanish sites (“cirugía apical” and “apicectomía”) were classified as “relatively difficult to read”. Overall, the DISCERN tool showed a low average quality of information for all terms analysed. Conclusion: English and Spanish online information about apical surgery is difficult for the average patient to understand and presents significant quality deficiencies. Clinical relevance: The Internet is a powerful tool for communicating with patients, but available apical surgery information is difficult for laypersons to understand and has a low overall quality. To overcome this issue, endodontists should produce high-quality, patient-relevant materials in plain language.
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spelling doaj-art-ee2b9b04d3ff4e2b98f5026fb45f84552025-08-23T04:47:19ZengElsevierInternational Dental Journal0020-65392025-10-0175510095510.1016/j.identj.2025.100955Quality and Readability Assessment of Patient-Centered Online Information on Apical SurgeryPablo Álvarez-Nóvoa0Ramón Miguéns-Vila1Benjamín Martín-Biedma2Gustavo De-Deus3María Pilar Pecci-Lloret4Miriam Teulé-Trull5Juan Seoane-Romero6Pablo Castelo-Baz7Master Endore, Faculty of Dentistry, University of Santiago de Compostela, Santiago de Compostela, SpainMaster Endore, Faculty of Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain; Corresponding author. University of Santiago de Compostela, Facultad de Odontología, Entrerríos Street, no number. 15702, Santiago de Compostela,15705, Spain.Master Endore, Faculty of Dentistry, University of Santiago de Compostela, Santiago de Compostela, SpainFluminense Federal University, Niterói, BrazilGerodontology and Special Care Dentistry Unit, Morales Meseguer Hospital, Faculty of Medicine, University of Murcia, Murcia, SpainMaster Endore, Faculty of Dentistry, University of Santiago de Compostela, Santiago de Compostela, SpainFaculty of Dentistry, University of Santiago de Compostela, Santiago de CompostelaMaster Endore, Faculty of Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain; Corresponding author. University of Santiago de Compostela, Facultad de Odontología, Entrerríos Street, no number. 15702, Santiago de Compostela,15705, Spain.Introduction and aims: Nowadays, patients seek medical information online. Patient-oriented content must be easy to read and trustworthy. This study aimed to assess the quality and readability of online information about apical surgery and apicoectomy in English and Spanish. Methods: The authors performed the following systematic searches on Google in February 2023: “apicoectomy”, “apicectomía”, “apical surgery”, and “cirugía apical”. The first 100 websites of each query were selected. English readability was assessed using Flesch-Kincaid Reading Grade Level, Flesch Reading Ease Score, Gunning Fog Index, Coleman-Liau Index, Automated Readability Index and Simple Measure of Gobbledygook Index. The Fernández-Huerta Index and INFLESZ were used to assess Spanish readability. Quality was measured using the DISCERN tool. Results: A total of 165 sites were included in total. Readability for English-language sites (“apical surgery” and “apicoectomy”) was categorised as “fairly difficult to read” [FRES (apical surgery) = 54.7; FRES (apicoectomy) = 54.3]. Similarly, Spanish sites (“cirugía apical” and “apicectomía”) were classified as “relatively difficult to read”. Overall, the DISCERN tool showed a low average quality of information for all terms analysed. Conclusion: English and Spanish online information about apical surgery is difficult for the average patient to understand and presents significant quality deficiencies. Clinical relevance: The Internet is a powerful tool for communicating with patients, but available apical surgery information is difficult for laypersons to understand and has a low overall quality. To overcome this issue, endodontists should produce high-quality, patient-relevant materials in plain language.http://www.sciencedirect.com/science/article/pii/S0020653925002412Apical surgeryApicoectomyDISCERNHealth literacyInternetReadability
spellingShingle Pablo Álvarez-Nóvoa
Ramón Miguéns-Vila
Benjamín Martín-Biedma
Gustavo De-Deus
María Pilar Pecci-Lloret
Miriam Teulé-Trull
Juan Seoane-Romero
Pablo Castelo-Baz
Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
International Dental Journal
Apical surgery
Apicoectomy
DISCERN
Health literacy
Internet
Readability
title Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
title_full Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
title_fullStr Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
title_full_unstemmed Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
title_short Quality and Readability Assessment of Patient-Centered Online Information on Apical Surgery
title_sort quality and readability assessment of patient centered online information on apical surgery
topic Apical surgery
Apicoectomy
DISCERN
Health literacy
Internet
Readability
url http://www.sciencedirect.com/science/article/pii/S0020653925002412
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