The poor quality of information about laparoscopy on the World Wide Web as indexed by popular search engines

Background: This study was undertaken to determine the quality of information on the Internet regarding laparoscopy. Methods: Four popular World Wide Web search engines were used with the key word "laparoscopy." Advertisements, patient- or physician-directed information, and controversial material were noted. Results: A total of 14,030 Web pages were found. but only 104 were unique Web sites. The majority of the sites were duplicate pages, subpages within a main Web page, or dead links. Twenty-eight of the 104 pages had a medical product for sale, 26 were patient-directed, 23 were written by a physician or group of physicians, and six represented corporations. The remaining 21 were "miscellaneous." The 46 pages containing educational material were critically reviewed. At least one of the senior authors found that 32 of the pages contained controversial or misleading statements. All of the three senior authors (LKN. NAO, GAF) independently agreed that 17 of the 46 pages contained controversial information. Conclusion: The World Wide Web is not a reliable source for patient or physician information about laparoscopy. Authenticating medical information on the World Wide Web is a difficult task. and no government or surgical society has taken the lead in regulating what is presented as fact on the World Wide Web.