What Does "Dr. Google" Show Patients Searching for Breast Reconstruction Outcomes Photographs?

Autor:	Nicklaus KM; Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex.; Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex., Gonzalez XT; Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Tex., Sachdev K; Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex., Liu J; Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex., Chopra D; Department of Psychiatry, The University of Texas MD Anderson Cancer Center, Houston, Tex., Hoffman AS; The Value Institute for Health and Care, Dell Medical School, The University of Texas at Austin, Austin, Tex., Hanson SE; Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences; Chicago, Ill., Markey MK; Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex.; Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Tex., Reece GP; Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2022 May 16; Vol. 10 (5), pp. e4331. Date of Electronic Publication: 2022 May 16 (Print Publication: 2022).
DOI:	10.1097/GOX.0000000000004331
Abstrakt:	Many women with breast cancer search the internet for photographs of their potential reconstruction outcomes, but little is known about the quality, variety, and relevance of images patients are viewing. Methods: Breast reconstruction outcome photographs identified by a Google Images search were assessed based on the American Society of Plastic Surgeons/Plastic Surgery Foundation photographic guidelines. Information such as source metadata, breast reconstruction procedure information, and subject demographics was collected from the photographs. Additional analyses were conducted to assess whether nipple reconstruction or tattooing occurred and was disclosed, whether a symmetry procedure was performed and disclosed, and whether donor site scarring is visible in abdominal flap photographs. Results: We acquired and analyzed 114 photograph sets. Although a variety of images were readily available, the majority of photograph sets did not follow photographic guidelines or provide sufficient information. Most photograph sets (60%) indicated symmetry procedures when a symmetry procedure was evident, but only 40% of photograph sets disclosed a nipple procedure when a nipple procedure was evident. Only 40% of abdominal flap photographs showed donor site scarring. Subject demographics were largely missing: 50% of photograph sets included subject age, 3% included race or ethnicity, and 12% included weight or BMI. Conclusions: Although breast reconstruction outcome photographs shown by "Dr. Google" represent a variety of reconstruction types, they typically lack information that a patient needs to assess self-applicability. Patients may benefit from discussion with their healthcare team about the strengths and limitations of breast reconstruction outcome photographs available on the internet. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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