- •Most online information about shoulder surgery is not evidence based.
- •Few webpages accurately portray the best available evidence for surgery.
- •Few webpages mention the possible harms of surgery and to avoid surgery if possible.
- •Most webpages mentioned alternatives to surgery and to delay surgery if possible.
Main Outcome Measures
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- General practice activity in Australia 2015-16.Sydney University Press, Sydney2016
- In the clinic. Rotator cuff disease.Ann Intern Med. 2015; 162: ITC1-IT15
- Longitudinal study of use and cost of subacromial decompression surgery: the need for effective evaluation of surgical procedures to prevent overtreatment and wasted resources.BMJ Open. 2019; 9e030229
- Subacromial decompression surgery for rotator cuff disease.Cochrane Database Syst Rev. 2019; 1CD005619
- Surgery for rotator cuff tears.Cochrane Database Syst Rev. 2019; 12CD013502
- Temporal trends and geographical variation in the use of subacromial decompression and rotator cuff repair of the shoulder in England.Bone Joint J. 2014; 96-B: 70-74
- Increasing incidence of rotator cuff repairs—a nationwide registry study in Finland.BMC Musculoskelet Disord. 2015; 16: 189
- Analysis of rotator cuff repair trends in a large private insurance population.Arthroscopy. 2013; 29: 623-629
Medicare. Medicare item reports 2000/2001 to 2018/19. Available at: http://medicarestatistics.humanservices.gov.au/statistics/mbs_item.jsp. Accessed August 25, 2020.
- National trends in rotator cuff repair.J Bone Joint Surg Am. 2012; 94: 227-233
- Rising trends in surgery for rotator cuff disease in Western Australia.ANZ J Surg. 2016; 86: 801-804
- Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice.J R Soc Med. 2010; 103: 178-187
- Internet use by orthopaedic outpatients - current trends and practices.Australas Med J. 2012; 5: 633-638
- Credibility, accuracy, and comprehensiveness of internet-based information about low back pain: a systematic review.J Med Internet Res. 2019; 21: e13357
- Content analysis of consumer information about knee arthroscopy in Australia.ANZ J Surg. 2018; 88: 346-353
Statcounter GlobalStats. Search engine market share Australia Dec 2018 - Dec 2019. Available at: https://gs.statcounter.com/search-engine-market-share/all/australia. Accessed January 28, 2020.
SISTRIX. Why (almost) everything you knew about Google CTR is no longer valid. Available at: https://www.sistrix.com/blog/why-almost-everything-you-knew-about-google-ctr-is-no-longer-valid/. Accessed September 23, 2020.
- Drivers of poor medical care.Lancet. 2017; 390: 178-190
- Decision aids for people facing health treatment or screening decisions.Cochrane Database Syst Rev. 2017; 4CD001431
- Problem with patient decision aids.BMJ Evid Based Med. 2020; (May 21. [Epub ahead of print])
- Manual therapy and exercise for rotator cuff disease.Cochrane Database Syst Rev. 2016; 6CD012224
- Electrotherapy modalities for rotator cuff disease.Cochrane Database Syst Rev. 2016; 6CD012225
- Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome).BMJ. 1993; 307: 899-903
- Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial.Lancet. 2018; 391: 329-338
- Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: a randomised controlled study of 103 patients with one-year follow-up.J Bone Joint Surg Br. 2010; 92: 83-91
Disclosures: All authors declare no support from any organization for the submitted work and no financial relationships with any organizations that might have an interest in the submitted work. Rachelle Buchbinder was an author on the 2 Cochrane reviews of subacromial decompression surgery and rotator cuff repair surgery that we used to classify webpages as making an accurate portrayal of the evidence for these operations. The views expressed in this research article do not necessarily represent those of the South Eastern Sydney Local Health District or New South Wales Health.