Readability and quality assessment of internet-based patient education materials related to nasal septoplasty

Background Given that nasal septoplasty is a common procedure in otolaryngology - head and neck surgery, the objective of this study was to evaluate the quality and readability of online patient education materials on septoplasty.Methods A Google search was performed using eight different search terms related to septoplasty. Six different tools were used to assess the readability of included patient education materials. These included the Flesch-Kincaid Grade Level, Flesch Reading Ease, Gunning-Fog Index, Simple Measure of Gobbledygook Index, Coleman-Liau Index, and Automated Readability Index. The DISCERN tool was used to assess quality and reliability.Results Eighty-five online patient education materials were included. The average Flesch-Reading Ease score for all patient education materials was 54.9 +/- 11.5, indicating they were fairly difficult to read. The average reading grade level was 10.5 +/- 2.0, which is higher than the recommended reading level for patient education materials. The mean DISCERN score was 42.9 +/- 10.5 and 42% (36/85) of articles had DISCERN scores less than 39, corresponding to poor or very poor quality.Conclusion The majority of online patient education materials on septoplasty are written above the recommended reading levels and have significant deficiencies in terms of their quality and reliability. Clinicians and patients should be aware of the shortcomings of these resources and consider the impact they may have on patients' decision making.