Analgesic drugs: What quality of information is present on the Internet?

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.17157

Keywords:

Internet; Information; Pain; Drug utilization; Analgesics.

Abstract

The internet enables the search for several subject types, including health and drug utilization. These information are spread generally without reliability and scientific basis, that can encourage self-medication and indiscriminate medicine use. This was a cross-sectional study, carried out through application of tools that evaluated the quality of global health information and the specific content about analgesic drugs on 98 Brazilian websites. Among the most cited drugs on websites, nonsteroidal anti-inflammatory drugs (83.67 %), acetaminophen (47.96 %) and opioids (47.96 %) stood out. All websites described pharmacological treatment options for pain, however, most websites did not mention any adverse reactions or contraindications for painkillers use. Information on opioid addiction and tolerance risk was present only in 18.37 % of websites. Considering all the indicators evaluated, no website was considered to be of good quality, even those with a quality certification seal. These results showed important shortcomings on health and drugs information published on internet, which can lead to analgesics inappropriate use, adverse effects and even intoxications events. This reinforces the need to control this information and to adopt minimum quality criteria for the websites, aiming to minimize health risks, drug irrational use and to contribute for lay public’s safety.

References

Alexa. The top 500 websites on the web (2019). https://www.alexa.com/topwebsites/category/Top/Computers/Internet/

Searching/Search_Engine

Arif, N. & Ghezzi, P. (2018). Quality of online information on breast cancer treatment options. The Breast, 37, 6-12. https://doi.org/10.1016/j.breast.2017.10.004

Arrais, P. S. D., Fernandes, M. E. P., Dal Pizzol, T. S., Ramos, L. R., Mengue, S. S., Luiza, V. L., Tavares, N. U. L, Farias, M. R., Oliveira M. A. & Bertoldi, A. D. (2016). Prevalência da automedicação no Brasil e fatores associados. Revista de Saúde Pública, 50(Supl. 2), S1-S11. https://doi.org/10.1590/s1518-8787.2016050006117

Aun, M. V., Blanca, M., Garro, L. S., Ribeiro, M. R., Kalil, J., Motta, A. A., Castells, M. & Giavina-Bianchi, P. (2014). Nonsteroidal Anti-Inflammatory Drugs are Major Causes of Drug-Induced Anaphylaxis. The Journal of Allergy and Clinical Immunology: In Practice, 2(4), 414-420. https://doi.org/10.1016/j.jaip.2014.03.014

Bailey, S. J., LaChapelle, D. L., LeFort, S. M., Gordon, A. & Hadjistavropoulo, T. (2013). Evaluation of Chronic Pain-Related Information Available to Consumers on the Internet. Pain Medicine, 14(6), 855-864. https://doi.org/10.1111/pme.12087

Boyer, C., Frossard, C., Gaudinat, A., Hanbury, A. & Falquetd, G. (2017). How to sort trustworthy health online information? Improvements of the automated detection of HONcode criteria. Procedia Computer Science, 121, 940-949. https://doi.org/10.1016/j.procs.2017.11.122

Cajita, M.I., Rodney, T., Xu, J., Hladek, M. & Han, H. (2017). Quality and Health Literacy Demand of Online Heart Failure Information. Journal of Cardiovascular Nursing, 32(2), 156-164. https://doi.org/10.1097/JCN.0000000000000324

Cerminara, C., Santarone, M. E., Casarelli, L., Curatolo, P. & El Malhany, N. (2014). Use of the DISCERN tool for evaluating web searches in childhood epilepsy. Epilepsy & Behavior, 41, 119-121. https://doi.org/10.1016/j.yebeh.2014.09.053

Comitê Gestor da Internet no Brasil (2019). Pesquisa sobre o uso das tecnologias de informação e comunicação nos domicílios brasileiros : TIC domicílios 2018 = Survey on the use of information and communication technologies in brazilian households : ICT households 2018 [livro eletrônico]. Núcleo de Informação e Coordenação do Ponto BR. https://www.cetic.br/media/docs/publicacoes/2/12225320191028-tic_dom_2018_livro_eletronico.pdf

Charnock, D., Shepperd, S., Needham, G. & Gann, R. (1999). DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. Journal of Epidemiology and Community Health, 53(2), 105-111. http://dx.doi.org/10.1136/jech.53.2.105

Connelly, T. M., Khan, M. S., Victory, L., Mehmood, A. & Cooke, F. (2018). An assessment of the quality and content of information on diverticulitis on the internet. The Surgeon, 16(6), 359-364. https://doi.org/10.1016/j.surge.2018.03.010

Cox, F. (2010). Basic principles of pain management: assessment and intervention. Nursing Standard, 25(1), 36-39. 10.7748/ns2010.09.25.1.36.c7983

Dacal, M. P. O. & Silva, I. S. (2018). Impactos das práticas integrativas e complementares na saúde de pacientes crônicos. Saúde Debate, 42(118), 724-735. https://doi.org/10.1590/0103-1104201811815

Farrar, F. C., White, D. & Darnell, L. (2017). Pharmacologic Interventions for Pain Management. Critical Care Nursing Clinics of North America, 29(4), 427-447. https://doi.org/10.1016/j.cnc.2017.08.004

Focosi, A. S. & Souza, R. M. (2016). O mapa da dor crônica na internet: um estudo exploratório. Revista Dor, 17(2), 101-105. http://dx.doi.org/10.5935/1806-0013.20160024

Gondim, A. P. S., Weyne, D. P. & Ferreira, B. S. P. (2012). Quality of health and medication information on Brazilian websites. Einstein, 10(3), 335-341. http://dx.doi.org/10.1590/S1679-45082012000300014

Gupta, A., Nissan, M. E., Bojrab II, D. I., Folbe, A. & Carron, M. A. (2017). Do Patients Access Appropriate Information Online? Facial Plastic Surgery, 33(4), 428-433. https://doi.org/10.1055/s-0037-1603782

Horgas, A. L. (2017). Pain Assessment in Older Adults. Nursing Clinics of North America, 52(3), 375-385. https://doi.org/10.1016/j.cnur.2017.04.006

Instituto Brasileiro de Geografia e Estatística (2018). Pesquisa Nacional por Amostra de Domicílios Contínua: Acesso à Internet e à televisão e posse de telefone móvel celular para uso pessoal 2017. https://biblioteca.ibge.gov.br/visualizacao/livros/liv101631_informativo.pdf

Johnson, K. B., Bailey, T. & Thackeray, E. (2019). Physiology and Pharmacology of Obesity, Pediatrics, and the Elderly. In J. R. Hemmings, C. Hugh, & T. D. Egan (Eds.), Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application (2nd ed., pp. 91-112). Elsevier. 10.1016/B978-0-323-48110-6.00005-3

Joury, A. U., Alshathri, M., Alkhunaizi, M., Jaleesah, N. & Pines, J. M. (2016). Internet Websites for Chest Pain Symptoms Demonstrate Highly Variable Content and Quality. Academic Emergency Medicine, 23(10), 1146-1152. https://doi.org/10.1111/acem.13039

Kaicker, J., Debono, V. B., Dang, W., Buckley, N. & Thabane, L. (2010). Assessment of the quality and variability of health information on chronic pain websites using the DISCERN instrument. BMC Medicine, 8(59), 1-8. https://doi.org/10.1186/1741-7015-8-59

Manchikanti, L., Fellows, B., Ailinani, H. & Pampati, V. (2010). Therapeutic Use, Abuse, and Nonmedical Use of Opioids: A Ten-Year Perspective. Pain Physician, 13(5), 401-435. https://www.painphysicianjournal.com/current/pdf?article=MTM4Mg%3D%3D&journal=57

Marcinkow, A., Parkhomchik, P., Schmode, A. & Yuksel, N. (2019). The Quality of Information on Combined Oral Contraceptives Available on the Internet. Journal of Obstetrics and Gynaecology Canada, 41(11), 1599-1607. https://doi.org/10.1016/j.jogc.2019.01.024

Mendonça, A. P. B. & Pereira Neto, A. (2015). Critérios de avaliação da qualidade da informação em websites de saúde: uma proposta. Revista Eletrônica de Comunicação, Informação e Inovação em Saúde, 9(1), 1-15. https://doi.org/10.29397/reciis.v9i1.930

Moretti, F. A., Oliveira, V. E. & Silva, E. M. K. (2012). Acesso a informações de saúde na internet: uma questão de saúde pública? Revista da Associação Médica Brasileira, 58(6), 650-658. http://dx.doi.org/10.1590/S0104-42302012000600008

Ng, L. & Cashman, J. (2018). The management of acute pain. Medicine, 46(12), 780-785. https://doi.org/10.1016/j.mpmed.2018.09.009

Oliveira, F., Goloni-Bertollo, E. M. & Pavarino, E. C. (2013). A Internet como fonte de Informação em Saúde. Journal of Health Informatics, 5(3), 98-102. http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/267

Pedroso, C. R. & Batista, F. L. (2017). O Uso Indiscriminado dos Antiinflamatórios Não Esteroidais. Saúde & Ciência em Ação, 3(1), 48-69. https://revistas.unifan.edu.br/index.php/RevistaICS/article/view/332

Pegoraro, C. M. R., Bifaroni, R. M. S., Mareco, E. A., Tonizza, T. R. & Silgueiro, L. I. (2019). Caracterização da prática de automedicação com analgésicos para o tratamento da dor. Colloquium Vitae, 11(3), 85-91. 10.5747/cv.2019.v11.n3.v274

Pereira Neto, A., Barbosa, L. & Muci, S. (2016). Internet, geração Y e saúde: um estudo nas comunidades de Manguinhos (RJ). Comunidade & Informação, 19(1), 20-36. https://doi.org/10.5216/ci.v19i1.35602

Pereira Neto, A. F., Santos, E. M., Cruz, M. M & Torres, R. M. C. (2013). Avaliação de websites de saúde em questão: a Aids nos websites brasileiros de Organizações Não Governamentais (ONG) de Lésbicas, Gays, Bissexuais, Travestis e Transexuais (LGBT). Revista Eletrônica de Comunicação, Informação e Inovação em Saúde, 7(1), 1-20. 10.3395/reciis.v7i1.588pt

Ramos, T. B., Bokehi, L. C., Oliveira, E. B., Gomes, M. S. A., Bokehi, J. R. & Castilho, S. R. (2020). Informação sobre benzodiazepínicos: O que a internet nos oferece? Ciência & Saúde Coletiva, 25(11), 4351-4360. https://doi.org/10.1590/1413-812320202511.09632019

Rangel, N. L. & Francelino, E. V. (2018). Caracterização do Perfil das Intoxicações Medicamentosas no Brasil, durante 2013 a 2016. Revista Multidisciplinar e de Psicologia, 12(42), 121-135. https://doi.org/10.14295/idonline.v12i42.1302

Sandilands, E. A. & Bateman, D. N. (2016). The epidemiology of poisoning. Medicine, 44(2), 76-79. https://doi.org/10.1016/j.mpmed.2015.11.015

Savvas, S. M. & Gibson, S. J. (2016). Overview of Pain Management in Older Adults. Clinics in Geriatric Medicine, 32(4), 635-650. https://doi.org/10.1016/j.cger.2016.06.005

Schaper, A. & Ebbecke, M. (2017). Intox, detox, antidotes - Evidence based diagnosis and treatment of acute intoxications. European Journal of Internal Medicine, 45, 66-70. https://doi.org/10.1016/j.ejim.2017.10.019

Silva, E. V., Castro, L. L. C. & Cymrot, R. (2010). Informação sobre o tratamento farmacológico da obesidade em sítios da internet: avaliação da qualidade. Revista Tempus - Actas de Saúde Coletiva, 4(3), 95-111. http://www.tempusactas.unb.br/index.php/tempus/article/view/882

United Nations Office on Drugs and Crime (2019). World Drug Report 2019: Booklet 3 Depressants. United Nations publication. https://wdr.u

nodc.org/wdr2019/prelaunch/WDR19_Booklet_3_DEPRESSANTS.pdf

Varady, N. H., Dee, E. C. & Katz, J. N. (2018). International assessment on quality and content of internet information on osteoarthritis. Osteoarthritis and Cartilage, 26(8), 1017-1026. https://doi.org/10.1016/j.joca.2018.04.017

Weymann, N., Härter, M. & Dirmaier, J. (2014). Quality of online information on type 2 diabetes: a cross-sectional study. Health Promotion International, 30(4), 821-831. https://doi.org/10.1093/heapro/dau019

Wilkerson, R. G, Kim, H. K., Windsor, T. A. & Mareiniss, D. P. (2016). The Opioid Epidemic in the United States. Emergency Medicine Clinics of North America, 34(2), e1-e23. https://doi.org/10.1016/j.emc.2015.11.002

Yeung, T. M. & D’Souza, N.D. (2013). Quality analysis of patient information on surgical treatment of haemorrhoids on the internet. Annals of the Royal College of Surgeons of England, 95(5), 341-344. https://doi.org/10.1308/003588413X13629960045670

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Published

11/07/2021

How to Cite

RIBEIRO, A. A. R. .; MELO, G. L. M. de .; COSTA, M. de S. .; LIMA, M. F. de O. .; TORRES, R. da S. G. .; CALIL-ELIAS, S. Analgesic drugs: What quality of information is present on the Internet?. Research, Society and Development, [S. l.], v. 10, n. 8, p. e25810817157, 2021. DOI: 10.33448/rsd-v10i8.17157. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17157. Acesso em: 17 nov. 2024.

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Health Sciences