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Medical Information Online: The Health of the Data Isn’t Always Robust


Michigan Researcher Sybil Biermann’s Hope: Web Surfers Will Learn the Meaning of “Peer Review”

Patients who search the Internet for advice on treating health problems may be getting information that is inaccurate, inappropriate, misleading or that has not been reviewed by physicians, according to a study by J. Sybil Biermann, M.D., assistant professor of surgery, and her fellow researchers at the Medical School. One of the first of its kind to be published, the study statistically examined a sample of pages retrieved when four Internet search engines sought information on Ewing’s sarcoma, a rare and often fatal form of malignant bone cancer that occurs mostly in children and teen-agers. The uncommon disease was chosen to keep the search results manageable.

Of the 400 pages evaluated in the study, nearly 60 percent had peer-reviewed information from the National Cancer Institute or other reliable sources. The rest contained treatment information that apparently had not been subject to scientific scrutiny.

But, as Biermann and her team wrote in the August, 1999, issue of Cancer in the journal’s lead article, their finding doesn’t mean that Internet users should stop looking for health information—or that doctors should dismiss the data their patients find. Rather, they say, the results should encourage physicians to discuss such information with their patients, and to steer them toward trustworthy sites. “In the meantime,” says Biermann, “the best advice for the public is, ‘Consider the source.’”

Biermann can be reached at biermann@umich.edu.

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