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Characterizing Negative Online Reviews of Spine Surgeons.
Artz, Nicolas; Dalton, Jonathan; Ramanathan, Rahul; Lin, Ryan T; Sadhwani, Shaan; Como, Christopher J; Oyekan, Anthony; Tang, Yunting Melissa; Li, Vivian; Nwankwo, Josephine; Lee, Joon Y; Shaw, Jeremy D.
Afiliação
  • Artz N; Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
  • Dalton J; Pittsburgh Orthopaedic Spine Research (POSR) Group, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
  • Ramanathan R; Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
  • Lin RT; Pittsburgh Orthopaedic Spine Research (POSR) Group, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
  • Sadhwani S; Orland Bethel Family Musculoskeletal Research Center (BMRC), Pittsburgh, PA.
  • Como CJ; Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
  • Oyekan A; Pittsburgh Orthopaedic Spine Research (POSR) Group, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
  • Tang YM; Orland Bethel Family Musculoskeletal Research Center (BMRC), Pittsburgh, PA.
  • Li V; Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
  • Nwankwo J; Pittsburgh Orthopaedic Spine Research (POSR) Group, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
  • Lee JY; Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
  • Shaw JD; Pittsburgh Orthopaedic Spine Research (POSR) Group, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
Spine (Phila Pa 1976) ; 49(11): E154-E163, 2024 Jun 01.
Article em En | MEDLINE | ID: mdl-38351707
ABSTRACT

DESIGN:

Retrospective review.

OBJECTIVE:

Characterize negative reviews of spine surgeons in the United States.

SUMMARY:

Physician rating websites significantly influence the selection of doctors by other patients. Negative experiences are impacted by various factors, both clinical and nonclinical, geography, and practice structure. The purpose of this study was to evaluate and categorize negative reviews of spine surgeons in the United States, with a focus on surgical versus nonsurgical reviewers.

METHODS:

Spine surgeons were selected from available online professional society membership directories. A search for reviews was performed on Healthgrades.com, Vitals.com, and RateMDs.com for the past 10 years. Free response reviews were coded by complaint, and qualitative analysis was performed. χ 2 and Fisher exact tests were used to compare categorical variables, and multiple comparisons were adjusted with Benjamini-Hochberg correction. A binary logistic regression model was performed for the top three most mentioned nonclinical and clinical complaint labels. A P -value <0.05 was considered statistically significant.

RESULTS:

A total of 16,695 online reviews were evaluated, including 1690 one-star reviews (10.1%). Among one-star reviews, 64.7% were written by nonsurgical patients and 35.3% by surgical patients. Nonclinical and clinical comments constituted 54.9% and 45.1% of reviews, respectively. Surgeons in the South had more "bedside manner" comments (43.3%, P <0.0001), while Northeast surgeons had more "poor surgical outcome" remarks compared with all other geographic regions (14.4%, P <0.001). Practicing in the South and Northeast were independent predictors of having complaints about "bedside manner" and "poor surgical outcome," respectively.

CONCLUSION:

Most one-star reviews of spine surgeons were attributed to nonsurgical patients, who tended to be unsatisfied with nonclinical factors, especially "bedside manner." However, there was substantial geographic variation. These results suggest that spine surgeons could benefit from focusing on nonclinical factors (bedside manner), especially among nonoperative patients, and that regional nuances should be considered in delivering spine care. LEVEL OF EVIDENCE Level- 5.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgiões Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Spine (Phila Pa 1976) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgiões Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Spine (Phila Pa 1976) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos