ArticleJSES reviews, reports, and techniques2025
Usability and accessibility of total shoulder arthroplasty and rotator cuff repair online patient educational materials for persons with disabilities.
Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Online patient educational materials (OPEMs) enable patients to better understand their care. However, not every patient has the same ability to utilize Internet-based information, due to cognitive/medical limitations. The Web Content Accessibility Guidelines (WCAG) are a set of defined and evaluable rules and regulations for the development of websites that are accessible to persons with disabilities. The purpose of this study was to assess the accessibility, usability, and WCAG compliance of OPEMs pertaining to total shoulder arthroplasty (TSA) and rotator cuff repair (RCR). Methods: Google searches of the terms "total shoulder replacement" and "rotator cuff repair" were conducted to include 25 eligible OPEMs each. The open-source WCAG conformity tool Results: The mean conformity scores for TSA were as follows: 73.0 ± 12.8% SEO score, 73.6 ± 12.0% content score, 72.0 ± 10.8% design score, 64.7 ± 16.4 % performance score, 74.2 ± 11.9% accessibility score, and 75.2 ± 6.7 % overall score. The mean conformity scores for RCR were as follows: 74.2 ± 19.3% SEO score, 67.5 ± 18.6% content score, 66.7 ± 12.9% design score, 61.4 ± 16.4% performance score, 74.1 ± 14.0% accessibility score, and 72.7 ± 11.7% overall score. The mean number of TSA compliance errors was 12.36 ± 10.55 at WCAG 2.2 A, 17.32 ± 13.49 at WCAG 2.2 AA, and 62.04 ± 27.22 at WCAG 2.2 AAA. The mean number of RCR compliance errors was 20.48 ± 20.80 at WCAG 2.2 A, 26.48 ± 22.85 at WCAG 2.2 AA, and 58.12 ± 35.72 at WCAG 2.2 AAA. The mean contrast ratio was 14.23 ± 5.19:1 for TSA and 13.26 ± 5.66:1 for RCR. Conclusion: OPEMs for both TSA and RCR, on average, contain high levels of WCAG compliance errors and have low SEO, content, design, performance, and accessibility as determined by WCAG. However, these OPEMs successfully ensure high contrast ratios, which are necessary for visually impaired users. There is no significant difference between scores, compliance errors, or contrast ratios between the two search terms.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.