P022 How well are we communicating the complications of adenotonsillectomy in children for sleep disordered breathing – a longitudinal analysis of medical information on the internet in Australia.

Abstract Introduction Sleep-disordered breathing is a prevalent sleep disorder among children, Adenotonsillectomy is the usual treatment. However, this procedure carries potential complications, including pain and various morbidities and even death. As the internet increasingly serves as the primary source of medical information, it is crucial to have quality information, that is consistent with current literature and at an appropriate readability available for parents and patients. Methods The study employed a three-point longitudinal study (2018, 2020 and 2023) mixed analysis, utilizing NVivo 12 software, to assess the quality, consistency, and readability of website text data. Various metrics were used, including the Flesch-Kincaid reading ease score, Flesch-Kincaid grade level, amongst others and the DISCERN Tool for evaluating quality. Website information was compared to known complications to determine the consistency which these potential issues are addressed. Results Quality: The 2020 average quality score of 2 of 4 indicated average quality, The 2018 quality was not measured, and the 2023 quality measure will be presented at the conference but is yet to be performed. Consistency Most sites mentioned common complications like bleeding and pain but mostly failed to discuss rarer complications across all 3 time points. Readability The readability for 2018 was 53.11 and 2023 was 53.36 for the Flesch-Kincaid reading ease score indicating content was “fairly difficult to read” across time points. Discussion This study demonstrates website information concerning the potential complications of adentonsillectomy could be improved with only average quality, low consistency and low readability over the preceding 6 years.