Strychowsky Julie E, Nayan Smriti, Farrokhyar Forough, MacLean Jonathan
Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, McMaster University, 1200 Main St W, Hamilton, ON, Canada L8N 3Z5.
Int J Pediatr Otorhinolaryngol. 2013 Jun;77(6):972-5. doi: 10.1016/j.ijporl.2013.03.023. Epub 2013 Apr 15.
To investigate YouTube as a patient information source on pediatric tonsillectomy.
YouTube was searched on July 31, 2012 for the search terms pediatric tonsillectomy (PT), tonsillectomy (T) and tonsil surgery (TS). Non-English videos were excluded. Two physician reviewers independently assessed the videos for characteristics, usefulness, and information source. Usefulness was assessed according to a checklist developed by the authors. Any discrepancies were resolved by consensuses. Data were analyzed with SPSS software.
One hundred fifty-six videos were included in the analysis. Forty videos were classified as very or moderately useful (25.6%). Sources of the videos were as follows: patient experience, 103 videos (66%); physician, 30 (19%); surgical technique, 14 (9%); and news report, 9 (6%). Physician sourced information was generally at least moderately useful (58%) and patient experience videos were the predominant source of videos categorized as not useful or misleading (50%). Physician sourced information (coefficient=0.61; 95% CI: .21 to 1.00, p=0.003) and PT search term (coefficient=0.26; 95% CI: 0.05 to .47, p=0.017) were the most useful videos after adjusting for mean duration, days online, number of views and page search.
YouTube has a large number of videos on pediatric tonsillectomy with a variety of content ranging from very useful to not useful, and misleading. Health care professionals must recognize the potential influence that these video Web sites may have on patient attitudes.
调查YouTube作为小儿扁桃体切除术患者信息来源的情况。
于2012年7月31日在YouTube上搜索小儿扁桃体切除术（PT）、扁桃体切除术（T）和扁桃体手术（TS）等搜索词。排除非英语视频。两名医生评审员独立评估视频的特征、有用性和信息来源。根据作者制定的清单评估有用性。任何差异通过协商解决。使用SPSS软件分析数据。
156个视频纳入分析。40个视频被归类为非常有用或中度有用（25.6%）。视频来源如下：患者体验，103个视频（66%）；医生，30个（19%）；手术技术，14个（9%）；新闻报道，9个（6%）。医生提供的信息通常至少中度有用（58%），患者体验视频是被归类为无用或误导性视频的主要来源（50%）。在调整平均时长、上线天数、观看次数和页面搜索后，医生提供的信息（系数=0.61；95%CI：0.21至1.00，p=0.003）和PT搜索词（系数=0.26；95%CI：0.05至0.47，p=0.017）是最有用的视频。
YouTube上有大量关于小儿扁桃体切除术的视频，内容从非常有用到无用及误导性不等。医疗保健专业人员必须认识到这些视频网站可能对患者态度产生的潜在影响。
