Sorensen Jeffrey A, Pusz Max D, Brietzke Scott E
Uniformed Services University of the Health Sciences, Bethesda, MD, United States; Department of Surgery, University of Nevada School of Medicine, 2040 Charleston Building, #302, Las Vegas, NV 89102, United States.
Department of Otolaryngology, Walter Reed National Military Medical Center, Bethesda, MD 20889, United States.
Int J Pediatr Otorhinolaryngol. 2014 Jan;78(1):65-70. doi: 10.1016/j.ijporl.2013.10.045. Epub 2013 Nov 7.
Assess the overall quality of information on adenotonsillectomy and ear tube surgery presented on YouTube (www.youtube.com) from the perspective of a parent or patient searching for information on surgery.
The YouTube website was systematically searched on select dates with a formal search strategy to identify videos pertaining to pediatric adenotonsillectomy and ear tube surgery. Only videos with at least 5 (ear tube surgery) or 10 (adenotonsillectomy) views per day were included. Each video was viewed and scored by two independent scorers. Videos were categorized by goal and scored for video/audio quality, accuracy, comprehensiveness, and procedure-specific content.
Cross-sectional study.
Public domain website.
Fifty-five videos were scored for adenotonsillectomy and forty-seven for ear tube surgery. The most common category was educational (65.3%) followed by testimonial (28.4%), and news program (9.8%). Testimonials were more common for adenotonsillectomy than ear tube surgery (41.8% vs. 12.8%, p=0.001). Testimonials had a significantly lower mean accuracy (2.23 vs. 2.62, p=0.02), comprehensiveness (1.71 vs. 2.22, p=0.007), and TA specific content (0.64 vs. 1.69, p=0.001) score than educational type videos. Only six videos (5.9%) received high scores in both video/audio quality and accuracy/comprehensiveness of content. There was no significant association between the accuracy and comprehensive score and views, posted "likes", posted "dislikes", and likes/dislikes ratio. There was an association between "likes" and mean video quality (Spearman's rho=0.262, p=0.008).
Parents/patients searching YouTube for information on pediatric adenotonsillectomy and ear tube surgery will generally encounter low quality information with testimonials being common but of significantly lower quality. Viewer perceived quality ("likes") did not correlate to formally scored content quality.
从一位为孩子寻找手术相关信息的家长或患者的角度，评估YouTube（www.youtube.com）上有关腺样体扁桃体切除术和耳管手术的信息的整体质量。
在特定日期，采用正式的搜索策略对YouTube网站进行系统搜索，以识别与小儿腺样体扁桃体切除术和耳管手术相关的视频。仅纳入每日观看量至少为5次（耳管手术）或10次（腺样体扁桃体切除术）的视频。由两名独立评分者观看并对每个视频进行评分。视频按目标分类，并就视频/音频质量、准确性、全面性和特定手术内容进行评分。
横断面研究。
公共领域网站。
对55个腺样体扁桃体切除术视频和47个耳管手术视频进行了评分。最常见的类别是教育类（65.3%），其次是推荐类（28.4%）和新闻节目类（9.8%）。推荐类在腺样体扁桃体切除术中比在耳管手术中更常见（41.8%对12.8%，p=0.001）。推荐类视频的平均准确性（2.23对2.62，p=0.02）、全面性（1.71对2.22，p=0.007）和特定手术内容（0.64对1.69，p=0.001）得分显著低于教育类视频。只有6个视频（5.9%）在视频/音频质量以及内容的准确性/全面性方面获得高分。准确性和全面性得分与观看量、发布的“赞”、发布的“踩”以及赞踩比之间无显著关联。“赞”与平均视频质量之间存在关联（斯皮尔曼等级相关系数=0.262，p=0.008）。
在YouTube上搜索小儿腺样体扁桃体切除术和耳管手术信息的家长/患者通常会遇到质量较低的信息，推荐类信息很常见，但质量明显较低。观众感知的质量（“赞”）与正式评分的内容质量不相关。
