Haeberle Heather S, Egger Anthony C, Navarro Sergio M, Cornaghie Mary M, Ramkumar Prem N, Goodwin Ryan C, Mont Michael A
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas.
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Surg Technol Int. 2017 Oct 12;31:189-196.
The purpose of this observational study was to investigate and analyze the social media presence of both patients and surgeons in relation to pediatric scoliosis. First, patient Instagram (Instagram, Inc., San Francisco, California) posts were evaluated for 1) media format; 2) timing in relation to surgery; 3) tone; 4) perspective; 5) content; and 6) subject reference. To analyze reciprocal engagement, the presence and activity of pediatric scoliosis surgeons at five major academic centers were subsequently analyzed on Instagram, Twitter (Twitter Inc., San Francisco, California), and LinkedIn (LinkedIn Corporation, Sunnyvale, California).
A search of public Instagram profiles was performed over a one-year period from February 2016 to February 2017. Posts related to pediatric scoliosis were selected for analysis using a hashtag search with 30 related terms. A total of 982 posts were retrieved, with 669 posts meeting the inclusion criteria. Each post was then evaluated for timing, tone, perspective, and content using a categorical scoring system. An additional analysis was performed using academic orthopaedic hospitals' websites, in which the names of scoliosis surgeons were found and searched for on Instagram, Twitter, and LinkedIn. Their profiles were analyzed for level and length of activity, number of followers or connections, and references to clinical practice.
A total of 669 posts related to scoliosis were analyzed, the majority of which were temporally related to non-operative (74.7%) or post-operative (21.8%) settings. Patients (33.3%), friends and family (34.4%), and professional organizations (23.8%) were the most active contributors. The vast majority of posts were positive in nature (88.9 %) and highlighted the patient experience (79.2%), specifically related to bracing (33.1%), activities of daily living (31.7%), and surgical site or x-rays (25.5%). Of the social media sites analyzed, surgeons were found to have the highest presence on LinkedIn (55% have accounts with a mean of 175 connections) compared to Instagram (8%, 57 followers) and Twitter (33%, 61 followers). Surgeons were also noted to have more information regarding their practice, training, and clinical skills on LinkedIn.
An analysis of Instagram posts related to scoliosis showed that the majority were shared by patients in the non-operative period and overwhelmingly had a positive tone. The content of the posts focused mainly on brace wear, activities of daily living, and post-operative appearance or x-rays. This information provides further insight into what patients deem important regarding pediatric scoliosis care. Analysis of the social media presence of scoliosis surgeons showed that they have an underwhelming presence on Instagram and Twitter, but are more active on LinkedIn, a site geared more toward professional development and networking than other social media options.
本观察性研究的目的是调查和分析患者及外科医生在社交媒体上与小儿脊柱侧弯相关的情况。首先，对患者在照片墙（Instagram，加利福尼亚州旧金山，照片墙公司）上发布的内容进行评估，包括：1）媒体形式；2）与手术相关的时间；3）语气；4）视角；5）内容；6）主题参考。为了分析互动情况，随后在照片墙、推特（推特公司，加利福尼亚州旧金山）和领英（领英公司，加利福尼亚州森尼韦尔）上分析了五个主要学术中心的小儿脊柱侧弯外科医生的存在情况和活跃度。
在2016年2月至2017年2月的一年时间里，对公开的照片墙个人资料进行搜索。使用30个相关术语的主题标签搜索，选择与小儿脊柱侧弯相关的帖子进行分析。共检索到982个帖子，其中669个帖子符合纳入标准。然后使用分类评分系统对每个帖子的时间、语气、视角和内容进行评估。另外，利用学术骨科医院的网站进行分析，在这些网站上找到脊柱侧弯外科医生的名字，并在照片墙、推特和领英上进行搜索。分析他们的个人资料，了解其活动水平和时长、关注者或联系人数量以及临床实践参考信息。
共分析了669个与脊柱侧弯相关的帖子，其中大多数在时间上与非手术（74.7%）或术后（21.8%）情况相关。患者（33.3%）、朋友和家人（34.4%）以及专业组织（23.8%）是最活跃的贡献者。绝大多数帖子性质积极（88.9%），并突出了患者体验（79.2%），特别是与支具佩戴（33.1%）、日常生活活动（31.7%）以及手术部位或X光片（25.5%）相关。在所分析的社交媒体平台中，与照片墙（8%，57个关注者）和推特（33%，61个关注者）相比，外科医生在领英上的活跃度最高（55%有账户，平均175个联系人）。还注意到外科医生在领英上有更多关于其执业、培训和临床技能的信息。
对与脊柱侧弯相关的照片墙帖子的分析表明，大多数帖子是患者在非手术期间分享的，且绝大多数语气积极。帖子内容主要集中在支具佩戴、日常生活活动以及术后外观或X光片上。这些信息进一步深入了解了患者认为小儿脊柱侧弯护理中重要的方面。对脊柱侧弯外科医生在社交媒体上的情况分析表明，他们在照片墙和推特上的活跃度较低，但在领英上更活跃，领英是一个比其他社交媒体选项更侧重于职业发展和社交网络的平台。
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