University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, SO16 6YD, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Glossop Road, Sheffield, S10 2JF, UK.
Eur Arch Otorhinolaryngol. 2019 Nov;276(11):3213-3219. doi: 10.1007/s00405-019-05590-7. Epub 2019 Aug 6.
Total laryngectomy and end tracheal stoma formation are often required to treat advanced laryngeal cancer. Resources on the internet are commonly accessed by patients as a source of healthcare information. YouTube™, the most popular video-hosting website, is one such resource. The aims of this study were to assess the thematic content of the most viewed YouTube™ videos concerning laryngectomy for laryngeal cancer and to evaluate user response to these videos.
A search of YouTube™ was performed and data were extracted from videos with > 100 views. Upload source, number of views, likes, dislikes and comments were collected and the content of comments was analysed. User response was compared between upload sources using Kruskal-Wallis testing. Inductive thematic analysis of video content was performed to identify overarching themes and subthemes.
A total of 96 videos were identified, 16 uploaded by patients, 24 by individual healthcare professionals and 56 by professional healthcare institutions. There were 1214,503 views and no significant differences in the number of views, likes or dislikes between upload sources. Three overarching themes and 17 subthemes were identified. Comments were most frequently characterised as offering praise.
YouTube™ has been shown to be a popular platform for sharing information about laryngectomy for laryngeal cancer. There is a lack of data concerning the quality of this information, however, and future work should focus on assessing this. Trusted institutions could make use of this medium to disseminate high-quality information to their patients, and to the wider public.
全喉切除术和气管造口术通常是治疗晚期喉癌的必要手段。患者经常上网搜索医学信息。YouTube™是最受欢迎的视频托管网站之一，是此类资源之一。本研究旨在评估有关喉癌全喉切除术的最受欢迎的 YouTube™视频的主题内容，并评估用户对这些视频的反应。
对 YouTube™进行了搜索，并从观看次数超过 100 次的视频中提取了数据。收集了上传来源、观看次数、点赞、不喜欢和评论，并分析了评论的内容。使用 Kruskal-Wallis 检验比较了不同上传来源之间的用户反应。对视频内容进行了归纳主题分析，以确定总体主题和子主题。
共确定了 96 个视频，其中 16 个由患者上传，24 个由个人医疗保健专业人员上传，56 个由专业医疗保健机构上传。有 1214503 次观看，上传来源之间的观看次数、点赞或不喜欢的数量没有显著差异。确定了三个总体主题和 17 个子主题。评论大多被描述为表示赞赏。
YouTube™已被证明是分享关于喉癌全喉切除术信息的热门平台。然而，关于这些信息的质量的数据不足，因此未来的工作应该集中在评估这一点上。值得信赖的机构可以利用这一媒介向其患者和更广泛的公众传播高质量的信息。
