Blooming Buds Center for Pediatric Orthopedics, Deenanath Mangeshkar Hospital and Research Center, Pune, India.
Phoenix Children's Hospital, Phoenix, Arizona, USA.
J Pediatr Orthop B. 2020 Jul;29(4):375-378. doi: 10.1097/BPB.0000000000000694.
Idiopathic clubfoot is the most common congenital anomaly of the lower extremity. YouTube has emerged as an important source of health-related information for patients and families. Parents seek information about clubfoot on YouTube. However, the quality of these videos remains unknown. Therefore, we decided to evaluate the quality of YouTube videos about clubfoot. We searched YouTube for clubfoot videos using appropriate keywords. English language videos with more than 10 000 views were included. Three fellowship trained pediatric orthopedic surgeons independently assessed the videos and classified them into corporate, hospital, education and private. The quality of information was assessed using the Modified DISCERN and JAMA benchmark scores. The search yielded 12 060 videos of which 42 were analyzed. There were 9 (21%) videos from corporate organizations, 12 (29%) from hospitals, 3 (7%) from educational organizations and 18 (43%) by private individuals. The mean Modified DISCERN score was 2.1 ± 1.07 (range 0.3-4) and mean JAMA benchmark score was 0.9 ± 0.65 (range 0-2). Educational videos had highest mean Modified DISCERN score (3.1 ± 0.85) and private videos, the least (1.43 ± 1). This difference was statistically significant (P = 0.004). Hospital videos had highest mean JAMA benchmark score of 1.3 ± 0.6 as compared with private videos which had the least mean score of 0.5 ± 0.6. This difference was also statistically significant (P = 0.001). The results of our study indicate that the quality of information on idiopathic clubfoot on YouTube needs improvement. Videos from educational and hospital sources should be preferred over private sources.
特发性马蹄足是最常见的下肢先天性畸形。YouTube 已经成为患者和家庭获取健康相关信息的重要来源。家长在 YouTube 上搜索有关马蹄足的信息。然而，这些视频的质量尚不清楚。因此，我们决定评估有关马蹄足的 YouTube 视频的质量。我们使用适当的关键字在 YouTube 上搜索马蹄足视频。包含超过 10000 次浏览量的英语视频被包括在内。三位 fellowship 培训的儿科骨科医生独立评估了视频，并将其分为公司、医院、教育和私人。使用修改后的 DISCERN 和 JAMA 基准评分评估信息质量。搜索结果得到了 12060 个视频，其中 42 个进行了分析。其中 9 个（21%）来自公司组织，12 个（29%）来自医院，3 个（7%）来自教育组织，18 个（43%）来自个人。平均修改后的 DISCERN 得分为 2.1±1.07（范围 0.3-4），平均 JAMA 基准得分为 0.9±0.65（范围 0-2）。教育视频的平均修改后的 DISCERN 得分最高（3.1±0.85），私人视频得分最低（1.43±1）。这一差异具有统计学意义（P=0.004）。医院视频的平均 JAMA 基准得分最高为 1.3±0.6，而私人视频的平均得分最低为 0.5±0.6。这一差异也具有统计学意义（P=0.001）。我们的研究结果表明，YouTube 上有关特发性马蹄足的信息质量需要改进。应优先选择来自教育和医院的视频，而不是私人来源的视频。
