Department of Urology, Oregon Health and Science University, Portland, Oregon, USA.
Department of Urology, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon, USA.
J Endourol. 2020 Nov;34(11):1129-1133. doi: 10.1089/end.2020.0102. Epub 2020 Aug 19.
Surgeons and residents report using videos to prepare for procedures, with a preference for open access resources, specifically YouTube. The educational quality of online videos is uncertain. Videos are uploaded without quality assessment, and ranked by popularity. This study aims to better characterize the available pediatric robotic pyeloplasty videos on YouTube, and assess for conformity to LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS). The most viewed videos of "pediatric robotic pyeloplasty" on YouTube were reviewed for baseline characteristics, educational content, inclusion of critical domains of the procedure (positioning, ports, exposure, ureteral mobilization, renal pelvis dissection, hitch stitch, spatulation, and anastomosis), and conformity to LAP-VEGaS. Once ranked by views, 23 videos met inclusion criteria. Views per video ranged from 40 to 15,664 (mean of 1912). The two oldest videos were uploaded in 2009, and had the highest number of views. Audio and written educational content accompanied videos, 22% and 48% of the time, respectively. United States and India were the most common countries of origin. Only six videos contained all critical steps of the procedure. No videos contained all 16 points of the LAP-VEGaS essential checklist (mean 7.6), and most videos neglected preoperative information and outcomes. Percentage conformity was 48% overall (range for each video was 25%-81%). The most viewed videos were not associated with higher conformity to LAP-VEGaS. Despite studies demonstrating preferences for YouTube videos as an educational tool, and pyeloplasty being the most commonly performed pediatric robotic procedure, there are currently few high value educational videos available on YouTube. Videos often lack important procedure domains, and demonstrate low conformity to LAP-VEGaS guidelines. This demonstrates an opportunity to improve the educational quality and value of open access videos, starting by adopting established video reporting guidelines.
外科医生和住院医师报告说，他们使用视频来准备手术，他们更喜欢使用开放获取资源，特别是 YouTube。在线视频的教育质量是不确定的。视频未经质量评估就被上传，并且根据受欢迎程度进行排名。本研究旨在更好地描述 YouTube 上可用的小儿机器人肾盂成形术视频，并评估其是否符合腹腔镜手术视频教育指南 (LAP-VEGaS)。对 YouTube 上“小儿机器人肾盂成形术”观看次数最多的视频进行了回顾，以了解其基线特征、教育内容、手术关键领域的纳入情况（定位、端口、暴露、输尿管动员、肾盂解剖、缝合、吻合），以及是否符合 LAP-VEGaS。根据观看次数进行排名后，有 23 个视频符合纳入标准。每个视频的观看次数从 40 到 15664（平均值为 1912）不等。最早的两个视频是在 2009 年上传的，观看次数最多。视频伴有音频和书面教育内容，分别占 22%和 48%。美国和印度是最常见的视频来源国。只有 6 个视频包含了手术的所有关键步骤。没有一个视频包含了 LAP-VEGaS 基本清单的 16 个要点（平均值为 7.6），并且大多数视频忽略了术前信息和结果。总体符合率为 48%（每个视频的范围为 25%-81%）。观看次数最多的视频与 LAP-VEGaS 的符合率没有相关性。尽管有研究表明，YouTube 视频作为一种教育工具很受欢迎，并且肾盂成形术是最常进行的小儿机器人手术，但目前 YouTube 上只有少数高质量的教育视频。视频往往缺乏重要的手术领域，并且与 LAP-VEGaS 指南的符合率较低。这表明可以通过采用既定的视频报告指南来提高开放获取视频的教育质量和价值。
