Department of Pediatric Surgery, Pediatric Surgery Unit, Bambino Gesù Children's Hospital, Research Institute, Palidoro, Rome, Italy.
Department of Pediatric Surgery, Pediatric Surgery Unit, Bambino Gesù Children's Hospital, Research Institute, Palidoro, Rome, Italy.
J Pediatr Urol. 2021 Jun;17(3):390.e1-390.e4. doi: 10.1016/j.jpurol.2020.12.025. Epub 2021 Jan 13.
BACKGROUND/INTRODUCTION: Ureteropelvic junction obstruction (UPJO) is the most frequent obstructive uropathy of the upper urinary tract in children. Video-sharing platforms have become a significant source of visual information for health care providers. Among these platforms, YouTube® (www.youtube.com), contains a high number of videos free of charge and represents one of the most important and known websites of video-sharing. YouTube® is a widely used open-access video sharing website that allows us to watch an unlimited number of video content, and to upload an infinitive number of videos.
This study aims to evaluate the educational quality of videos related to robotic pyeloplasty in pediatric age because an increasing number of videos addressing these procedures is now available on YouTube®.
We performed a search on YouTube® by using the following keyword: "robotic pyeloplasty in children" on July 9, 2020. The first 50 videos were analyzed. The videos were classified according to the source in 1) academic (author/s was/were affiliated with a university), 2) physician (author/s who was/were not affiliated with a university), 3) patient, 4) commercial. All the videos were evaluated also according to the content in 1) surgical technique, 2) information about the surgery and disease 3) patient personal experience 4) advertisement. Duplicated videos and videos not in English were excluded. The search for videos was done based on the website's default settings in order of the proposed relevance. The reliability was evaluated using DISCREN and JAMA scores. The Global Quality Score (GWS) was used to assess the educational value. Time since upload, run time, like, dislike and number of views were recorded.
The first 50 videos were analyzed. Seven videos (14%) did not meet our criteria and were excluded (three videos were duplicated while 4 out of seven were not in English). The mean DISCERN was 32.47 ± 12.24 (range 15-78). The mean JAMA Score was 2.1 ± 0.9 (range 0-4). Mean GQS was 2,12 ± 0.9. DISCERN and JAMAS and GQS scores of academic/physician sourced videos were significantly higher than the patient sourced videos (p = 0.037, p = 0.023, p = 0.017 respectively). Regarding content, the surgical technique had significantly higher DISCERN, JAMAS and GQS scores than videos based on patient experience (p = 0.012, p: 0.021, p = 0.023 respectively).
Videos uploaded by Physicians and Academic Institutions show higher DISCERN and JAMAS and GQS compared to other sourced videos and should be considered more suitable for teaching respect to those originating from patients or non-physicians.
背景/引言：肾盂输尿管连接部梗阻（UPJO）是儿童上尿路最常见的梗阻性尿路疾病。视频分享平台已成为医疗保健提供者获取视觉信息的重要来源。在这些平台中，YouTube®（www.youtube.com）包含大量免费视频，是最重要和最知名的视频分享网站之一。YouTube®是一个广泛使用的开放访问视频分享网站，允许我们观看无限数量的视频内容，并上传无数的视频。
本研究旨在评估与小儿机器人肾盂成形术相关的视频的教育质量，因为现在 YouTube®上提供了越来越多的关于这些手术的视频。
我们于 2020 年 7 月 9 日在 YouTube®上使用以下关键字进行了搜索：“儿童机器人肾盂成形术”。分析了前 50 个视频。根据来源将视频分为 1）学术（作者/作者隶属于大学），2）医师（作者/作者不隶属于大学），3）患者，4）商业。所有视频还根据内容分为 1）手术技术，2）手术和疾病信息，3）患者个人经验，4）广告。排除了重复的视频和非英文视频。根据建议的相关性，根据网站的默认设置搜索视频。使用 DISCREN 和 JAMA 评分评估可靠性。使用全球质量评分（GWS）评估教育价值。记录上传时间、运行时间、点赞、不喜欢和观看次数。
分析了前 50 个视频。有 7 个视频（14%）不符合我们的标准，被排除在外（3 个视频重复，7 个视频中有 4 个不是英文的）。DISCERN 的平均得分为 32.47±12.24（范围 15-78）。JAMA 评分的平均值为 2.1±0.9（范围 0-4）。平均 GQS 为 2.12±0.9。学术/医师来源的视频的 DISCERN、JAMA 和 GQS 评分明显高于患者来源的视频（p=0.037，p=0.023，p=0.017）。关于内容，手术技术的 DISCERN、JAMA 和 GQS 评分明显高于基于患者经验的视频（p=0.012，p=0.021，p=0.023）。
与其他来源的视频相比，来自医师和学术机构上传的视频显示出更高的 DISCERN、JAMA 和 GQS，因此应该更适合教学，而不是来自患者或非医师的视频。
