YouTube作为男性性腺功能减退和睾酮治疗的患者教育资源。
YouTube as a Patient Education Resource for Male Hypogonadism and Testosterone Therapy.
作者信息
Warren Christopher J, Wisener John, Ward Brittany, Behbahani Sara, Shah Tejash, Fano Adam, Paskhover Boris, Sadeghi-Nejad Hossein
机构信息
Division of Urology, Department of Surgery, Rutgers-New Jersey Medical School, Newark NJ, USA.
Department of Otolaryngology, Rutgers-New Jersey Medical School, Newark NJ, USA.
出版信息
Sex Med. 2021 Apr;9(2):100324. doi: 10.1016/j.esxm.2021.100324. Epub 2021 Mar 19.
INTRODUCTION
YouTube is an unregulated platform that patients are using to learn about treatment options.
AIM
To assess the reliability of YouTube videos (YTVs) related to male hypogonadism and testosterone therapy.
METHODS
Searching on YouTube by relevance and view count, we analyzed the top 10 videos (80 videos total) for the following search terms: low testosterone, testosterone replacement therapy, AndroGel, and hypogonadism.
MAIN OUTCOME MEASURE
We recorded the number of views for each video, evaluated videos using the DISCERN score (DS) criterion, and compared the DS for videos including board-certified physicians and videos without. A second comparison was made between videos with board-certified physicians in urology, endocrinology, other MD, and those without any physician.
RESULTS
The YTVs analyzed received a total of 38,549,090 views, a median of 25,201 and 17.30 views/day. Videos that featured physicians had significantly fewer views/day than videos that did not (39.48 CI 9,72 vs 1,731 CI 330, 3,132; P = .019). Most YTVs studied were unreliable. The median DS across all videos was 2. However, most videos created by physicians were found to be reliable with a median DS of 4. In addition, YTVs that did not feature a physician were found to be significantly less reliable than videos that featured a physician (3.22 CI 3.06, 4.09 vs 1.87 CI 1.56, 2.18; P < .001). There was no significant difference in the reliability or viewership of YTVs stratified by physician type.
CONCLUSION
Most YTVs related to male hypogonadism/testosterone therapy were unreliable, but there are reliable YTVs available. Reliable videos usually feature a physician and receive fewer views than unreliable YTVs. Physicians and academic societies should work to provide verified videos to provide patients with reliable information about male hypogonadism and testosterone therapy. CJ Warren, J Wisener, B Ward, et al. YouTube as a Patient Education Resource for Male Hypogonadism and Testosterone Therapy. Sex Med 2021;9:100324.
引言
YouTube是一个不受监管的平台，患者正在利用它来了解治疗选择。
目的
评估与男性性腺功能减退和睾酮治疗相关的YouTube视频（YTV）的可靠性。
方法
通过相关性和观看次数在YouTube上进行搜索，我们分析了以下搜索词的前10个视频（共80个视频）：低睾酮、睾酮替代疗法、安特尔（AndroGel）和性腺功能减退。
主要观察指标
我们记录了每个视频的观看次数，使用辨别分数（DS）标准对视频进行评估，并比较了包含获得委员会认证医生的视频和不包含的视频的DS。在有泌尿外科、内分泌科、其他医学博士委员会认证医生的视频与没有任何医生的视频之间进行了第二次比较。
结果
分析的YTV共获得38549090次观看，中位数为25201次，每天17.30次。有医生参与的视频每天的观看次数明显少于没有医生参与的视频（39.48 CI 9.72对1731 CI 330，3132；P = 0.019）。大多数研究的YTV不可靠。所有视频的DS中位数为2。然而，发现大多数由医生创建的视频是可靠的，DS中位数为4。此外，发现没有医生参与的YTV比有医生参与的视频明显不可靠（3.22 CI 3.06，4.09对1.87 CI 1.56，2.18；P < 0.001）。按医生类型分层的YTV的可靠性或观众数量没有显著差异。
结论
大多数与男性性腺功能减退/睾酮治疗相关的YTV不可靠，但也有可靠的YTV。可靠的视频通常有医生参与，且观看次数比不可靠的YTV少。医生和学术团体应努力提供经过验证的视频，为患者提供有关男性性腺功能减退和睾酮治疗的可靠信息。CJ·沃伦、J·怀斯纳、B·沃德等。YouTube作为男性性腺功能减退和睾酮治疗的患者教育资源。《性医学》202年；9：100324。
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