Department of Otolaryngology - Head and Neck Surgery, University of California Irvine Medical Center, Orange, California, USA.
Department of Otorhinolaryngology - Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Int Forum Allergy Rhinol. 2022 Dec;12(12):1527-1534. doi: 10.1002/alr.23006. Epub 2022 Apr 11.
The use of video recording is commonplace in rhinology given the increased use of endoscopes when evaluating patients in the office and the operating room and for its educational potential. This study aimed to determine the quality of publicly available endoscopic videos in rhinology.
A video search was performed on YouTube in April 2020 and included all videos since its inception in 2005 using terms related to rhinology found in the Accreditation Council for Graduate Medical Education (ACGME) Case Log Coding Guide. Videos which met inclusion criteria were evaluated for video metrics and quality using validated scoring systems: Video Power Index (VPI), modified Journal of American Medical Association (JAMA) benchmark criteria, modified global quality score (GQS), and modified DISCERN criteria.
A total of 138 videos were evaluated, 114 of which were uploaded independently, and 24 videos were uploaded by an academic institution. Academic-affiliated videos have higher like ratio at 91.7 ± 7.55% compared with 86.27 ± 17.44% (p = 0.018). Academic-affiliated videos have higher JAMA benchmark scores, DISCERN criteria scores, and GQS values (1.71 ± 0.55 vs. 1.66 ± 0.49 [p = 0.66]), (3.33 ± 0.56 vs. 2.85 ± 0.65 [p < 0.001]), (4.38 ± 0.81 vs. 3.43 ± 1.01 [p < 0.001])], respectively. There was no significant difference in VPI (p = 0.73).
Endoscopic videos are rapidly growing in prominence and remain an important part of surgical education, but overall are heterogeneous in quality and reliability, necessitating an effort to establish both video sharing regulations and objective standards of quality.
由于在诊室和手术室评估患者时内窥镜的使用越来越多，以及其具有教育潜力，因此在鼻科学中使用视频记录已很常见。本研究旨在确定鼻科学中公开可用的内窥镜视频的质量。
2020 年 4 月在 YouTube 上进行了视频搜索，使用美国住院医师规范化培训认证委员会（ACGME）病例记录编码指南中找到的与鼻科学相关的术语，包括自 2005 年成立以来的所有视频。符合纳入标准的视频使用经过验证的评分系统评估视频指标和质量：视频功率指数（VPI）、改良美国医学会（JAMA）基准标准、改良总体质量评分（GQS）和改良 DISCERN 标准。
共评估了 138 个视频，其中 114 个独立上传，24 个由学术机构上传。与 86.27 ± 17.44%（p=0.018）相比，学术附属机构的视频点赞率更高，为 91.7 ± 7.55%。学术附属机构的视频具有更高的 JAMA 基准评分、DISCERN 标准评分和 GQS 值（1.71 ± 0.55 比 1.66 ± 0.49[p=0.66]）、（3.33 ± 0.56 比 2.85 ± 0.65[p<0.001]）、（4.38 ± 0.81 比 3.43 ± 1.01[p<0.001]）。VPI 无显著差异（p=0.73）。
内窥镜视频的知名度正在迅速提高，仍然是外科教育的重要组成部分，但总体质量和可靠性存在差异，因此需要努力建立视频共享法规和质量客观标准。
