Kunze Kyle N, Alter Kevin H, Cohn Matthew R, Vadhera Amar S, Verma Nikhil N, Yanke Adam B, Chahla Jorge
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Department of Orthopedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, IL, USA.
Clin Shoulder Elb. 2022 Sep;25(3):217-223. doi: 10.5397/cise.2022.00927. Epub 2022 Jul 18.
YouTube has become a popular source of healthcare information in orthopedic surgery. Although quality-based studies of YouTube content have been performed for information concerning many orthopedic pathologies, the quality and accuracy of information on the rotator cuff have yet to be evaluated. The purpose of the current study was to evaluate the reliability and educational content of YouTube videos concerning the rotator cuff.
YouTube was queried for the term "rotator cuff." The first 50 videos from this search were evaluated. Video reliability was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria (range, 0-5). Educational content was assessed using the global quality score (GQS; range, 0-4) and the rotator cuff-specific score (RCSS; range, 0-22).
The mean number of views was 317,500.7±538,585.3. The mean JAMA, GQS, and RCSS scores were 2.7±2.0, 3.7±1.0, and 5.6±3.6, respectively. Non-surgical intervention content was independently associated with a lower GQS (β=-2.19, p=0.019). Disease-specific video content (β=4.01, p=0.045) was the only independent predictor of RCSS.
The overall quality and educational content of YouTube videos concerned with the rotator cuff were low. Physicians should caution patients in using such videos as resources for decision-making and should counsel them appropriately.
YouTube已成为骨科手术中一个受欢迎的医疗保健信息来源。尽管针对许多骨科疾病的信息，已开展了基于质量的YouTube内容研究，但有关肩袖的信息质量和准确性尚未得到评估。本研究的目的是评估YouTube上有关肩袖的视频的可靠性和教育内容。
在YouTube上搜索“肩袖”一词。对此次搜索结果的前50个视频进行评估。使用美国医学会杂志（JAMA）基准标准（范围为0至5）评估视频可靠性。使用全球质量评分（GQS；范围为0至4）和肩袖特异性评分（RCSS；范围为0至22）评估教育内容。
平均观看次数为317,500.7±538,585.3。JAMA、GQS和RCSS的平均得分分别为2.7±2.0、3.7±1.0和5.6±3.6。非手术干预内容与较低的GQS独立相关（β=-2.19，p=0.019）。疾病特异性视频内容（β=4.01，p=0.045）是RCSS的唯一独立预测因素。
YouTube上有关肩袖的视频的整体质量和教育内容较低。医生应提醒患者谨慎使用此类视频作为决策资源，并应给予他们适当的建议。
