Department of Neurology, Ibn Sina Hospital, Kuwait.
Department of Neurology and Psychiatry, University of Alexandria, Alexandria, Egypt.
Clin Neurol Neurosurg. 2023 Jan;224:107569. doi: 10.1016/j.clineuro.2022.107569. Epub 2022 Dec 23.
Television medical dramas enjoy great popularity among the general public, and can be a source of information and misinformation about medical disorders. Nervous system disorders have always received attention in popular media, yet no studies have been performed to analyze their depiction and accuracy, to our knowledge.
To investigate the representation of neurological and neurosurgical diseases in Grey's Anatomy, one of most popular and longest running primetime medical melodramas in American television.
We performed a quantitative and qualitative content analysis of depictions of nervous system disorders in all 18 seasons of Grey's Anatomy, in addition to investigating the medical accuracy and the global quality of the portrayed medical content.
A total of 285 depictions were identified in 314 out of 400 episodes (78.5%) of Grey's Anatomy. Most of portrayed characters were males (59.2%), Caucasians (72.6%), and adults (76.4%), with a mean age of 32.6 ± 19.7 years for those mentioned. Most of the portrayals were of acute nature (65.5%), with neurosurgical diseases constituting the majority; 85.6%, while 31.6% depicted neurological diseases, and 19.3% had both. The most common clinical presentations were altered level of consciousness (16.5%) and seizures (14.4%). Traumatic brain injury was the most common portrayed diagnosis (39.3%), followed by brain tumors (13.7%), stroke (8.4%), and spinal injury (8.1%). Management was surgical for the majority of cases (79.6%), while only 17.9% received pharmacotherapy. The prognosis of portrayed cases was generally favorable, as 79.5% showed good/full recovery, while mortality rate was 18.6%. Forty cases (14.0%) were depictions of rare to very rare diseases. As regards to medical accuracy, 74.3% of depictions were deemed accurate within reason, with a mean GQS score of 4.38 ± 1.4. Four clinical trials involving the nervous system have been depicted throughout the show.
Neurosurgical and neurological diseases were portrayed in most episodes of Grey's Anatomy, with a good quality of its scientific content within reason. This study demonstrated that Grey's Anatomy had a good amount of medical information that could be able to improve the public perception of the specialty. However, there is still a room for significant improvement to acknowledge certain inaccuracies and misrepresentations in future episodes.
电视剧《实习医生格蕾》在公众中广受欢迎，它可能是医学专业疾病相关信息和错误信息的来源。神经系统疾病一直是大众媒体关注的焦点，但据我们所知，还没有研究对其描述和准确性进行分析。
分析美国黄金时段最受欢迎和播出时间最长的医学情节剧之一《实习医生格蕾》中神经系统疾病的描述。
我们对《实习医生格蕾》的所有 18 季进行了神经系统疾病描述的定量和定性内容分析，同时还调查了所描绘的医学内容的医学准确性和整体质量。
在《实习医生格蕾》的 400 集中有 314 集（78.5%）共识别出 285 个描述。所描绘的角色大多是男性（59.2%）、白种人（72.6%）和成年人（76.4%），提到的平均年龄为 32.6±19.7 岁。大多数描述都是急性的（65.5%），以神经外科疾病为主，占 85.6%，而 31.6%描述了神经系统疾病，19.3%同时涉及神经系统和神经外科疾病。最常见的临床表现是意识水平改变（16.5%）和癫痫发作（14.4%）。创伤性脑损伤是最常见的描述诊断（39.3%），其次是脑肿瘤（13.7%）、中风（8.4%）和脊柱损伤（8.1%）。大多数病例的治疗方法是手术（79.6%），而只有 17.9%接受药物治疗。所描绘病例的预后通常较好，79.5%显示良好/完全恢复，死亡率为 18.6%。40 例（14.0%）为罕见或非常罕见疾病的描述。至于医学准确性，74.3%的描述被认为是合理的准确，平均 GQS 评分为 4.38±1.4。整个节目共描绘了 4 项涉及神经系统的临床试验。
《实习医生格蕾》在大多数剧集中都描绘了神经外科和神经系统疾病，其科学内容质量合理。本研究表明，《实习医生格蕾》有大量的医学信息，可以提高公众对该专业的认知。然而，在未来的剧集中，仍有很大的改进空间，以承认某些不准确和错误的描述。
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