Reddy Rithvik, Cheng Horace, Jufas Nicholas, Patel Nirmal
Otolaryngology, Head and Neck Surgery, Royal North Shore Hospital, Sydney, Australia.
Otol Neurotol. 2023 Apr 1;44(4):e230-e234. doi: 10.1097/MAO.0000000000003824. Epub 2023 Jan 28.
Cholesteatoma is common chronic ear condition that usually requires surgical treatment and long-term follow-up. The Internet helps patients find information about their medical conditions and assists in shared clinical decision making. This work aims to assess the quality of information on YouTube for cholesteatoma. We aim to assess the quality of the most popular cholesteatoma videos on YouTube using recognized scoring systems and determine if quality correlated with video likes and views.
The YouTube website was systematically searched on separate days with a formal search strategy to identify videos relevant to cholesteatoma. Each video was viewed and scored by three independent assessors using a novel Essential and Ideal Video Completeness criteria for cholesteatoma and the validated DISCERN tool. Popularity metrics were analyzed and compared with video popularity.
A total of 90 YouTube videos were analyzed with an average 55,292 views per video with an average of 271 likes and 22 dislikes. The interrater correlation was moderate with Fleiss kappa score 0.42 ( p < 0.01) using the Essential and Ideal Video Completeness criteria for cholesteatoma and interrater correlation coefficient was 0.78 (95% confidence interval, 0.58-0.90), indicating good reliability for DISCERN scores. The overall video quality was poor with higher DISCERN scores found from academic institutions.
YouTube content with regard to cholesteatoma is of poor quality. Videos with unclassified sources or more dislikes correlated with poor quality. Otology societies should be encouraged to publish high-quality YouTube videos on cholesteatoma and other ear conditions.
胆脂瘤是一种常见的慢性耳部疾病，通常需要手术治疗和长期随访。互联网帮助患者查找有关其病情的信息，并有助于共同进行临床决策。这项工作旨在评估YouTube上有关胆脂瘤的信息质量。我们旨在使用公认的评分系统评估YouTube上最受欢迎的胆脂瘤视频的质量，并确定质量是否与视频的点赞数和观看次数相关。
在不同日期系统地搜索YouTube网站，采用正式的搜索策略来识别与胆脂瘤相关的视频。由三名独立评估人员使用针对胆脂瘤的新颖的基本和理想视频完整性标准以及经过验证的DISCERN工具对每个视频进行观看和评分。分析人气指标并与视频受欢迎程度进行比较。
共分析了90个YouTube视频，每个视频平均观看次数为55,292次，平均点赞271次，差评22次。使用针对胆脂瘤的基本和理想视频完整性标准时，评分者间相关性中等，Fleiss kappa评分为0.42（p <0.01），DISCERN评分的评分者间相关系数为0.78（95%置信区间，0.58 - 0.90），表明可靠性良好。整体视频质量较差，学术机构的视频DISCERN评分较高。
YouTube上关于胆脂瘤的内容质量较差。来源未分类或差评较多的视频与质量较差相关。应鼓励耳科学会在YouTube上发布有关胆脂瘤和其他耳部疾病的高质量视频。
