Desai Sohil S, Anderson Matthew J, Crutchfield Connor R, Gazgalis Anastasia, Alexander Frank J, Popkin Charles A, Ahmad Christopher S
Columbia University Irving Medical Center, New York, New York, USA.
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Orthop J Sports Med. 2023 Mar 21;11(3):23259671221147921. doi: 10.1177/23259671221147921. eCollection 2023 Mar.
Ulnar collateral ligament (UCL) reconstruction has received a unique level of attention in the press and social media. There has also been an increasing use of the internet by patients to seek medical information. Concern exists regarding the quality and comprehensibility of online information when used for patient education.
To evaluate the quality and comprehensibility of the most-viewed YouTube videos related to the diagnosis and management of UCL injuries. Based on our new evidence-based scoring rubrics, we hypothesized that the quality and comprehensibility of these videos would be poor.
Cross-sectional study.
The YouTube platform was searched on September 7, 2021, with the terms "UCL injury," "ulnar collateral ligament injury," "UCL surgery," "ulnar collateral ligament surgery," and "Tommy John surgery," and the 50 most-viewed videos from each search were compiled, yielding 250 videos. After removal of duplicates and application of exclusion criteria, the 100 most-viewed videos remained. Basic attributes, including duration of video and number of views, were recorded. Each video was then analyzed by 2 independent reviewers and evaluated for 4 key parameters (quality of diagnostic content [QAR-D], quality of treatment content [QAR-T], presence of inaccurate information, and comprehensibility) and graded on a novel scale from 1 to 4 (4 being the most appropriate for patient education).
The mean QAR-D was 4.83 ± 3.41 (fair quality), and the mean QAR-T was 2.76 ± 3.26 (poor quality). Physician-led educational videos had both the highest mean QAR-D (6.37) and the highest mean QAR-T (4.34). No correlation was observed between video quality and views/likes. A total of 12 videos included ≥1 inaccuracy. The mean comprehensibility score was 2.66 ± 1.12, with 39 videos falling below the acceptable comprehensibility threshold (score <3).
The overall quality of UCL injury-related YouTube content was low. In addition, the absence of correlation between video quality and views/likes suggests that patients are not preferentially utilizing the limited high-quality content that does exist on the YouTube platform. In addition, inaccurate videos were prevalent (12%), and almost half of all videos were deemed inappropriate for patient education in terms of comprehensibility, as defined by our comprehensibility parameter.
尺侧副韧带（UCL）重建术在新闻媒体和社交媒体上受到了格外的关注。患者利用互联网寻求医疗信息的情况也日益增多。人们担心用于患者教育的在线信息的质量和可理解性。
评估YouTube上观看量最高的与UCL损伤诊断和治疗相关视频的质量和可理解性。基于我们新的循证评分标准，我们推测这些视频的质量和可理解性会很差。
横断面研究。
于2021年9月7日在YouTube平台上搜索了“UCL损伤”“尺侧副韧带损伤”“UCL手术”“尺侧副韧带手术”和“汤米·约翰手术”等关键词，并汇总了每次搜索中观看量最高的50个视频，共得到250个视频。在去除重复视频并应用排除标准后，保留了100个观看量最高的视频。记录视频时长和观看次数等基本属性。然后由2名独立评审员对每个视频进行分析，并评估4个关键参数（诊断内容质量[QAR-D]、治疗内容质量[QAR-T]、不准确信息的存在情况和可理解性），并按照1至4的新评分标准进行评分（4分最适合患者教育）。
平均QAR-D为4.83±3.41（质量一般），平均QAR-T为2.76±3.26（质量较差）。由医生主导的教育视频的平均QAR-D（6.37）和平均QAR-T（4.34）均最高。未观察到视频质量与观看量/点赞数之间存在相关性。共有12个视频包含≥1处不准确信息。平均可理解性得分为2.66±1.12，有39个视频低于可接受的可理解性阈值（得分<3）。
与UCL损伤相关的YouTube内容的整体质量较低。此外，视频质量与观看量/点赞数之间缺乏相关性，这表明患者并未优先利用YouTube平台上确实存在的有限高质量内容。此外，不准确的视频很普遍（12%），按照我们的可理解性参数定义，几乎一半的视频在可理解性方面被认为不适合用于患者教育。
