YouTube是髌股关节脱位患者信息的低质量来源。
YouTube Is a Poor-Quality Source for Patient Information Regarding Patellar Dislocations.
作者信息
Abed Varag, Sullivan Breanna M, Skinner Matthew, Hawk Gregory S, Khalily Camille, Conley Caitlin, Stone Austin V
机构信息
Departments of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky, U.S.A.
Statistics, University of Kentucky, Lexington, Kentucky, U.S.A.
出版信息
Arthrosc Sports Med Rehabil. 2023 Mar 24;5(2):e459-e464. doi: 10.1016/j.asmr.2023.01.014. eCollection 2023 Apr.
PURPOSE
To evaluate the content and quality of YouTube videos concerning patellar dislocations.
METHODS
"Patellar dislocation" and "kneecap dislocation" were searched on the YouTube library. The Uniform Resource Locator of the first 25 suggested videos was extracted, for a total of 50 videos. The following variables were collected for each video: number of views, duration in minutes, video source/uploader, content type, days since upload, view ratio (views/day), and number of likes. Video source/uploader was categorized as academic, physician, nonphysician, medical source, patient, commercial, and other. The Journal of the American Medical Association (JAMA), Global Quality Scale (GQS), Patellar Dislocation Specific Score (PDSS), and DISCERN scores were used to assess each video. A series of linear regression models were used to explore relationships between each of these scores and the aforementioned variables.
RESULTS
The median video length was 4.11 minutes (interquartile range 2.07-6.03, range 0.31-53.56), and the total number of views for all 50 videos was 3,697,587 views. The mean overall JAMA benchmark score ± standard deviation was 2.56 ± 0.64, GQS: 3.54 ± 1.05, total PDSS: 5.76 ± 3.42. Physicians were the most common video source/uploader (42%). Academic sources had the greatest mean JAMA benchmark score (3.20), whereas nonphysician and physician sources had the greatest mean GQS scores (4.09 and 3.95, respectively). Videos uploaded by physicians had the greatest PDSS scores (7.5).
CONCLUSIONS
The overall transparency, reliability, and content quality of YouTube videos on patellar dislocation measured by the JAMA benchmark score and PDSS, respectively, are poor. Additionally, the overall educational and video quality, as assessed by the GQS, was intermediate.
CLINICAL RELEVANCE
It is important to understand the quality of information patients receive on YouTube so providers can guide patients to greater-quality sources.
目的
评估YouTube上有关髌骨脱位视频的内容和质量。
方法
在YouTube库中搜索“Patellar dislocation”和“kneecap dislocation”。提取前25个推荐视频的统一资源定位符，共50个视频。为每个视频收集以下变量：观看次数、时长（分钟）、视频来源/上传者、内容类型、上传天数、观看率（每日观看次数）和点赞数。视频来源/上传者分为学术、医生、非医生、医学来源、患者、商业和其他类别。使用《美国医学会杂志》（JAMA）、全球质量量表（GQS）、髌骨脱位特定评分（PDSS）和DISCERN评分来评估每个视频。使用一系列线性回归模型来探索这些评分与上述变量之间的关系。
结果
视频的中位长度为4.11分钟（四分位间距2.07 - 6.03，范围0.31 - 53.56），所有50个视频的总观看次数为3,697,587次。JAMA基准评分的平均总分±标准差为2.56±0.64，GQS为3.54±1.05，PDSS总分5.76±3.42。医生是最常见的视频来源/上传者（42%）。学术来源的JAMA基准评分均值最高（3.20），而非医生和医生来源的GQS评分均值最高（分别为4.09和3.95）。医生上传的视频PDSS评分最高（7.5）。
结论
分别通过JAMA基准评分和PDSS衡量的YouTube上关于髌骨脱位视频的整体透明度、可靠性和内容质量较差。此外，通过GQS评估的整体教育和视频质量处于中等水平。
临床意义
了解患者在YouTube上获得的信息质量很重要，这样医疗服务提供者可以引导患者获取质量更高的信息来源。
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