Department of Orthopaedic and Trauma Surgery, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Department of Orthopaedics, Sanatorium Hera, Vienna, Austria.
Arthroscopy. 2023 Dec;39(12):2443-2453.e2. doi: 10.1016/j.arthro.2023.05.031. Epub 2023 Jun 23.
To evaluate the information quality, accuracy, and reliability of YouTube videos regarding relevant postoperative patient information and postoperative rehabilitation after arthroscopic rotator cuff repair.
By use of The Onion Router (TOR) software and predefined search terms, 102 videos were assessed. Four scoring systems were used to evaluate included videos: (1) Journal of the American Medical Association (JAMA) benchmark criteria score; (2) Global Quality Score (GQS); (3) DISCERN score; and (4) a newly developed score, the Rotator Cuff Score (RCS). The RCS (0-30 points) was built based on the latest published evidence and guidelines from the American Academy of Orthopaedic Surgeons. Videos that scored up to 9 points were regarded as poor-quality videos.
Most of the included videos provided poor information quality, accuracy, and reliability. Videos that were uploaded by medically trained professionals showed significantly better results for all scores compared with commercial or personal-testimony videos (JAMA benchmark criteria score, P < .001; GQS, P < .001; DISCERN score, P = .001; and RCS, P = .001). Multivariate linear regression showed that the involvement of medically trained professionals was a significant predictor of better results for all scores (JAMA benchmark criteria score, β = 1.496 [P < .001]; GQS, β = 1.105 [P < .001]; DISCERN score, β = 11.234 [P < .001]; and RCS, β = 5.017 [P < .001]). Surprisingly, the like ratio was significantly higher for videos that were uploaded by non-medically trained individuals (P = .041).
The average information quality, accuracy, and reliability of YouTube videos regarding relevant postoperative patient information and postoperative rehabilitation after arthroscopic rotator cuff repair are poor. Videos from medically trained professionals provide significantly higher information quality; however, even these videos lack important information for a better understanding of arthroscopic rotator cuff repair.
Because of the lack of a peer-review process, available videos on YouTube regarding relevant postoperative patient information and postoperative rehabilitation after arthroscopic rotator cuff repair are of low quality, accuracy, and reliability. However, patients increasingly visit YouTube to gather medical knowledge. Physicians should enlighten patients about these findings and should be able to provide alternative sources of high-quality information.
评估有关关节镜肩袖修复术后相关患者信息和术后康复的 YouTube 视频的信息质量、准确性和可靠性。
使用洋葱路由器（TOR）软件和预定义的搜索词，评估了 102 个视频。使用四个评分系统评估纳入的视频：（1）美国医学会杂志（JAMA）基准标准评分；（2）全球质量评分（GQS）；（3）DISCERN 评分；（4）新开发的评分，即肩袖评分（RCS）。RCS（0-30 分）基于最新发表的证据和美国骨科医师学会的指南。得分高达 9 分的视频被认为是低质量视频。
大多数纳入的视频提供的信息质量、准确性和可靠性较差。与商业或个人证词视频相比，由医学专业人员上传的视频在所有评分中均显示出显著更好的结果（JAMA 基准标准评分，P<.001；GQS，P<.001；DISCERN 评分，P=0.001；和 RCS，P=0.001）。多变量线性回归显示，医学专业人员的参与是所有评分结果更好的显著预测因素（JAMA 基准标准评分，β=1.496[P<.001]；GQS，β=1.105[P<.001]；DISCERN 评分，β=11.234[P<.001]；和 RCS，β=5.017[P<.001]）。令人惊讶的是，非医学专业人员上传的视频的点赞率明显更高（P=0.041）。
关于关节镜肩袖修复术后相关患者信息和术后康复的 YouTube 视频的平均信息质量、准确性和可靠性较差。来自医学专业人员的视频提供了更高的信息质量；然而，即使是这些视频也缺乏更好地理解关节镜肩袖修复所需的重要信息。
由于缺乏同行评审过程，有关关节镜肩袖修复术后相关患者信息和术后康复的 YouTube 视频的质量、准确性和可靠性较低。然而，患者越来越多地访问 YouTube 来获取医学知识。医生应该让患者了解这些发现，并能够提供高质量信息的替代来源。
