Hohenleitner Julien, Barron Kendyl, Bostonian Taylor, Demyan Lyudmyla, Bonne Stephanie
Department of General Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
Department of General Surgery, Yale School of Medicine, New Haven, Connecticut.
J Surg Res. 2023 Dec;292:206-213. doi: 10.1016/j.jss.2023.07.009. Epub 2023 Aug 26.
YouTube has become a main resource used by patients for self-education on medicine. It is important for surgeons to understand the quality and reliability of videos that patients are likely to view about elective procedures.
Videos were categorized by view count and content creators. The top 20 videos for each term, sorted by relevance, were evaluated using DISCERN criteria, a question set externally validated to assess the quality of information regarding health treatment choices. DISCERN score (DS) closer to 5 indicate higher quality information and 1 indicates the opposite. Total scores were given: 15-26 (very poor), 27-38 (poor), 39-50 (fair), 51-62 (very good), and 63-75 (excellent). Search terms included "Wound Care", "Skin Grafting", "Tracheostomy", and "percutaneous endoscopic gastrostomy tube placement".
In total, 80 unique videos were evaluated with a total view of 8,848,796. The mean overall DS was 2.15 and a mean bias DS was 2.46. The median DISCERN total score for each key term was Tracheostomy: 35 (poor), Skin Grafting 26 (very poor), percutaneous endoscopic gastrostomy: 32 (poor), and Wound Care: 40 (fair).
YouTube videos surrounding elective procedures should be viewed cautiously in patient education despite wide availability. The videos in this study show high levels of bias and low DS. Healthcare providers should be aware of poor-quality consumer health information often disseminated in online media such as YouTube.
YouTube已成为患者进行医学自我教育的主要资源。外科医生了解患者可能观看的关于择期手术的视频的质量和可靠性非常重要。
视频按观看次数和内容创作者进行分类。使用DISCERN标准对每个术语按相关性排序的前20个视频进行评估，DISCERN标准是一组经过外部验证的问题集，用于评估有关健康治疗选择的信息质量。DISCERN分数（DS）越接近5表示信息质量越高，1表示相反。给出总分：15 - 26（非常差），27 - 38（差），39 - 50（一般），51 - 62（非常好），63 - 75（优秀）。搜索词包括“伤口护理”、“皮肤移植”、“气管造口术”和“经皮内镜下胃造口管置入术”。
总共评估了80个独特视频，总观看量为8,848,796次。平均总体DS为2.15，平均偏差DS为2.46。每个关键术语的DISCERN总分中位数为：气管造口术：35（差），皮肤移植：26（非常差），经皮内镜下胃造口术：32（差），伤口护理：40（一般）。
尽管YouTube上关于择期手术的视频广泛可得，但在患者教育中应谨慎看待。本研究中的视频显示出高度的偏差和较低的DS。医疗保健提供者应意识到在线媒体（如YouTube）中经常传播的低质量消费者健康信息。
