Nus Bradley M, Wu Kylie, Sledge Trey, Torres Grant, Kamma Sai, Janumpally Sanjana, Gilani Syed, Lick Scott
Cardiology, University of Texas Medical Branch at Galveston, Galveston, USA.
Cardiology, Texas College of Osteopathic Medicine, Fort Worth, USA.
Cureus. 2023 Aug 28;15(8):e44281. doi: 10.7759/cureus.44281. eCollection 2023 Aug.
Objective YouTube (YouTube LLC, San Bruno, California, United States), one of the most accessed sites on the internet, has become a widespread source of healthcare information for patients. Videos about coronary artery bypass grafts (CABG) have accrued tens of millions of views on the platform, yet their educational quality is unknown. This study investigates the educational landscape of videos regarding CABG procedures on YouTube. Methods YouTube was queried for "Coronary Artery Bypass Graft Surgery" and "Coronary Artery Bypass Graft Procedure". After applying exclusion criteria, 73 videos were assessed. Two independent reviewers rated the material with the Global Quality Scale (GQS) (5 = high quality, 0 = low quality) to judge educational value. A ratio of view count to days since upload was applied to assess video popularity. Source, modality, and date of upload were recorded for each video as well. Results An average GQS score of 2.94 was found, indicating poor educational quality of the 73 YouTube videos on CABG procedures. Videos uploaded by physicians (56/73; 76.7%) had a significantly higher average GQS score than those uploaded by non-physicians (p<0.001). When content was grouped by delivery method, physician-led presentations (24/73 or 32.9%) produced the highest average GQS score of 3.35; conversely, patient-friendly delivery methods (18/73 or 24.7%) yielded the lowest average GQS score of 2.36 (p<0.001). Neither the view ratio nor the days since upload significantly correlated with the educational quality of the video. Conclusion Although CABG videos are readily available on YouTube, they often contain considerable biases and misleading information. With online sources for healthcare education now commonplace, physicians must be aware of the vast quantities of low-quality videos patients often encounter when weighing different treatment options. Further analysis of CABG videos on YouTube may allow physicians to ameliorate this gap by producing videos that are not only high quality but highly viewed on the platform.
目的 YouTube(YouTube有限责任公司,美国加利福尼亚州圣布鲁诺)是互联网上访问量最大的网站之一,已成为患者广泛获取医疗保健信息的来源。关于冠状动脉搭桥术(CABG)的视频在该平台上已积累了数千万的浏览量,但其教育质量尚不清楚。本研究调查了YouTube上有关CABG手术视频的教育情况。方法 在YouTube上搜索“冠状动脉搭桥手术”和“冠状动脉搭桥手术步骤”。应用排除标准后,对73个视频进行了评估。两名独立评审员使用全球质量量表(GQS)(5分=高质量,0分=低质量)对材料进行评分,以判断其教育价值。应用浏览量与上传天数的比率来评估视频的受欢迎程度。还记录了每个视频的来源、形式和上传日期。结果 平均GQS评分为2.94,表明这73个关于CABG手术的YouTube视频的教育质量较差。由医生上传的视频(56/73;76.7%)的平均GQS评分显著高于非医生上传的视频(p<0.00)。当按传播方式对内容进行分组时,由医生主导的演示(24/73或32.9%)的平均GQS评分最高,为3.35;相反,对患者友好的传播方式(18/73或24.7%)的平均GQS评分最低,为2.36(p<0.001)。浏览比率和上传天数均与视频的教育质量无显著相关性。结论 尽管YouTube上很容易找到CABG视频,但它们往往包含大量偏见和误导性信息。由于现在医疗保健教育的在线资源很普遍,医生必须意识到患者在权衡不同治疗方案时经常遇到大量低质量视频。对YouTube上CABG视频的进一步分析可能会使医生通过制作不仅高质量而且在该平台上浏览量高的视频来缩小这一差距。