From the Rutgers New Jersey Medical School, Newark, NJ.
Ann Plast Surg. 2024 Feb 1;92(2):144-147. doi: 10.1097/SAP.0000000000003743. Epub 2023 Oct 17.
An increasing number of patients who underwent breast implant surgery are reporting a cluster of concerning physical and psychological symptoms-newly coined term breast implant illness (BII). YouTube is a popular educational tool for plastic surgery patients.
The purposes of this study were to assess the quality and reliability of YouTube videos on BII, compare the quality and reliability of different video categories and publishers, and determine the frequencies of reported BII symptoms.
On YouTube, videos were searched for the term breast implant illness , and the first 100 results were collected. Engagement parameters and symptoms of BII mentioned in each video were recorded. Video power index, a modified DISCERN instrument, and the Global Quality Scale (GQS) were used to assess popularity, reliability, and quality, respectively.
Ninety videos met the inclusion criteria. More than half mentioned fatigue (66%), cognitive dysfunction (59%), or muscle and/or joint pain (57%). Videos with a plastic surgeon present had higher DISCERN ( P = 0.001) and GQS ( P = 0.002) scores than those without. Educational videos had higher DISCERN and GQS scores than patient experience ( P < 0.0001, P = 0.001) and entertainment and advertisement videos ( P = 0.014, P = 0.022). Videos published by plastic surgeons had higher Video power index ( P = 0.033), DISCERN ( P < 0.0001), and GQS scores ( P < 0.0001) than those by nonmedical publishers.
The top YouTube videos for BII are generally of low reliability and low-to-moderate quality. Patients unaware of YouTube's limited quality control measures for health education videos are susceptible to misinformation. Additional social media content created by plastic surgeons can improve the quality and accuracy of videos viewed by patients.
越来越多接受过乳房植入手术的患者报告了一系列令人担忧的身体和心理症状——新 coined 术语乳房植入病（BII）。YouTube 是整形外科患者的热门教育工具。
本研究旨在评估有关 BII 的 YouTube 视频的质量和可靠性，比较不同视频类别和发布者的质量和可靠性，并确定报告的 BII 症状的频率。
在 YouTube 上搜索术语“乳房植入病”，收集前 100 个结果。记录每个视频中提到的 BII 症状的参与参数和症状。使用视频功率指数、改良的 DISCERN 仪器和全球质量量表（GQS）分别评估受欢迎程度、可靠性和质量。
90 个视频符合纳入标准。超过一半的视频提到疲劳（66%）、认知功能障碍（59%）或肌肉和/或关节疼痛（57%）。有整形外科医生参与的视频的 DISCERN（P=0.001）和 GQS（P=0.002）评分高于没有医生参与的视频。教育视频的 DISCERN 和 GQS 评分高于患者体验（P<0.0001，P=0.001）和娱乐和广告视频（P=0.014，P=0.022）。整形外科医生发布的视频的视频功率指数（P=0.033）、DISCERN（P<0.0001）和 GQS 评分（P<0.0001）均高于非医学出版商发布的视频。
BII 的顶级 YouTube 视频普遍可靠性低，质量低至中等。对 YouTube 健康教育培训视频质量控制措施有限不知情的患者容易受到误导。整形外科医生创建的其他社交媒体内容可以提高患者观看的视频的质量和准确性。
