Torres Grant B, Brondeel Kimberley C, Sledge Trey R, Nus Bradley M, Kamma Sai A, Wu Kylie, Branski Ludwik K
John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX 77550, USA.
Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, Galveston, TX 77550, USA.
J Burn Care Res. 2025 Mar 4;46(2):361-366. doi: 10.1093/jbcr/irae161.
Recent studies indicate that YouTube has become a primary source of healthcare information for patients. Videos about Skin Graft Procedures (SGP) on YouTube have accumulated millions of views, yet there lacks a publication investigating the educational quality of this content. With current literature revealing misleading healthcare information found on YouTube, this study aims to evaluate the educational quality of videos related to SGP. YouTube was searched for various terms such as "Skin Graft Procedures" and "Skin Graft Surgery." One hundred and five videos were assessed, with 21 excluded. Four independent reviewers rated the material with the Global Quality Scale (GQS) (5 = highest quality, 1 = lowest quality) to judge educational value. Viewership, source, modality, and date of upload were also collected from each video and compiled for further analysis. The average GQS was 2.60 amongst all videos, with videos led by physicians recording significantly higher scores than those not led by physicians (P < .01). In comparing educational modalities, physician-led presentations provided the highest educational value, whereas live surgeries and consumer-friendly content contained low educational quality (P < .01). Assessing videos split into cohorts based on viewership noted a significantly higher GQS in videos with lower view counts (P < .05). Skin graft videos on YouTube largely provide low-quality information. Videos performed by physicians, particularly physician-led presentations, significantly improved the educational quality of skin graft content. Physicians must involve themselves in enhancing the quality of online content to better guide patients in navigating treatment options and making healthcare decisions.
近期研究表明，YouTube已成为患者获取医疗保健信息的主要来源。YouTube上关于皮肤移植手术（SGP）的视频累计观看量达数百万次，但目前尚无出版物对这些内容的教育质量进行调查。鉴于当前文献揭示了YouTube上存在误导性的医疗保健信息，本研究旨在评估与SGP相关视频的教育质量。在YouTube上搜索了“皮肤移植手术”和“皮肤移植外科手术”等各种关键词。共评估了105个视频，排除了21个。四名独立评审员使用全球质量量表（GQS）（5分=最高质量，1分=最低质量）对材料进行评分，以判断其教育价值。还从每个视频中收集了观看量、来源、形式和上传日期，并进行汇总以作进一步分析。所有视频的平均GQS为2.60，由医生主导的视频得分显著高于非医生主导的视频（P<.01）。在比较教育形式时，医生主导的演示提供了最高的教育价值，而现场手术和面向消费者的内容教育质量较低（P<.01）。根据观看量将视频分成不同群组进行评估发现，观看量较低的视频GQS显著更高（P<.05）。YouTube上的皮肤移植视频大多提供低质量信息。由医生制作的视频，尤其是医生主导的演示，显著提高了皮肤移植内容的教育质量。医生必须参与提高在线内容的质量，以便更好地指导患者选择治疗方案并做出医疗决策。
