Vitale Salvatore Giovanni, Angioni Stefano, Saponara Stefania, Sicilia Gilda, Mignacca Andrea, Caiazzo Alessandro, De Franciscis Pasquale, Riemma Gaetano
Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari 09124, Italy.
Obstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Int J Med Inform. 2025 Mar;195:105776. doi: 10.1016/j.ijmedinf.2024.105776. Epub 2024 Dec 22.
Usefulness of hysteroscopic metroplasty to improve reproductive outcomes is controversial and debated among reproductive specialists and, consequently, patients.
We performed a cross-sectional analysis to assess the quality, reliability, and level of misinformation in YouTube, Instagram, and TikTok videos about hysteroscopic metroplasty. Videos on each social network retrieved using "hysteroscopy" and "septate uterus" or "uterine septum" as keywords were assessed using Patient Education Materials Assessment Tool for audio-visual (PEMAT A/V) content, the modified DISCERN (mDISCERN), Global Quality Scale (GQS), Video Information and Quality Index (VIQI) and Misinformation assessment.
One hundred fifteen videos (47 from YouTube, 35 from TikTok, and 33 from Instagram) were included. Median PEMAT A/V Understandability and Actionability scores were 50.0 % (IQR: 0-63.3) and 20 % (IQR: 0.0-50.0). Actionability was higher YouTube relative to TikTok and Instagram (50.0 % [IQR: 0-75.0] vs. 0 % [IQR: 0-66.0]; p < 0.001 and 0 % [IQR: 0-33.0], p < 0.001), with no significant differences for Understandability. Median mDISCERN was 3 (IQR: 0-3), with higher score for YouTube compared to TikTok and Instagram (3 [IQR: 0-3] vs. 0 [IQR: 0-23], p < 0.001 and 1 [IQR 0-3.0], p < 0.001 respectively). VIQI showed low-level content (median 9; IQR: 4-19) and no differences among social media platforms. GQS was low (median 2 [IQR 1-4.5]), with no differences in subgroup analysis. Videos on YouTube (97.9 %) and TikTok (62.9 %) favored hysteroscopic metroplasty, while Instagram content was against in 63.6 % of cases (p < 0.001). While most videos were found to be either completely or partially accurate, significant differences in misinformation levels were observed across platforms, with YouTube exhibiting the lowest rate of inaccuracies compared to TikTok and Instagram. (8.5 % vs. 42.9 % and 36.4 %; p < 0.001, respectively).
Quality of social networks' videos on hysteroscopic metroplasty seems unsatisfactory, but with low levels of misinformation. YouTube and TikTok were more favorable than Instagram regarding the usefulness of metroplasty. In contrast, a favorable opinion regarding its efficacy in fertility improvement was retrieved in each social.
宫腔镜子宫成形术对改善生殖结局的有效性在生殖专家乃至患者中都存在争议并引发了讨论。
我们进行了一项横断面分析，以评估YouTube、Instagram和TikTok上有关宫腔镜子宫成形术视频的质量、可靠性及错误信息水平。使用“宫腔镜检查”和“纵隔子宫”或“子宫纵隔”作为关键词在每个社交网络上检索到的视频，采用视听患者教育材料评估工具（PEMAT A/V）内容、改良的辨别力（mDISCERN）、全球质量量表（GQS）、视频信息与质量指数（VIQI）以及错误信息评估进行评估。
共纳入115个视频（47个来自YouTube，35个来自TikTok，33个来自Instagram）。PEMAT A/V理解性和可操作性得分中位数分别为50.0%（四分位间距：0 - 63.3）和20%（四分位间距：0.0 - 50.0）。YouTube上的可操作性高于TikTok和Instagram（50.0%[四分位间距：0 - 75.0] vs. 0%[四分位间距：0 - 66.0]；p < 0.001和0%[四分位间距：0 - 33.0]，p < 0.001），理解性方面无显著差异。mDISCERN中位数为3（四分位间距：0 - 3），YouTube得分高于TikTok和Instagram（3[四分位间距：0 - 3] vs. 0[四分位间距：0 - 23]，p < 0.001和1[四分位间距0 - 3.0]，p < 0.001）。VIQI显示内容水平较低（中位数9；四分位间距：4 - 19），且各社交媒体平台之间无差异。GQS较低（中位数2[四分位间距1 - 4.5]），亚组分析中无差异。YouTube（97.9%）和TikTok（62.9%）上的视频支持宫腔镜子宫成形术，而Instagram上63.6%的内容持反对态度（p < 0.001）。虽然大多数视频被发现完全或部分准确，但各平台在错误信息水平上存在显著差异，与TikTok和Instagram相比，YouTube的不准确率最低（分别为8.5% vs. 42.9%和36.4%；p < 0.001）。
社交网络上有关宫腔镜子宫成形术的视频质量似乎不尽人意，但错误信息水平较低。就子宫成形术的有用性而言，YouTube和TikTok比Instagram更具支持性。相比之下，每个社交平台上对于其改善生育能力的疗效都有积极评价。
