Imre Erdi
*Gaziantep Abdulkadir Yüksel State Hospital, Değirmiçem Mah. Fevzi Çakmak Bul. No:52/8 Şehitkamil, Gaziantep, Turkey.
J Am Podiatr Med Assoc. 2025 Jan-Feb;115(1). doi: 10.7547/22-054.
YouTube is one of the most widely used Internet sources, and many patients watch YouTube videos for gathering more information, especially about health problems. This study aimed to investigate the informative capabilities of YouTube videos about ingrown toenails. We hypothesize that most of the shared information is of low quality independent of source and that the attraction effect of videos is unrelated to quality.
The first 50 videos in the English language using the keyword query ingrown toenail in YouTube search were analyzed. Journal of the American Medical Association (JAMA) benchmark criteria were used to assess video reliability, and Global Quality Score (GQS) and toenail specific score (TSS) were used to assess the quality of educational content.
The first 50 videos had 71,842,230 views (median, 333,585). Forty-one videos (82%) were from health-care professionals, seven (14%) were educational videos, and two (4%) were personal videos. The median JAMA score was 2, with the highest scores coming from academic sources. When grouped by view count (>300,000 versus ≤300,000) and like count (>10,000 versus ≤10,000), there was no significant difference in JAMA and GQS scores. The median GQS and toenail specific score were 3.0 and 5.5, respectively. Video duration was a significant predictor of GQS as a result of regression analysis (P = .002; β = 0.425).
Illustrated by the high number of views, ingrown toenail is a popular health topic on YouTube. Although popular and with content mostly uploaded by health-care professionals, content quality was found to be poor and videos to be unreliable and insufficient for informing patients because most videos seem to be geared toward entertainment rather than direct patient education. Health-care professionals should be aware of the generally low-quality data available.
YouTube是使用最广泛的互联网资源之一，许多患者观看YouTube视频以获取更多信息，尤其是关于健康问题的信息。本研究旨在调查YouTube上有关嵌甲视频的信息提供能力。我们假设，无论来源如何，大多数共享信息质量都很低，并且视频的吸引力与质量无关。
分析了在YouTube搜索中使用关键词“嵌甲”查询的前50个英文视频。采用美国医学会杂志（JAMA）基准标准评估视频的可靠性，并使用全球质量评分（GQS）和指甲特定评分（TSS）评估教育内容的质量。
前50个视频的观看次数为71,842,230次（中位数为333,585次）。41个视频（82%）来自医疗保健专业人员，7个（14%）是教育视频，2个（4%）是个人视频。JAMA评分中位数为2，最高分来自学术来源。按观看次数（>300,000次与≤300,000次）和点赞次数（>10,000次与≤10,000次）分组时，JAMA和GQS评分没有显著差异。GQS中位数和指甲特定评分分别为3.0和5.5。回归分析结果显示，视频时长是GQS的显著预测因素（P = 0.002；β = 0.425）。
从大量的观看次数可以看出，嵌甲是YouTube上一个热门的健康话题。尽管很受欢迎且内容大多由医疗保健专业人员上传，但发现内容质量较差，视频不可靠且不足以向患者提供信息，因为大多数视频似乎是为了娱乐而非直接对患者进行教育。医疗保健专业人员应意识到可用数据质量普遍较低。
