Mauri Giovanni, Lanci Edoardo, Sica Mattia, Albano Domenico, Messina Carmelo, Gitto Salvatore, Serpi Francesca, D'Ambrosi Riccardo, Sconfienza Luca Maria
IRCCS Istituto Ortopedico Galeazzi, Via Cristina Belgioioso 173, 20157, Milano, Italy.
Postgraduate School in Radiodiagnostics, University of Milano, Milano, Italy.
Skeletal Radiol. 2025 Jun 5. doi: 10.1007/s00256-025-04962-x.
To evaluate the quality, reliability, and educational value of social media videos available on TikTok, YouTube, and Facebook related to vertebroplasty and kyphoplasty using validated assessment tools.
A systematic search was conducted in two rounds: October 5-6, 2024, and again on October 19-20, 2024, on YouTube, TikTok, and Facebook using the keywords "vertebroplasty," "kyphoplasty," and "vertebral augmentation." Only publicly accessible English-language videos specifically addressing these procedures were included. Exclusion criteria were non-relevant, promotional, duplicate, or technically inadequate content. Two interventional radiologists independently assessed the videos using the DISCERN instrument (range, 15-75), the Journal of the American Medical Association (JAMA) benchmark criteria (0-4), and the Global Quality Score (GQS, 1-5). Statistical analyses were performed to identify correlations between video characteristics and quality scores.
A total of 101 videos met the inclusion criteria (YouTube 85%, TikTok 8%, Facebook 7%). The mean DISCERN, JAMA, and GQS scores were 34 ± 1.45, 1.87 ± 0.07, and 2.18 ± 0.13, respectively, indicating poor overall quality. Videos with structured presentations and physician narration scored significantly higher, whereas video length correlated positively with quality up to a threshold of 460 s for DISCERN and 501 s for GQS. Video popularity (likes) showed no significant correlation with quality scores.
Social media videos on vertebroplasty and kyphoplasty are generally of low educational quality and reliability. Videos presented by healthcare professionals and those with structured formats tend to score higher. These findings underscore the need for expert-driven, high-quality medical content to improve patient education and reduce misinformation on social media platforms.
使用经过验证的评估工具，评估TikTok、YouTube和Facebook上与椎体成形术和后凸成形术相关的社交媒体视频的质量、可靠性和教育价值。
分两轮进行系统检索：2024年10月5日至6日，以及2024年10月19日至20日，在YouTube、TikTok和Facebook上使用关键词“椎体成形术”“后凸成形术”和“椎体增强术”进行检索。仅纳入专门针对这些手术的可公开访问的英语视频。排除标准为不相关、促销性、重复或技术上不充分的内容。两名介入放射科医生使用DISCERN工具（范围为15 - 75）、美国医学会杂志（JAMA）基准标准（0 - 4）和全球质量评分（GQS，1 - 5）对视频进行独立评估。进行统计分析以确定视频特征与质量评分之间的相关性。
共有101个视频符合纳入标准（YouTube占85%，TikTok占8%，Facebook占7%）。DISCERN、JAMA和GQS的平均得分分别为34 ± 1.45、1.87 ± 0.07和2.18 ± 0.13，表明总体质量较差。具有结构化展示和医生旁白的视频得分显著更高，而视频长度与质量呈正相关，DISCERN的阈值为460秒，GQS的阈值为501秒。视频受欢迎程度（点赞数）与质量评分无显著相关性。
关于椎体成形术和后凸成形术的社交媒体视频总体教育质量和可靠性较低。由医疗保健专业人员呈现的视频以及具有结构化格式的视频得分往往更高。这些发现强调了需要专家驱动的高质量医学内容，以改善患者教育并减少社交媒体平台上的错误信息。
