Temur Isa
Department of Obstetrics and Gynecology, Nigde Omer Halisdemir University, Faculty of Medicine, Nigde, TUR.
Cureus. 2025 Jun 2;17(6):e85244. doi: 10.7759/cureus.85244. eCollection 2025 Jun.
Objective This study aims to evaluate the quality, reliability, and educational usability of vaginally-assisted natural orifice transluminal endoscopic surgery (v-NOTES) videos on YouTube (Google Inc., Mountain View, CA). Methods This cross-sectional study analyzed 58 videos retrieved from a YouTube search using the keyword "v-NOTES." Quality and reliability assessments were conducted using the Journal of the American Medical Association (JAMA) score (0 to four), the modified DISCERN score, the Global Quality Scale (GQS; 0 to five), and the Usefulness Score (US). Video popularity was evaluated using metrics such as viewer engagement, number of likes, like ratio, view count, view rate, and the Video Power Index (VPI). Results Of the evaluated surgical videos, 39 (67.2%) covered hysterectomy, while 19 (32.8%) featured other procedures. Doctors uploaded 44 (75.9%) of the videos, and medical companies shared 14 (24.1%). Animated content was present in 16 (27.6%) of videos, while 42 (72.4%) were non-animated. Among 58 analyzed videos, median quality scores were mDISCERN: three, JAMA: two, and GQS: two. Low-quality videos accounted for 43.1% based on the US. Median video characteristics were duration 330 seconds, views 1300, view rate 1.5, likes 23.5, VPI 0.3, and engagement score 1.6. No significant difference in quality and reliability was found between videos from doctors and medical companies. However, animated videos had higher median mDISCERN, JAMA, and GQS scores, with a significant difference in usefulness scores (p = 0.008). Conclusion This study assessed the quality, reliability, and educational value of YouTube videos on v-NOTES, revealing that despite the abundance of content, overall quality and reliability remain inadequate.
目的 本研究旨在评估YouTube（谷歌公司，加利福尼亚州山景城）上经阴道辅助的自然腔道内镜手术（v-NOTES）视频的质量、可靠性及教育实用性。方法 这项横断面研究分析了通过在YouTube上使用关键词“v-NOTES”检索到的58个视频。使用美国医学会杂志（JAMA）评分（0至4分）、改良的DISCERN评分、全球质量量表（GQS；0至5分）和有用性评分（US）进行质量和可靠性评估。通过观看者参与度、点赞数、点赞率、观看次数、观看率和视频影响力指数（VPI）等指标评估视频受欢迎程度。结果 在评估的手术视频中，39个（67.2%）涵盖子宫切除术，19个（32.8%）展示其他手术。44个（75.9%）视频由医生上传，14个（24.1%）由医疗公司分享。16个（27.6%）视频包含动画内容，42个（72.4%）为非动画视频。在58个分析视频中，mDISCERN评分中位数为3分，JAMA评分为2分，GQS评分为2分。根据US评分，低质量视频占43.1%。视频的中位数特征为时长330秒、观看次数1300次、观看率1.5、点赞数23.5、VPI为0.3以及参与度评分为1.6。医生和医疗公司上传的视频在质量和可靠性方面未发现显著差异。然而，动画视频的mDISCERN、JAMA和GQS评分中位数更高，在有用性评分方面存在显著差异（p = 0.008）。结论 本研究评估了YouTube上v-NOTES视频的质量、可靠性和教育价值，结果显示尽管内容丰富，但整体质量和可靠性仍不足。
