在YouTube上存在对肩锁骨损伤手术治疗的偏见

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-08-01 DOI:10.1016/j.asmr.2025.101170

Eduard Van Eecke M.D. , Edward Mattelaer , Louis Thielman M.D. , Wouter Schroven M.D. , Michel P.J. van den Bekerom M.D., Ph.D.

{"title":"在YouTube上存在对肩锁骨损伤手术治疗的偏见","authors":"Eduard Van Eecke M.D. , Edward Mattelaer , Louis Thielman M.D. , Wouter Schroven M.D. , Michel P.J. van den Bekerom M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101170","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the quality and comprehensiveness of videos regarding acromioclavicular dislocation posted on the YouTube platform and to evaluate potential reinforcement of misinformation that may hinder proper management of these injuries.</div></div><div><h3>Methods</h3><div>A YouTube search was performed in November 2024 using key words “acromioclavicular joint dislocation.” Videos were ranked on relevance and the first 50 videos that met inclusion criteria were analyzed by 2 reviewers. Video source, content type, time since upload, video duration, number of views, likes, subscribers and comments were recorded. Video educational quality was measured using the modified DISCERN, Journal of the American Medical Association (JAMA) score, Global Quality Score and Shoulder-Specific Score (SSS). Quality scores from different sources and content categories were compared using the Kruskal-Wallis test. Strength of relationship between variables was assessed using Spearman's rank correlation coefficient.</div></div><div><h3>Results</h3><div>In total, 209,005 videos were identified of which the first 50 videos were analyzed. Mean mDISCERN, JAMA, GQS and SSS were 2.19, 2.13, 2.48, and 6.26, respectively. The most common uploader source were physicians (28%) and the most common content category was surgical management (32%). Videos uploaded by an academic source had significantly higher mDISCERN, JAMA, and SSS (<em>P</em> < .05). Other uploader sources did not show significant differences among each other. Quantitative video characteristics showed no significant correlation with quality scores, except the video duration. Finally, only 2 of 50 videos mention nonoperative treatment options for high-grade AC joint dislocations and only 3 of 50 videos refer to the lack of scientific evidence for operative treatment in these high-grade injuries.</div></div><div><h3>Conclusions</h3><div>Current YouTube video content about AC dislocations has low overall quality, despite being mostly uploaded by physicians. It does not provide sufficient information and potentially reinforces misinformation that may downplay potential benefits of nonsurgical interventions.</div></div><div><h3>Clinical Relevance</h3><div>Given the widespread use of YouTube by patients seeking medical information, evaluating the quality of this content is essential for surgeons to better understand and address the information their patients may encounter.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101170"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bias Toward Surgical Treatment of Acromioclavicular Injuries Exists on YouTube\",\"authors\":\"Eduard Van Eecke M.D. , Edward Mattelaer , Louis Thielman M.D. , Wouter Schroven M.D. , Michel P.J. van den Bekerom M.D., Ph.D.\",\"doi\":\"10.1016/j.asmr.2025.101170\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>To evaluate the quality and comprehensiveness of videos regarding acromioclavicular dislocation posted on the YouTube platform and to evaluate potential reinforcement of misinformation that may hinder proper management of these injuries.</div></div><div><h3>Methods</h3><div>A YouTube search was performed in November 2024 using key words “acromioclavicular joint dislocation.” Videos were ranked on relevance and the first 50 videos that met inclusion criteria were analyzed by 2 reviewers. Video source, content type, time since upload, video duration, number of views, likes, subscribers and comments were recorded. Video educational quality was measured using the modified DISCERN, Journal of the American Medical Association (JAMA) score, Global Quality Score and Shoulder-Specific Score (SSS). Quality scores from different sources and content categories were compared using the Kruskal-Wallis test. Strength of relationship between variables was assessed using Spearman's rank correlation coefficient.</div></div><div><h3>Results</h3><div>In total, 209,005 videos were identified of which the first 50 videos were analyzed. Mean mDISCERN, JAMA, GQS and SSS were 2.19, 2.13, 2.48, and 6.26, respectively. The most common uploader source were physicians (28%) and the most common content category was surgical management (32%). Videos uploaded by an academic source had significantly higher mDISCERN, JAMA, and SSS (<em>P</em> < .05). Other uploader sources did not show significant differences among each other. Quantitative video characteristics showed no significant correlation with quality scores, except the video duration. Finally, only 2 of 50 videos mention nonoperative treatment options for high-grade AC joint dislocations and only 3 of 50 videos refer to the lack of scientific evidence for operative treatment in these high-grade injuries.</div></div><div><h3>Conclusions</h3><div>Current YouTube video content about AC dislocations has low overall quality, despite being mostly uploaded by physicians. It does not provide sufficient information and potentially reinforces misinformation that may downplay potential benefits of nonsurgical interventions.</div></div><div><h3>Clinical Relevance</h3><div>Given the widespread use of YouTube by patients seeking medical information, evaluating the quality of this content is essential for surgeons to better understand and address the information their patients may encounter.</div></div>\",\"PeriodicalId\":34631,\"journal\":{\"name\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"volume\":\"7 4\",\"pages\":\"Article 101170\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666061X25000963\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X25000963","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的评价YouTube平台上有关肩锁关节脱位的视频的质量和全面性，并评估可能会阻碍正确治疗这些损伤的错误信息的潜在强化。方法于2024年11月在YouTube上以“肩锁关节脱位”为关键词进行检索。视频根据相关性进行排名，前50个符合纳入标准的视频由2名评论者进行分析。记录视频来源、内容类型、上传时间、视频时长、观看次数、点赞次数、订阅人数和评论。视频教育质量采用改进的DISCERN评分、美国医学会杂志（JAMA）评分、全球质量评分和肩部特异性评分（SSS）来衡量。使用Kruskal-Wallis测试比较不同来源和内容类别的质量分数。变量间的关系强度采用Spearman等级相关系数进行评估。结果共识别出209,005个视频，对前50个视频进行了分析。平均mDISCERN、JAMA、GQS和SSS分别为2.19、2.13、2.48和6.26。最常见的上传源是医生（28%），最常见的内容类别是手术管理（32%）。由学术来源上传的视频具有显著较高的mDISCERN、JAMA和SSS （P < 0.05）。其他上传源之间没有显着差异。除视频时长外，定量视频特征与质量分数无显著相关。最后，50个视频中只有2个提到了高度交流关节脱位的非手术治疗选择，50个视频中只有3个提到了这些高度损伤的手术治疗缺乏科学证据。结论目前YouTube上关于AC脱位的视频内容，尽管主要由医生上传，但整体质量较低。它没有提供足够的信息，并可能强化错误的信息，这些信息可能会低估非手术干预的潜在益处。临床相关性考虑到寻求医疗信息的患者广泛使用YouTube，评估这些内容的质量对于外科医生更好地理解和处理患者可能遇到的信息至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Bias Toward Surgical Treatment of Acromioclavicular Injuries Exists on YouTube

Purpose

To evaluate the quality and comprehensiveness of videos regarding acromioclavicular dislocation posted on the YouTube platform and to evaluate potential reinforcement of misinformation that may hinder proper management of these injuries.

Methods

A YouTube search was performed in November 2024 using key words “acromioclavicular joint dislocation.” Videos were ranked on relevance and the first 50 videos that met inclusion criteria were analyzed by 2 reviewers. Video source, content type, time since upload, video duration, number of views, likes, subscribers and comments were recorded. Video educational quality was measured using the modified DISCERN, Journal of the American Medical Association (JAMA) score, Global Quality Score and Shoulder-Specific Score (SSS). Quality scores from different sources and content categories were compared using the Kruskal-Wallis test. Strength of relationship between variables was assessed using Spearman's rank correlation coefficient.

Results

In total, 209,005 videos were identified of which the first 50 videos were analyzed. Mean mDISCERN, JAMA, GQS and SSS were 2.19, 2.13, 2.48, and 6.26, respectively. The most common uploader source were physicians (28%) and the most common content category was surgical management (32%). Videos uploaded by an academic source had significantly higher mDISCERN, JAMA, and SSS (P < .05). Other uploader sources did not show significant differences among each other. Quantitative video characteristics showed no significant correlation with quality scores, except the video duration. Finally, only 2 of 50 videos mention nonoperative treatment options for high-grade AC joint dislocations and only 3 of 50 videos refer to the lack of scientific evidence for operative treatment in these high-grade injuries.

Conclusions

Current YouTube video content about AC dislocations has low overall quality, despite being mostly uploaded by physicians. It does not provide sufficient information and potentially reinforces misinformation that may downplay potential benefits of nonsurgical interventions.

Clinical Relevance

Given the widespread use of YouTube by patients seeking medical information, evaluating the quality of this content is essential for surgeons to better understand and address the information their patients may encounter.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊