皮肤深层：YouTube视频对乳腺癌患者急性放射性皮炎的评价

IF 5.3 1区医学 Q1 ONCOLOGY

Radiotherapy and Oncology Pub Date : 2025-09-01 DOI:10.1016/S0167-8140(25)04728-0

Sandy Lum-Wang , Brandon Chai , Paris-Ann Ingledew

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引用次数: 0

摘要

目的：急性放射性皮炎（ARD）是乳腺癌患者放射治疗的常见不良反应。随着YouTube越来越多地成为健康信息资源，相关和可靠的视频可能在患者教育中发挥重要作用。本研究旨在描述YouTube视频的特征，这些视频旨在告知乳腺癌患者有关ARD的信息，包括评估与当前共识指南的一致性。材料和方法：使用自定义Python脚本对7个与乳腺癌患者ARD相关的YouTube搜索的前50个结果进行网络抓取，共产生350个视频。这些是根据搜索频率和在结果中的位置排序的。在应用预先确定的纳入标准后，使用经过验证的视频评估工具对前50个视频进行分析，以评估一般参数、视频来源/呈现、内容和可靠性。最近的国际和国家德尔菲共识文献进行了审查，以告知内容分析。评估者间信度采用两名独立的评估者。结果：35% （n=18）的视频在搜索日期后3年内发布。视频长度的中位数为5分51秒，观看次数的中位数为9725次。60% （n=30）由美国频道发表，52% （n=26）由医生主持，42% （n=21）由商业附属频道发表。很少有视频提供与基于国际共识的临床实践指南相一致的预防或管理建议。一些关键的建议，如使用橄榄油或光生物调节疗法，在所有审查的视频中完全没有，而只有少数涉及屏障膜和敷料。结论：几个YouTube视频讨论了乳腺癌相关的ARD。大约有三分之一是最近出版的，其中许多来自一个国家，并有商业关系。预防和管理策略与目前的共识指南一致性较低。本研究可以加强对ARD患者在线教育的努力，并可以告知关于在线健康信息差距的医患对话。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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SKIN DEEP: AN EVALUATION OF YOUTUBE VIDEOS ON ACUTE RADIATION DERMATITIS IN PATIENTS WITH BREAST CANCER

Purpose:

Acute radiation dermatitis (ARD) is a common adverse effect of radiation therapy in patients with breast cancer. As YouTube increasingly serves as a health information resource, relevant and reliable videos may play an important role in patient education. This study aims to characterize YouTube videos that are intended to inform patients with breast cancer about ARD, including assessing congruence with current consensus guidelines.

Materials and Methods:

The first 50 results of seven YouTube searches related to ARD in patients with breast cancer were web-scraped using a custom Python script, yielding a total of 350 videos. These were rank-ordered based on frequency across searches and position in the results. After applying pre-determined inclusion criteria, the top 50 videos were analyzed using a validated video assessment tool to assess general parameters, video source/presentation, content, and reliability. Recent International and National Delphi consensus literature was reviewed to inform content analysis. Two independent reviewers were used for inter-rater reliability.

Results:

35% (n=18) of videos were published within 3 years of the search date. The median video length was 5 minutes and 51 seconds, with a median of 9,725 views. 60% (n=30) were published by American channels, 52% (n=26) featured physician presenters, and 42% (n=21) were from commercially affiliated channels. Few videos offered prevention or management recommendations consistent with International consensus-based clinical practice guidelines. Several key recommendations such as the use of olive oil or photobiomodulation therapy were entirely absent from all videos reviewed, while only a few addressed barrier films and dressings.

Conclusions:

Several YouTube videos address breast cancer-associated ARD. About one third were published recently, many from a single country and with commercial affiliations. Prevention and management strategies had low congruence with current consensus guidelines. This study may enhance efforts to improve online patient education for ARD and can inform physician-patient conversations regarding gaps in online health information.

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来源期刊

Radiotherapy and Oncology 医学-核医学

CiteScore

10.30

自引率

10.50%

发文量

2445

审稿时长

45 days

期刊介绍： Radiotherapy and Oncology publishes papers describing original research as well as review articles. It covers areas of interest relating to radiation oncology. This includes: clinical radiotherapy, combined modality treatment, translational studies, epidemiological outcomes, imaging, dosimetry, and radiation therapy planning, experimental work in radiobiology, chemobiology, hyperthermia and tumour biology, as well as data science in radiation oncology and physics aspects relevant to oncology.Papers on more general aspects of interest to the radiation oncologist including chemotherapy, surgery and immunology are also published.