Abstract：
OBJECTIVE: Online resources are increasingly being utilised by patients to guide their clinical decision making, as an alternative or supplement to the traditional clinical-patient relationship. YouTube is an online repository of user and community generated videos, which is one of the most popular websites globally. We undertook a study to examine the quality of information presented in YouTube videos related to tonsillectomy.
METHODS: We completed a systematic search of YouTube in May 2023 and identified 88 videos for inclusion in our study. Videos were published in the English language, focussing on tonsillectomy and tonsillectomy recovery, and were greater than 2 min in length. We recorded video quality metrics and two authors independently analysed the quality of information using three validated quality assessment tools described in the literature including the modified DISCERN, Global Quality Score, and the JAMA Benchmark Criteria.
RESULTS: The overall quality of the information was low with mean quality scores of Modified DISCERN (1.8 ± 1.3), GQS (2.6 ± 1.2), and JAMA Benchmark Criteria (1.6 ± 0.7). Information published by medical sources including medical professionals, healthcare organisations, and medical education channels scored significantly higher compared to non-medical sources across all quality measures and were of moderate overall quality and usefulness: Modified DISCERN (2.5 ± 1.1 vs 0.8 ± 0.9, z = -6.0, p < 0.001), GQS (3.2 ± 1.0 vs 1.7 ± 0.9, z = -5.7, p < 0.001), and JAMA (1.9 ± 0.8 vs 1.1 ± 0.3, z = -5.2, p < 0.001). Videos published during or after 2018 scored higher on Modified DISCERN (z = -3.2,p = 0.001) but not on GQS or JAMA. Video quality metrics such as total view count, likes, and comments, and channel subscriber count, did not correlate with higher video quality. However, amongst videos published by authoritative medical sources, total view count correlated positively with higher Modified DISCERN quality scores (p = 0.037).
CONCLUSIONS: The overall quality and usefulness of YouTube videos on tonsillectomy is of low quality, but information published by authoritative medical sources score significantly higher. Clinicians should be mindful of increasing use of online information sources such as YouTube when counselling patients. Further research is needed in the medical community to create engaging, high-quality content to provide guidance for patients.
METHODS: We completed a systematic search of YouTube in May 2023 and identified 88 videos for inclusion in our study. Videos were published in the English language, focussing on tonsillectomy and tonsillectomy recovery, and were greater than 2 min in length. We recorded video quality metrics and two authors independently analysed the quality of information using three validated quality assessment tools described in the literature including the modified DISCERN, Global Quality Score, and the JAMA Benchmark Criteria.
RESULTS: The overall quality of the information was low with mean quality scores of Modified DISCERN (1.8 ± 1.3), GQS (2.6 ± 1.2), and JAMA Benchmark Criteria (1.6 ± 0.7). Information published by medical sources including medical professionals, healthcare organisations, and medical education channels scored significantly higher compared to non-medical sources across all quality measures and were of moderate overall quality and usefulness: Modified DISCERN (2.5 ± 1.1 vs 0.8 ± 0.9, z = -6.0, p < 0.001), GQS (3.2 ± 1.0 vs 1.7 ± 0.9, z = -5.7, p < 0.001), and JAMA (1.9 ± 0.8 vs 1.1 ± 0.3, z = -5.2, p < 0.001). Videos published during or after 2018 scored higher on Modified DISCERN (z = -3.2,p = 0.001) but not on GQS or JAMA. Video quality metrics such as total view count, likes, and comments, and channel subscriber count, did not correlate with higher video quality. However, amongst videos published by authoritative medical sources, total view count correlated positively with higher Modified DISCERN quality scores (p = 0.037).
CONCLUSIONS: The overall quality and usefulness of YouTube videos on tonsillectomy is of low quality, but information published by authoritative medical sources score significantly higher. Clinicians should be mindful of increasing use of online information sources such as YouTube when counselling patients. Further research is needed in the medical community to create engaging, high-quality content to provide guidance for patients.
摘要：
目的：患者越来越多地使用在线资源来指导他们的临床决策，作为传统临床患者关系的替代或补充。YouTube是用户和社区生成的视频的在线存储库，这是全球最受欢迎的网站之一。我们进行了一项研究，以检查YouTube视频中与扁桃体切除术相关的信息质量。
方法：我们于2023年5月完成了对YouTube的系统搜索，并确定了88个视频纳入我们的研究。视频以英语发布，专注于扁桃体切除术和扁桃体切除术恢复，并且长度大于2分钟。我们记录了视频质量指标，两名作者使用文献中描述的三个经过验证的质量评估工具，包括修改的DISCERN，全球质量评分,和JAMA基准标准。
结果：信息的总体质量较低，平均质量评分为ModifiedDISCERN（1.8±1.3），GQS(2.6±1.2),和JAMA基准标准(1.6±0.7)。由包括医疗专业人员在内的医疗来源发布的信息，医疗机构,在所有质量测量中，与非医疗来源相比，医学教育渠道得分明显更高，总体质量和有用性中等：改良的DISCERN（2.5±1.1vs0.8±0.9，z=-6.0，p<0.001），GQS（3.2±1.0vs1.7±0.9，z=-5.7，p<0.001），和JAMA（1.9±0.8vs1.1±0.3，z=-5.2，p<0.001）。2018年期间或之后发布的视频在改良DISCERN上得分更高（z=-3.2，p=0.001），但在GQS或JAMA上得分更高。视频质量指标，如总观看次数，喜欢,和评论，和频道用户数，与更高的视频质量无关。然而,在权威医学来源发布的视频中，总视角计数与较高的改良DISCERN质量评分呈正相关(p=0.037).
结论：关于扁桃体切除术的YouTube视频的整体质量和实用性是低质量的，但权威医学来源公布的信息得分明显较高。临床医生在为患者提供咨询时，应注意越来越多地使用YouTube等在线信息来源。医学界需要进一步的研究来创造参与，高质量的内容为患者提供指导。
方法：我们于2023年5月完成了对YouTube的系统搜索，并确定了88个视频纳入我们的研究。视频以英语发布，专注于扁桃体切除术和扁桃体切除术恢复，并且长度大于2分钟。我们记录了视频质量指标，两名作者使用文献中描述的三个经过验证的质量评估工具，包括修改的DISCERN，全球质量评分,和JAMA基准标准。
结果：信息的总体质量较低，平均质量评分为ModifiedDISCERN（1.8±1.3），GQS(2.6±1.2),和JAMA基准标准(1.6±0.7)。由包括医疗专业人员在内的医疗来源发布的信息，医疗机构,在所有质量测量中，与非医疗来源相比，医学教育渠道得分明显更高，总体质量和有用性中等：改良的DISCERN（2.5±1.1vs0.8±0.9，z=-6.0，p<0.001），GQS（3.2±1.0vs1.7±0.9，z=-5.7，p<0.001），和JAMA（1.9±0.8vs1.1±0.3，z=-5.2，p<0.001）。2018年期间或之后发布的视频在改良DISCERN上得分更高（z=-3.2，p=0.001），但在GQS或JAMA上得分更高。视频质量指标，如总观看次数，喜欢,和评论，和频道用户数，与更高的视频质量无关。然而,在权威医学来源发布的视频中，总视角计数与较高的改良DISCERN质量评分呈正相关(p=0.037).
结论：关于扁桃体切除术的YouTube视频的整体质量和实用性是低质量的，但权威医学来源公布的信息得分明显较高。临床医生在为患者提供咨询时，应注意越来越多地使用YouTube等在线信息来源。医学界需要进一步的研究来创造参与，高质量的内容为患者提供指导。
