Abstract：
OBJECTIVE: To assess the quality, reliability, and level of misinformation in TikTok videos about hysteroscopy.
METHODS: A cross-sectional analysis of TikTok videos retrieved using \"hysteroscopy\" as search term was performed. Patient education materials assessment tool for audio-visual content (PEMAT A/V), the modified DISCERN (mDISCERN), global quality scale (GQS), video information and quality index (VIQI) and misinformation assessment were used.
RESULTS: Of three hundred videos captured, 156 were excluded and 144 were included. Most videos were partially accurate or uninformative (43.8% and 34.7%, respectively). Non-healthcare providers produced more inaccurate or uninformative videos than healthcare workers (51.1% vs 4.0%; P < 0.001). Compared to content by professionals, content by patients showed increased distrust towards gynecologists (11.7% vs 0%; P = 0.012) and increased incidence of anxiety and concern towards hysteroscopy (25.5% vs 2%; P < 0.001). PEMAT A/V scores for understandability and actionability were low at 42.9% (interquartile range [IQR]: 11.1-70) and 0% (IQR: 0-0), respectively. Understandability (P < 0.001) and actionability (P = 0.001) were higher for professionals\' created content relative to patients\' videos. Similarly, median mDISCERN score was low (1 [IQR 0-2]), with significantly higher score for healthcare professionals compared to patients (P < 0.001). Overall video quality was also low, with median VIQI and GQS score of 7 (IQR 4-11) and 1 (IQR 1-3), respectively, and significantly higher scores for healthcare workers\' captions compared to patients\' for both (P < 0.001 and P = 0.001, respectively).
CONCLUSIONS: TikTok videos\' quality on hysteroscopy seems unsatisfactory and misinformative, with low understandability and actionability scores. Videos recorded by healthcare workers show higher quality and less misinformation than those by patients. Raising the awareness regarding the low quality of medical information on social media is crucial to increase future reliability and trustworthiness.
METHODS: A cross-sectional analysis of TikTok videos retrieved using \"hysteroscopy\" as search term was performed. Patient education materials assessment tool for audio-visual content (PEMAT A/V), the modified DISCERN (mDISCERN), global quality scale (GQS), video information and quality index (VIQI) and misinformation assessment were used.
RESULTS: Of three hundred videos captured, 156 were excluded and 144 were included. Most videos were partially accurate or uninformative (43.8% and 34.7%, respectively). Non-healthcare providers produced more inaccurate or uninformative videos than healthcare workers (51.1% vs 4.0%; P < 0.001). Compared to content by professionals, content by patients showed increased distrust towards gynecologists (11.7% vs 0%; P = 0.012) and increased incidence of anxiety and concern towards hysteroscopy (25.5% vs 2%; P < 0.001). PEMAT A/V scores for understandability and actionability were low at 42.9% (interquartile range [IQR]: 11.1-70) and 0% (IQR: 0-0), respectively. Understandability (P < 0.001) and actionability (P = 0.001) were higher for professionals\' created content relative to patients\' videos. Similarly, median mDISCERN score was low (1 [IQR 0-2]), with significantly higher score for healthcare professionals compared to patients (P < 0.001). Overall video quality was also low, with median VIQI and GQS score of 7 (IQR 4-11) and 1 (IQR 1-3), respectively, and significantly higher scores for healthcare workers\' captions compared to patients\' for both (P < 0.001 and P = 0.001, respectively).
CONCLUSIONS: TikTok videos\' quality on hysteroscopy seems unsatisfactory and misinformative, with low understandability and actionability scores. Videos recorded by healthcare workers show higher quality and less misinformation than those by patients. Raising the awareness regarding the low quality of medical information on social media is crucial to increase future reliability and trustworthiness.
摘要：
目的：为了评估质量，可靠性,以及TikTok视频中有关宫腔镜检查的错误信息。
方法：对使用“宫腔镜检查”作为搜索词检索的TikTok视频进行横断面分析。用于视听内容的患者教育材料评估工具（PEMATA/V），修改后的DISCERN(MDISCERN)，全球质量量表(GQS)，使用视频信息和质量指数(VIQI)和错误信息评估。
结果：在捕获的三百个视频中，156被排除，144被包括在内。大多数视频部分准确或无信息(43.8%和34.7%，分别)。非医疗保健提供者制作的视频比医疗保健工作者更不准确或无信息(51.1%vs4.0%;P<0.001)。与专业人士的内容相比，患者对妇科医生的不信任增加(11.7%vs0%;P=0.012),对宫腔镜检查的焦虑和关注增加(25.5%vs2%;P<0.001).PEMATA/V的可理解性和可操作性得分较低，分别为42.9％（四分位数间距[IQR]：11.1-70）和0％（IQR：0-0），分别。与患者视频相比，专业人员的可理解性（P<0.001）和可操作性（P=0.001）更高。同样，中位数mDISCERN评分较低（1[IQR0-2]），与患者相比，医疗保健专业人员的得分明显更高（P<0.001）。整体视频质量也很低，VIQI和GQS得分为7分(IQR4-11)和1分(IQR1-3)，分别,与患者相比，两者的医护人员标题得分均显着较高（分别为P<0.001和P=0.001）。
结论：TikTok视频对宫腔镜检查的质量似乎并不令人满意，可理解性和可操作性得分较低。与患者相比，医护人员录制的视频显示出更高的质量和更少的错误信息。提高对社交媒体上低质量医疗信息的认识对于提高未来的可靠性和可信度至关重要。
方法：对使用“宫腔镜检查”作为搜索词检索的TikTok视频进行横断面分析。用于视听内容的患者教育材料评估工具（PEMATA/V），修改后的DISCERN(MDISCERN)，全球质量量表(GQS)，使用视频信息和质量指数(VIQI)和错误信息评估。
结果：在捕获的三百个视频中，156被排除，144被包括在内。大多数视频部分准确或无信息(43.8%和34.7%，分别)。非医疗保健提供者制作的视频比医疗保健工作者更不准确或无信息(51.1%vs4.0%;P<0.001)。与专业人士的内容相比，患者对妇科医生的不信任增加(11.7%vs0%;P=0.012),对宫腔镜检查的焦虑和关注增加(25.5%vs2%;P<0.001).PEMATA/V的可理解性和可操作性得分较低，分别为42.9％（四分位数间距[IQR]：11.1-70）和0％（IQR：0-0），分别。与患者视频相比，专业人员的可理解性（P<0.001）和可操作性（P=0.001）更高。同样，中位数mDISCERN评分较低（1[IQR0-2]），与患者相比，医疗保健专业人员的得分明显更高（P<0.001）。整体视频质量也很低，VIQI和GQS得分为7分(IQR4-11)和1分(IQR1-3)，分别,与患者相比，两者的医护人员标题得分均显着较高（分别为P<0.001和P=0.001）。
结论：TikTok视频对宫腔镜检查的质量似乎并不令人满意，可理解性和可操作性得分较低。与患者相比，医护人员录制的视频显示出更高的质量和更少的错误信息。提高对社交媒体上低质量医疗信息的认识对于提高未来的可靠性和可信度至关重要。
