背景:我们旨在评估YouTube视频对帮助患者了解机器人子宫肌瘤切除术的有用性。
方法:我们使用“机器人子宫肌瘤切除术”和“达芬奇子宫肌瘤切除术”搜索了YouTube。\"视频按观看次数排序,选择了150个收视率最高的视频。从每个视频中,内容类型,来源,视图计数,视频长度,YouTube上的时间,喜欢,并提取了厌恶。使用评分系统来评估视频质量。
结果:最普遍的内容是机器人子宫肌瘤切除术的实际手术记录,最常见的提供者是妇科外科医生。与机器人子宫肌瘤切除术直接相关的视频主要由医疗团体提供,在YouTube上出现的时间明显更长(p=0.003),与与机器人子宫肌瘤切除术间接相关的视频相比,观众的无反应率更高(p=0.014)。非医疗团体上传的视频有更多喜欢,更不喜欢,和更高的视角比率(分别为p=0.029、0.042和0.042)。两组之间反映视频质量的分数没有差异。多因素logistic回归分析显示,低质量视频(小于5分)与机器人子宫肌瘤切除术间接相关的内容显著相关。一般质量差,更少的观点,更少的喜欢,观众没有回应。
结论:想要了解YouTube上机器人子宫肌瘤切除术的患者应根据内容等参数排除低质量视频,视图,和观众的反应。此外,医疗团体应提供高质量的视频,以指导患者进行此手术。
BACKGROUND: We aimed to evaluate the usefulness of YouTube videos for helping patients become informed about robotic myomectomy.
METHODS: We searched YouTube using \"robotic myomectomy\" and \"Da Vinci myomectomy.\" Videos were sorted by view count, with the 150 most highly viewed videos being selected. From each video, content type, source, view count, video length, time on YouTube, likes, and dislikes were extracted. A scoring system was used to evaluate video quality.
RESULTS: The most prevalent content was recordings of actual surgical procedures of robotic myomectomy, and the most common provider was gynecologic surgeons. Videos directly related to robotic myomectomy were mainly provided by medical groups, had been present on YouTube for a significantly longer time (p = 0.003), and had a higher rate of no responses from viewers (p = 0.014) than videos indirectly related to robotic myomectomy. Videos uploaded by nonmedical groups had more likes, more dislikes, and a higher view ratio (p = 0.029, 0.042, and 0.042, respectively). Scores reflecting video quality did not differ between the two groups. Multiple logistic regression revealed that low-quality videos (less than score 5) were significantly correlated with content indirectly related to robotic myomectomy, poor general quality, fewer views, fewer likes, and no response by viewers.
CONCLUSIONS: Patients who want to get informed about robotic myomectomy on YouTube should exclude low-quality videos according to such parameters as content, views, and response by viewers. In addition, medical groups should provide videos of good quality for instructing patients about this procedure.