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J Neurol Surg B Skull Base 2022; 83(S 02): e54-e59
DOI: 10.1055/s-0040-1722269
Original Article

Validity and Usefulness of YouTube Videos Related to Endoscopic Transsphenoidal Surgery for Patient Information

Marc Levin‡   *
1   Division of Rhinology, Department of Otolaryngology – Head and Neck Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
,
Vincent Wu‡   *
1   Division of Rhinology, Department of Otolaryngology – Head and Neck Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
,
Daniel J. Lee
1   Division of Rhinology, Department of Otolaryngology – Head and Neck Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
,
Michael D. Cusimano
2   Division of Neurosurgery, Department of Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
,
John M. Lee
1   Division of Rhinology, Department of Otolaryngology – Head and Neck Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
› Author Affiliations Funding None.
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Abstract

Objectives This article evaluates the completeness and accuracy of YouTube videos related to endoscopic transsphenoidal surgery (ETS) as a source for patient information.

Design YouTube was searched using relevant terms pertaining to ETS. Videos were evaluated independently by two physician reviewers experienced in ETS. Video demographics including uploader source along with validity scores based on predetermined checklists were captured.

Setting Internet.

Participants Not applicable.

Main Outcome Measures A novel ETS scoring checklist, the modified DISCERN criteria, and Journal of the American Medical Association (JAMA) benchmark score were used to measure completeness and accuracy of videos. video power index (VPI) was calculated to reflect popularity. Intraclass correlation coefficient was calculated for rater agreement.

Results Seventy-nine videos were included in final scoring and analysis. The ETS score, DISCERN, JAMA, and mean VPI across all included videos were 5.0 ± 2.7, 2.4 ± 0.83, 2.19 ± 0.62, and 8.92 ± 18.1, respectively. Based on the ETS score checklist, 31 (39%) of the videos were rated as poor, 30 (38%) were moderately useful, 17 (22%) were useful, and 1 (1%) was exceptional. There was a significant positive correlation between the ETS, DISCERN, and JAMA scores (p < 0.001), but no correlation with VPI and the validity scores. There were no significant differences comparing validity scores based on the uploader source.

Conclusion YouTube videos related to ETS have limited usefulness and poor overall validity for patient information. Clinicians should direct patients to other validated sources of information and aim to improve the comprehensiveness of ETS-related videos.

Keywords

patient education - endoscopic transsphenoidal surgery - YouTube - online patient information - surgical technique - endoscopic procedure

* These authors contributed equally and are co-first authors.




Publication History

Received: 20 August 2020

Accepted: 08 November 2020

Article published online:
19 January 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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