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

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.

Publikationsverlauf

Eingereicht: 20. August 2020

Angenommen: 08. November 2020

Artikel online veröffentlicht:
19. Januar 2021

• References

• 1 Fox S, Purcell K. Chronic disease and the Internet. Pew Research Center; 2010. . Accessed January 17, 2020 at: www.pewinternet.org/2010/03/24/chronic-disease-and-the-internet/
• 2 Langford A, Loeb S. Perceived patient-provider communication quality and sociodemographic factors associated with watching health-related videos on YouTube: a cross- sectional analysis. J Med Internet Res 2019; 21 (05) e13512
• 3 Radonjic A, Hing NN, Harlock J, Naji F. YouTube as a source of patient information for abdominal aortic aneurysms. J Vasc Surg 2020; 71 (02) 637-644
• 4 Madathil KC, Rivera-Rodriguez AJ, Greenstein JS, Gramopadhye AK. Healthcare information on YouTube: a systematic review. Health Informatics J 2015; 21 (03) 173-194
• 5 Gokcen HB, Gumussuyu G. A Quality analysis of disc herniation videos on YouTube. World Neurosurg 2019; 124: e799-e804
• 6 Erdem H, Sisik A. The reliability of bariatric surgery videos in YouTube platform. Obes Surg 2018; 28 (03) 712-716
• 7 MacLeod MG, Hoppe DJ, Simunovic N, Bhandari M, Philippon MJ, Ayeni OR. YouTube as an information source for femoroacetabular impingement: a systematic review of video content. Arthroscopy 2015; 31 (01) 136-142
• 8 Adhikari J, Sharma P, Arjyal L, Uprety D. YouTube as a source of information on cervical cancer. N Am J Med Sci 2016; 8 (04) 183-186
• 9 Rodriguez HA, Young MT, Jackson HT, Oelschlager BK, Wright AS. Viewer discretion advised: is YouTube a friend or foe in surgical education?. Surg Endosc 2018; 32 (04) 1724-1728
• 10 Cusimano MD, Fenton RS. The technique for endoscopic pituitary tumor removal. Neurosurg Focus 1996; 1 (01) e1 , discussion 1p, e3
• 11 Jho HD. Endoscopic transsphenoidal surgery. J Neurooncol 2001; 54 (02) 187-195
• 12 Wu V, Cusimano MD, Lee JM. Extent of surgery in endoscopic transsphenoidal skull base approaches and the effects on sinonasal morbidity. Am J Rhinol Allergy 2018; 32 (01) 52-56
• 13 Samuel N, Alotaibi NM, Lozano AM. YouTube as a source of information on neurosurgery. World Neurosurg 2017; 105: 394-398
• 14 Ward M, Ward B, Abraham M. et al. The educational quality of neurosurgical resources on YouTube. World Neurosurg 2019; 130: e660-e665
• 15 Oremule B, Patel A, Orekoya O, Advani R, Bondin D. Quality and reliability of YouTube videos as a source of patient information on rhinoplasty. JAMA Otolaryngol Head Neck Surg 2019; 145 (03) 282-283
• 16 Bowden MT, Church CA, Chiu AG, Vaughan WC. Informed consent in functional endoscopic sinus surgery: the patient's perspective. Otolaryngol Head Neck Surg 2004; 131 (01) 126-132
• 17 Wolf JS, Chiu AG, Palmer JN, O'Malley Jr BW, Schofield K, Taylor RJ. Informed consent in endoscopic sinus surgery: the patient perspective. Laryngoscope 2005; 115 (03) 492-494
• 18 Singh AG, Singh S, Singh PP. YouTube for information on rheumatoid arthritis--a wakeup call?. J Rheumatol 2012; 39 (05) 899-903
• 19 Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the Internet: let the reader and viewer beware. JAMA 1997; 277 (15) 1244-1245
• 20 Davies JC, Chan HHL, Yao CMKL, Cusimano MD, Irish JC, Lee JM. Quantitative analysis of surgical working space during endoscopic skull base surgery. J Neurol Surg B Skull Base 2019; 80 (05) 469-473
• 21 Wu V, Cusimano MD, Lee JM. Sino-nasal quality of life before and after endoscopic transsphenoidal skull base surgery. . In: Journal of Neurological Surgery Part B: Skull Base p. A072. Available Accessed November 20, 2020 at: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1600596
• 22 Fathalla H, Cusimano MD, Di Ieva A. et al. Endoscopic versus microscopic approach for surgical treatment of acromegaly. Neurosurg Rev 2015; 38 (03) 541-548 , discussion 548–549
• 23 Hassona Y, Taimeh D, Marahleh A, Scully C. YouTube as a source of information on mouth (oral) cancer. Oral Dis 2016; 22 (03) 202-208
• 24 Gaş S, Zincir ÖÖ, Bozkurt AP. Are YouTube videos useful for patients interested in botulinum toxin for bruxism?. J Oral Maxillofac Surg 2019; 77 (09) 1776-1783
• 25 Strychowsky JE, Nayan S, Farrokhyar F, MacLean J. YouTube: a good source of information on pediatric tonsillectomy?. Int J Pediatr Otorhinolaryngol 2013; 77 (06) 972-975
• 26 Enver N, Doruk C, Kara H, Gürol E, Incaz S, Mamadova U. YouTube™ as an information source for larynx cancer: a systematic review of video content. Eur Arch Otorhinolaryngol 2020; 277 (07) 2061-2069
• 27 Atci AG, Atci IB. Quality and reliability of information available on YouTube videos pertaining to transforaminal lumbar epidural steroid injections. Roneuro. . Published online September 2, 2019 299-304
• 28 Sader N, Kulkarni AV, Eagles ME, Ahmed S, Koschnitzky JE, Riva-Cambrin J. The quality of YouTube videos on endoscopic third ventriculostomy and endoscopic third ventriculostomy with choroid plexus cauterization procedures available to families of patients with pediatric hydrocephalus. J Neurosurg Pediatr 2020; 25 (06) 1-8
• 29 Zada G, Woodmansee WW, Iuliano S, Laws ER. Perioperative management of patients undergoing transsphenoidal pituitary surgery. Asian J Neurosurg 2010; 5 (01) 1-6
• 30 Saurabh S, Gautam S. Modelling and statistical analysis of YouTube's educational videos: a channel Owner's perspective. Comput Educ 2019; 128: 145-158
• 31 Rapp AK, Healy MG, Charlton ME, Keith JN, Rosenbaum ME, Kapadia MR. YouTube is the most frequently used educational video source for surgical preparation. J Surg Educ 2016; 73 (06) 1072-1076
• 32 Brickman AR, Wu V, Zevin B. Preparing for surgery observerships during medical school: a cross-sectional study. J Surg Educ 2020; 77 (05) 1097-1105