Ultrason Rehberliğinde Yapılan Meme Biopsi Hakkında Youtube Videoları Yararlı ve Güvenilir Mi?

Osman Konukoğlu, V. Kaya, Mehmet Tahtabaşi
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Abstract

Background: The aim of this study is to evaluate the usefulness and quality of YouTube videos on ultrasound-guided breast biopsy (UGBB) for patients. Materials and Methods: A video search was undertaken on YouTube on Aug 14, 2020 using the keywords, ‘breast biopsy’, ‘ultrasound-guided core biopsy’, ‘breast ultrasound’, and ‘breast biopsy ultrasound’. Top 100 videos were selected using each keyword (total 400 videos). After applying the exclusion criteria, 51 videos were evaluated by two researchers based on the patient information form of the American Cancer Society and American College of Radiology. According to these criteria, the videos were divided into four categories as very useful, useful, slightly useful, and not useful. Video parameters were compared between the groups by the Kruskal–Wallis test. Results: Of the 51 videos analyzed, 13.7% (n=7) were very useful, and 41.2% (n=21) were useful. Of the very useful videos, 85.7% (n=6) had been uploaded by physicians/hospitals. The DISCERN reliability score was significantly higher in very useful videos (median: 4, range: 2-5, p < 0.001). The length and number of likes and comments were significantly higher for the videos uploaded by civilian individuals (p=0.005, p=0.046, and p=0.013, respectively). Not useful and very useful videos were significantly longer (p = 0.01) Conclusion: Although the primary sources of high-quality and very useful YouTube videos about UGBB were physicians/hospital, a significant portion of low-quality videos had also been uploaded by this group. Thus, medical professionals should take care to upload well-informed videos.
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背景:本研究的目的是评估YouTube视频对超声引导乳腺活检(UGBB)患者的有用性和质量。材料与方法:于2020年8月14日在YouTube上搜索“乳腺活检”、“超声引导核心活检”、“乳腺超声”和“乳腺活检超声”等关键词进行视频搜索。根据每个关键词选出前100名视频(共400个视频)。应用排除标准后,由两名研究人员根据美国癌症协会和美国放射学院的患者信息表对51个视频进行评估。根据这些标准,这些视频被分为非常有用、有用、稍微有用和没用四类。各组间视频参数比较采用Kruskal-Wallis检验。结果:在分析的51个视频中,13.7% (n=7)非常有用,41.2% (n=21)有用。在非常有用的视频中,85.7% (n=6)是由医生/医院上传的。在非常有用的视频中,DISCERN可靠性评分显着更高(中位数:4,范围:2-5,p < 0.001)。平民上传的视频长度、点赞数和评论数均显著高于平民上传的视频(p=0.005、p=0.046、p=0.013)。结论:虽然YouTube上关于UGBB的高质量和非常有用的视频的主要来源是医生/医院,但这一群体也上传了相当一部分低质量的视频。因此,医疗专业人员应该小心上传消息灵通的视频。
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