Assessing the Reliability of YouTube Content for Plastic Surgery Patient Information in Africa With the Modified DISCERN and JAMA Scores.

IF 1.4 4区医学 Q3 SURGERY Annals of Plastic Surgery Pub Date : 2024-12-18 DOI:10.1097/SAP.0000000000004186

Umutoni Alice, Shirley S Dadson, Emmanuel Edeh, Mbonu G Ndudi, Piel P Kuol, Theophilus Barasa, Okojie S Ojamah, Kwadwo A B Nkansah-Poku, Emmanuel B Nyarko, Ebenisha Choonya Majata, Ulrick Sidney Kanmounye

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Abstract

Introduction: YouTube has become a popular source of health information, including plastic surgery. Given the platform's wide reach and potential influence on patient decisions, this study aimed to assess the quality of information available on YouTube for African audiences seeking plastic surgery procedures.

Methods: This cross-sectional study extracted data from YouTube videos on plastic surgery relevant to Africa. A search strategy identified videos in English using keywords. The first 50 results for each term were included, with duplicates removed. Next, the metadata of videos published from inception to June 9, 2024, were extracted. Two reviewers independently assessed videos using standardized tools to evaluate reliability (modified DISCERN and JAMA criteria) and engagement (likes-to-views ratio [LVR] and comments-to-views ratio [CVR]). The Mann-Whitney U test was used for unadjusted bivariable comparisons. Then ordinal logistic and beta regression analyses were used to evaluate the primary (modified DISCERN and JAMA scores) and secondary (LVR and CVR) outcomes, with a statistical significance level set at 0.05.

Results: Eight hundred ninety-seven plastic surgery videos were analyzed, and 3.9% were published by African entities. Large subscriber count (coefficient = -6.9e-8, 95% confidence interval [CI] [-1.13e-7, -2.9e-8], P = 0.001), African-authored (coefficient = -0.85, 95% CI [-1.44, -0.25], P = 0.005), and advertising (coefficient = -1.01, 95% CI [-1.63, -0.57], P < 0.001) videos had lower modified DISCERN scores. Advertising videos equally had lower JAMA scores (coefficient = -1.29, 95% CI [-1.83, -0.74], P < 0.001). Academic videos had lower LVR (coefficient = -0.48, 95% CI [-0.66, -0.30], P < 0.001), whereas independent videos had higher LVR (coefficient = 0.40, 95% CI [0.26, 0.54], P < 0.001). Academic videos had lower CVR (coefficient = -0.40, 95% CI [-0.67, -0.13], P = 0.003), whereas videos with other purposes had higher CVR (coefficient = 0.37, 95% CI [0.10, 0.64], P = 0.007).

Conclusions: This study underscores a potential disparity in the quality of online plastic surgery information based on video sources and purposes.

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用改进的DISCERN和JAMA评分评估非洲整形手术患者信息的YouTube内容的可靠性。

导言：YouTube已经成为一个流行的健康信息来源，包括整形手术。鉴于该平台的广泛覆盖范围和对患者决策的潜在影响，本研究旨在评估YouTube上为寻求整形手术的非洲观众提供的信息质量。方法：本横断面研究从YouTube上有关非洲整形手术的视频中提取数据。一种使用关键词识别英语视频的搜索策略。包括每个学期的前50个结果，删除重复的结果。接下来，提取从开始到2024年6月9日发布的视频元数据。两名评论者使用标准化工具独立评估视频，以评估可靠性（修改后的DISCERN和JAMA标准）和参与度（喜欢观看比[LVR]和评论观看比[CVR]）。Mann-Whitney U检验用于未调整的双变量比较。然后采用有序logistic和beta回归分析评估主要（修改后的DISCERN和JAMA评分）和次要（LVR和CVR）结局，统计学显著性水平设置为0.05。结果：分析了897个整形手术视频，其中3.9%由非洲实体发布。大量订阅者（系数= -6.9e-8, 95%可信区间[CI] [-1.13e-7, -2.9e-8], P = 0.001）、非洲人创作（系数= -0.85,95% CI [-1.44, -0.25], P = 0.005）和广告（系数= -1.01,95% CI [-1.63, -0.57], P < 0.001）的视频具有较低的修改后的DISCERN分数。广告视频同样具有较低的JAMA评分（系数= -1.29,95% CI [-1.83, -0.74], P < 0.001）。学术视频的LVR较低（系数= -0.48,95% CI [-0.66, -0.30], P < 0.001），而独立视频的LVR较高（系数= 0.40,95% CI [0.26, 0.54], P < 0.001）。学术视频的CVR较低（系数= -0.40,95% CI [-0.67, -0.13], P = 0.003），而其他用途视频的CVR较高（系数= 0.37,95% CI [0.10, 0.64], P = 0.007）。结论：这项研究强调了基于视频来源和目的的在线整形手术信息质量的潜在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.