Évaluation de la qualité et de la fiabilité des informations sur la réparation de la coiffe des rotateurs sur YouTube - 11/01/20

Assessment of the Quality and Reliability of the Information on rotator cuff repair on YouTube

Doi : 10.1016/j.rcot.2019.10.025

Haluk Celik ^a,^⁎ , Omer Polat ^a, Cagri Ozcan ^a, Savas Camur ^a, Bekir Eray Kilinc ^b, Metin Uzun ^c
^a Department of Orthopaedic Surgery, Health Science University, Umraniye Education and Research Hospital, Istanbul, Turquie
^b Department of Orthopaedic Surgery, Health Science University, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turquie
^c Department of Orthopaedic Surgery, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turquie

^⁎Auteur correspondant.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Saturday 11 January 2020
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Abstract

Introduction

YouTube® has become a common health information source for patients. Recent studies have determined that videos on YouTube® contain misleading and inappropriate information for different medical conditions. The aim of the present study was to assess the quality and reliability of videos pertaining to rotator cuff (RC) repair surgery.

Hypothesis

YouTube® users prefer watching videos with high educational quality which are provided by physicians.

Material and methods

A search was performed using keywords “rotator cuff surgery” and “rotator cuff repair” on YouTube® and the first 100 videos for each keyword were analyzed. Video source, time since upload, duration, and number of views, likes, and dislikes were recorded. Video popularity was reported using the video power index (VPI) and view ratio. Video educational quality was measured using the recognized DISCERN, the Journal of the American Medical Association (JAMA) score and a novel RC-specific score (RCSS).

Results

Among the 200 videos identified, 67 were included. The mean duration was 7.7min and the mean number of the views was 14,7430. Videos uploaded by a physician had significantly higher DISCERN, JAMA, and RCSS (p<0.001). While the main video source was physicians (48 %), the most popular videos were uploaded by patients and commercial websites, according to the VPI and view ratios. The number of likes, view ratios, and VPI were negatively correlated with each score. There were negative correlations between duration and VPI scores, and positive correlations with DISCERN, JAMA score, and RCSS. Animated videos showed significantly lower results for all quality scores (p<0.05), while their VPI was significantly higher (p<0.01).

Discussion

Online information on RC repair surgery provided by YouTube® was low quality, despite being mostly uploaded by physicians and having relatively higher quality scores. YouTube® users prefer watching low quality videos which were provided by patients and commercial websites.

Level of evidence

IV, Case series.

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Keywords : Internet, YouTube, Rotator cuff repair, Patient education, Information

☆	Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus.