YouTube as a Source of Patient Information Regarding Placenta Accreta Spectrum

Castillo, Jayme; Zhu, Katherine; Gray, Lauren; Sachse, Sydney; Berra, Alexandra; Belfort, Michael A.; Aalipour, Soroush; Aagaard, Kjersti M.; Shamshirsaz, Alireza A.

doi:10.1055/s-0041-1732453

Cited by 8 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Viewers who struggled to understand the MitraClip procedure with initial attempts on the platform may become frustrated or discouraged upon realizing the lack of alternative videos. Furthermore, this paucity of unique MitraClip content was also noted in a 2015 abstract, indicating a static trend [18]. The solution to this problem is simple: more original MitraClip videos must be uploaded to YouTube.…”

Section: Discussionmentioning

confidence: 99%

The Quality of MitraClip™ Content on YouTube

Nus,

Sledge,

et al. 2023

Cureus

View full text Add to dashboard Cite

Objective YouTube (YouTube LLC, San Bruno, California, United States) is used as a primary resource for many patients looking to gain healthcare knowledge. Recently, YouTube made efforts to increase the quality of posted content by accrediting trusted healthcare sources. With an increasing emphasis being placed on minimally invasive options, this study was done to investigate the quality of YouTube videos on MitraClip™ (Abbott Laboratories, Chicago, Illinois, United States) with respect to patient education. Methods YouTube was searched using the keyword “MitraClip”. A total of 66 videos were evaluated, with 32 of those videos being included for final analysis after applying exclusionary criteria. Three independent reviewers separately scored the videos using the Global Quality Scale. Likes, dislikes, views, comments, and dates of upload were also recorded. Two-tailed t-tests were used to determine statistical significance. Results MitraClip videos on YouTube proved to be of medium quality, receiving an average Global Quality Scale score of 3.39. When stratified by the new YouTube accreditation process, those with accreditation had a significantly higher Global Quality Scale score of 4.11, while non-accredited videos had an average Global Quality Scale score of 3.12 (p<0.01). Shorter and more patient-friendly videos were also significantly lower in quality (p<0.05). Conclusion The YouTube accreditation process has demonstrated initial success at regulating the quality of MitraClip content, thereby reducing the spread of misinformation. However, this progress is undermined by the lack of unique videos present on the platform. Increasing the amount of original content about MitraClip may allow viewers to diversify their educational sources and ultimately gain a better understanding of the procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

The Quality of MitraClip™ Content on YouTube

Nus,

Sledge,

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…At present, maternal morbidity remains high, and the incidence of placenta accreta spectrum continues to increase as a result of the increased rate of cesarean sections, with most recent data estimating almost 1 in 500 pregnancies complicated by this condition [23]. As such, there have been efforts to raise awareness of this condition amongst both medical professionals and the general public [24]. Advances in ultrasound and MRI technology have improved the detection of markers concerning PAS, yet several limitations exist in the overall accuracy of antenatal imaging.…”

Section: Discussionmentioning

confidence: 99%

Association between Antenatal Vaginal Bleeding and Adverse Perinatal Outcomes in Placenta Accreta Spectrum

Mulhall,

Ireland,

Byrne

et al. 2024

Medicina

View full text Add to dashboard Cite

Background and Objectives: Placenta accreta spectrum (PAS) disorders are placental conditions associated with significant maternal morbidity and mortality. While antenatal vaginal bleeding in the setting of PAS is common, the implications of this on overall outcomes remain unknown. Our primary objective was to identify the implications of antenatal vaginal bleeding in the setting of suspected PAS on both maternal and fetal outcomes. Materials and Methods: We performed a case-control study of patients referred to our PAS center of excellence delivered by cesarean hysterectomy from 2012 to 2022. Subsequently, antenatal vaginal bleeding episodes were quantified, and components of maternal morbidity were assessed. A maternal composite of surgical morbidity was utilized, comprised of blood loss ≥ 2 L, transfusion ≥ 4 units of blood, intensive care unit (ICU) admission, and post-operative length of stay ≥ 4 days. Results: During the time period, 135 cases of confirmed PAS were managed by cesarean hysterectomy. A total of 61/135 (45.2%) had at least one episode of bleeding antenatally, and 36 (59%) of these had two or more bleeding episodes. Increasing episodes of antenatal vaginal bleeding were associated with emergent delivery (p < 0.01), delivery at an earlier gestational age (35 vs. 34 vs. 33 weeks, p < 0.01), and increased composite maternal morbidity (76, 84, and 94%, p = 0.03). Conclusions: Antenatal vaginal bleeding in the setting of PAS is associated with increased emergent deliveries, earlier gestational ages, and maternal composite morbidity. This important antenatal event may aid in not only counseling patients but also in the coordination of multidisciplinary teams caring for these complex patients.

show abstract

“…There have been several YouTube studies assessing the quality of various medical content, with most showing that the quality is generally poor [6,[16][17][18][19][20][21]. YouTube does not regulate the content its creators provide and provides search results based on a user's personalized search history, age, gender, and geolocation rather than the highest quality videos [5].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Video Quality and Reliability of YouTube Videos Regarding Meniscus Tear Rehabilitation

Abed¹,

Ray²,

Smathers³

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction:YouTube is an open-source platform where creators can record and upload videos for others to see. As the popularity of YouTube increases, it is being increasingly used for healthcare-related information. However, with the relative ease of uploading videos, the content quality of individual videos is not regulated. This study aimed to assess and analyze the content quality of YouTube videos concerning meniscus tear rehabilitation. We hypothesized that most videos would be of low quality.Methods: The keywords "meniscus tear treatment," "meniscus tear recovery," "meniscus tear physical therapy," and "meniscus tear rehabilitation" were used for searching videos on YouTube. A total of 50 videos was analyzed in this study that related to meniscal rehabilitation, grouped into one of four categories: nonphysician professionals (physical therapists and chiropractors) (n=28), physicians (with or without academic affiliation) (n=5), non-academic healthcare-related websites (n=10), and non-professional individuals (n=7). Videos were then assessed by two independent authors using three scoring systems, which included the Global Quality Scale (GQS), modified DISCERN, and Journal of the American Medical Association (JAMA) scores. The number of likes, comments, video length, and views were collected for each video. Kruskal-Wallis tests were used to compare quality scores and video analytics.Results: The overall median GQS, modified DISCERN, and JAMA scores were 3 (interquartile range (IQR): 2-3), 2 (IQR: 2-2), and 2 (IQR: 2-2), respectively. Sorted by GQS scores, 20 videos were of low quality (40%), 21 were intermediate (42%), and nine were of high quality (18%). Non-physician professionals produced 56% (28 of 50) of the videos assessed, with physical therapists constituting 86% (24 of 28) of this category. The median duration of each video was 6:54 (IQR: 3:59-10:50) minutes, views was 42,262 (IQR: 12,491), and likes was 877 (IQR: 239-4,850). Kruskal-Wallis testing showed a significant difference between JAMA scores, likes, and video length duration between video categories (p<0.028). Conclusion:The overall median reliability of YouTube videos on meniscus tear rehabilitation measured by JAMA and modified DISCERN scores was low. The overall median video quality, as assessed by GQS scores, was intermediate. Video quality was highly variable, with fewer than 20% meeting high-quality standards. As a result, patients are often viewing lower quality videos when researching their condition online.

show abstract

YouTube as a Source of Patient Information Regarding Placenta Accreta Spectrum

Cited by 8 publications

References 25 publications

The Quality of MitraClip™ Content on YouTube

The Quality of MitraClip™ Content on YouTube

Association between Antenatal Vaginal Bleeding and Adverse Perinatal Outcomes in Placenta Accreta Spectrum

Assessment of Video Quality and Reliability of YouTube Videos Regarding Meniscus Tear Rehabilitation

Contact Info

Product

Resources

About