Maimonides Evening of Research

Resident Winner

Mitchell K. Ng, MD

Quantitative Analysis of YouTube Video Reliability, Quality and Content as Patient Information Source for Total Hip Arthroplasty

Objectives

As the second most popular social media platform with 2 billion monthly users globally, YouTube is increasingly used by patients for medical information. This study’s aim was to quantitatively analyze the reliability, quality, and content of YouTube videos as a patient information source for total hip arthroplasty (THA).

Methods

We performed a cross-sectional analysis May 2020, querying the first 50 YouTube videos using “total hip arthroplasty” or “total hip replacement” and sorting by source: academic, physician, non-physician/trainer, patient, and commercial. The Journal of American Medical Association (JAMA) benchmark criteria score (score range 0-4) was used to assess reliability, while the DISCERN score (range 0-80) and a THA content-specific score (range 0-15) created for this study assessed video’s health information quality/content. Two-sample t-tests/multivariate analysis were performed to identify statistically significant differences based on source.

Results

50 videos were analyzed (18 academic, 18 physician, 8 non-physician/trainer, 4 patient, 2 commercial). Mean number of views and video duration were 139,725 views and 13.7 minutes respectively. Academic videos reported higher benchmark JAMA score relative to non-physician (2.4 vs. 0.9, p<0.001) videos. Mean overall DISCERN score was 47.9 with significant differences between academic and non-physician/trainer videos (54.7 vs. 31.5, p<0.001), and physician vs patient videos (51.5 vs. 39.5, p=0.01). Multivariate analysis revealed physician videos were associated with higher odds ratio (OR) of good/excellent DISCERN score (>51/80) than non-physician videos (OR:10.8; 95% CI:[2.5-45.5]; p=0.001). Mean THA content score was 8.6 with significant differences between academic vs. non-physician videos (8.6 vs. 4.6, p<0.001).

Conclusion And Implication

There is significant variability to reliability, quality and content of THA videos, depending on video source. While non-physician/trainer, patient and commercial videos are generally of low quality, academic and physician videos are associated with fair/ good information. Healthcare providers and physicians should be aware of counseling patients and directing them to higher quality YouTube THA videos as a potential source of supplemental information.

Meet The Winners

Catsim Fassassi, DO

Fellow

Catsim Fassassi, DO

Fellow

Tamar Motov, MSN, RN, CNL

Nurse

Tamar Motov, MSN, RN, CNL

Nurse

Rubaiat Ahmed, MD

Performance Improvement

Rubaiat Ahmed, MD

Performance Improvement

Mitchell K. Ng, MD

Resident

Mitchell K. Ng, MD

Resident

Rosanna Li, PharmD

Staff

Rosanna Li, PharmD

Staff