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Published on: January 7, 2019
A quality assessment of YouTube content on posterior urethral valve
Furkan Gunay1, Caglar Dizdaroglu1, Abdullah Esmeray1
1Department of Urology, Haseki Training and Research Hospital, Istanbul, Türkiye.
Insights
Physician-uploaded videos on posterior urethral valve (PUV) offer superior quality. Video duration correlates with higher quality, while views and likes do not reliably indicate accuracy for this congenital condition.
Area of Science:
- Urology
- Medical Education
- Digital Health
Background:
- Posterior urethral valve (PUV) is a congenital obstruction affecting infant males, leading to urinary issues and potential kidney damage.
- Early diagnosis and intervention are critical for managing PUV and preventing long-term complications.
- Informed families are key to successful patient outcomes and reduced anxiety.
Purpose of the Study:
- To evaluate the quality of YouTube videos discussing posterior urethral valve (PUV).
- To assess the reliability of online health information for a congenital condition.
- To identify characteristics of high-quality educational content on PUV.
Main Methods:
- A cross-sectional study analyzed 60 YouTube videos on posterior urethral valve (PUV) after keyword search and exclusion criteria.
- Videos were assessed for views, duration, comments, likes, and upload source (physician vs. other).
- Content quality was evaluated using DISCERN and JAMA Benchmark Criteria by two urology specialists.
Main Results:
- Physician-uploaded videos demonstrated significantly higher quality scores (DISCERN) than non-physician sources.
- Video duration was positively correlated with higher quality scores (DISCERN and JAMA).
- Engagement metrics like likes, comments, and views did not correlate with video quality.
Conclusions:
- YouTube videos uploaded by physicians offer more reliable information on posterior urethral valve (PUV).
- Content quality is better reflected by video duration than by engagement metrics.
- Future efforts should focus on creating evidence-based, high-quality educational content for conditions like PUV.
Introduction:
Posterior urethral valve (PUV) is a congenital condition marked by obstructing persistent urogenital membrane, leading to urinary tract infections, bladder dysfunction, and kidney damage. It affects males only, mostly suspected antenatally and confirmed in early infancy. It requires early diagnosis and intervention to prevent long-term complications. Effective communication of follow-up and treatment protocols with families is crucial, as informed patients play an active role in decision-making and experience less anxiety.
Methods:
A cross-sectional study was conducted on June 20, 2024, by searching YouTube with the keyword "posterior urethral valve." From the first 120 videos, 60 were excluded for being off-topic, duplicates, non-English, or lacking audio. The remaining 60 videos were analyzed for views, duration, comments, likes, and upload source. Video content was categorized into general information, ultrasound imaging, case discussion, and surgical teaching. Two independent urology specialists evaluated the video quality using DISCERN and JAMA Benchmark Criteria.
Results:
Of the 60 analyzed videos, 71.6 % were uploaded by physicians. The most common content was general information on symptoms and treatment. The mean JAMA score was 2.45, and the mean DISCERN score was 45.8. According to DISCERN, 8.3 % of videos were "very poor," 25 % were "poor," 30 % were "fair," 11.6 % were "good," and 23 % were "excellent." Videos uploaded by physicians had significantly higher DISCERN reliability and total scores, indicating better quality. No significant correlation was found between DISCERN scores and likes, comments, or views, but video duration was positively correlated with higher scores.
Discussion:
Among the analyzed videos, those uploaded by physicians had significantly higher DISCERN total scores, emphasizing their superior quality compared to other sources. Video duration positively correlated with DISCERN and JAMA scores, while metrics such as likes, comments, and views did not reflect content quality.
Conclusion:
Creating evidence-based, clear, and engaging content that follows DISCERN and JAMA criteria is essential. Future studies should explore animated formats, diverse keywords, and track content trends over time.
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