• Annals of surgery · Oct 2023

    Evaluating YouTube as a Source of Education for Patients Undergoing Surgery: A Systematic Review.

    • Arshia Javidan, Matthew W Nelms, Allen Li, Yung Lee, Fangwen Zhou, Ahmed Kayssi, and Faysal Naji.
    • Division of Vascular Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
    • Ann. Surg. 2023 Oct 1; 278 (4): e712e718e712-e718.

    ObjectiveThe objective of this systematic review is to characterize the peer-reviewed literature investigating YouTube as a source of patient education for patients undergoing surgery.Summary Background DataYouTube is the largest online video sharing platform and has become a substantial source of health information that patients are likely to access before surgery, yet there has been no systematic assessment of peer-reviewed studies. A comprehensive literature search was conducted using EMBASE, MEDLINE, and Ovid HealthStar from inception through to December of 2021.MethodsAll primary studies evaluating YouTube as a source of patient education relating to surgical procedures (general, cardiac, urology, otolaryngology, plastic, vascular) were included. Study screening and data extraction occurred in duplicate with two reviewers. Characteristics extracted included video length, view count, upload source, overall video educational quality, and quality of individual studies.ResultsAmong 6,453 citations, 56 studies were identified that examined 6,797 videos with 547 hours of content and 1.39 billion views. There were 49 studies that evaluated the educational quality of the videos. A total of 43 quality assessment tools were used, with each study using a mean of 1.90 assessment tools. Per the global rating for assessments, 34/49 studies (69%) concluded that the overall quality of educational content was poor.ConclusionsWhile the impact of non-peer-reviewed YouTube videos on patient knowledge for surgery is unclear, the large amount of online content suggests that they are in demand. The overall educational content of these videos is poor, however, and there is substantial heterogeneity in the quality assessment tools used in their evaluation. A peer-reviewed and standardized approach to online education with video content is needed to better support patients.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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