scholarly journals Quality Analysis of YouTube Videos Presenting Pelvic Floor Exercises after Prostatectomy Surgery

2021 ◽  
Vol 11 (9) ◽  
pp. 920
Author(s):  
Alvaro Rodriguez-Rodriguez ◽  
Maria Blanco-Diaz ◽  
Pedro Lopez-Diaz ◽  
Marta de la Fuente-Costa ◽  
Maria Cruz Sousa-Fraguas ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Positive Impact ◽  
Intraclass Correlation ◽  
Video Data ◽  
Observer Agreement ◽  
Machine Learning Techniques ◽  
Quality Analysis ◽  
Pelvic Floor Exercises ◽  
Youtube Videos

Background: Prostate cancer (PC) is a major cause of disease and mortality among men. Surgical treatment involving the removal of the prostate may result in temporary or permanent erectile dysfunction (ED) and urinary incontinence (UI), with considerable impact on quality of life. Pelvic floor muscle training (PFMT) is one of the recommended techniques for the prevention, treatment, and rehabilitation of postoperative complications. The aim of this observational study was to assess the quality of YouTube videos—accessible to any patient—related to exercises after prostatectomy surgery. Methods: A systematic search was performed on YouTube on 24 September 2020. One hundred and fifty videos were selected and analyzed. Two statistical analyses were conducted based on machine-learning techniques, and videos were classified as ‘Relevant’ or ‘Non-Relevant’ using Principal Component Analysis (PCA) models. Two reviewers conducted independent analyses. Inter-observer agreement and individual correlations of video data were evaluated with the Intraclass Correlation Coefficient (ICC). Information quality, reliability, and accuracy were measured using the DISCERN Scale and Global Quality Score (GQS), while video popularity was evaluated using the Video Power Index (VPI). Results: DISCERN scored a mean of 3.35 and GQS scored 3.38. Average number of views was 124,354, mean duration was 14:42 min, mean days online was 1777, mean view ratio was 138.30, mean Likes was 1082, mean Dislikes was 68.58, and mean VPI was 92.28. Conclusions: The quality of the videos available on YouTube regarding the recommended pelvic floor exercises in PC surgery, according to the scores obtained, is High. Educational and health institutions, health professionals, government health authorities, and policy makers need to be involved in the proper development of policies to improve the information available on the web in order to have a positive impact on the healthy behavior of the population.

Quality Analysis of YouTube Videos Presenting Shoulder Exercises after Breast Cancer Surgery

Breast Care ◽  
2021 ◽  
pp. 1-11
Author(s):  
Alvaro Manuel Rodriguez Rodriguez ◽  
María Blanco-Diaz ◽  
Pedro Lopez Diaz ◽  
Marta de la Fuente Costa ◽  
Lirios Dueñas ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Video Quality ◽  
Principal Component ◽  
Machine Learning Techniques ◽  
Quality Analysis ◽  
Breast Cancer Surgery ◽  
Translational Activity ◽  
Youtube Videos ◽  
Prolonged Immobilization

<b><i>Background:</i></b> The prolonged immobilization suggested after breast cancer (BC) surgery causes morbidity. Patients search the Internet, especially social networks, for recommended exercises. <b><i>Objective:</i></b> The aim of this observational study was to assess the quality of YouTube videos, accessible for any patient, about exercises after BC surgery. <b><i>Methods:</i></b> A systematic search was performed on YouTube. One hundred and fifty videos were selected and analyzed. Two statistical analyses were conducted based on machine-learning techniques. Videos were classified as “Relevant” and “Non-Relevant” using principal component analysis models. Popularity was evaluated by Video Power Index (VPI), informational quality and accuracy were measured using the DISCERN Scale and Global Quality Scale (GQS). Scoring criteria for exercises were established according to the exercises recommended by the Oncology Section of the American Physical Therapy Association (APTA). Interobserver agreement and individual correlations were statistically examined. <b><i>Results:</i></b> DISCERN scored a mean of 50.97 (standard deviation [SD] 19.19). HONcode scored 78.30 (11.02) and GQS scored 3.49 (0.74). Average number of views was 53,963 (SD 67,376), mean duration was 9:42 min (9:15), mean days online was 2,158 (922), mean view ratio was 27.14 (30.24), mean likes was 245 (320.5), mean dislikes was 13.4 (14.2), and mean VPI was 93.48 (5.42). <b><i>Conclusion:</i></b> The quality of YouTube videos of recommended exercises post-BC surgery is high and can be a translational activity to improve patients’ behavior. Health institutions and NGOs, with higher popularity levels than academic institutions, should consider this information when implementing new policies focused on video quality which can contribute to adaptive behavior in patients.

scholarly journals A quality analysis of the YouTube video content on meniscus repair surgery

2021 ◽  
Vol 9 (2_suppl) ◽  
pp. 2325967121S0001
Author(s):  
François Sigonney ◽  
Camille Steltzlen ◽  
Pierre Alban Bouché ◽  
Nicolas Pujol
Keyword(s):  
Medical Information ◽  
Cruciate Ligament ◽  
Meniscus Repair ◽  
Quality Analysis ◽  
Video Content ◽  
Source Type ◽  
Keywords Meniscus ◽  
Youtube Videos ◽  
Anterior Cruciate

Objectives: The Internet, especially YouTube, is an important and growing source of medical information. The content of this information is poorly evaluated. The objective of this study was to analyze the quality of YouTube video content on meniscus repair. The hypothesis was that this source of information is not relevant for patients. Methods: A YouTube search was carried out using the keywords "meniscus repair". Videos had to have had more than 10,000 views to be included. The videos were analyzed by two evaluators. Various features of the videos were recorded (number of views, date of publication, "likes", "don’t likes", number of comments, source, type of content and the origin of the video). The quality of the video content was analyzed by two validated information system scores: the JAMA benchmark score (0 to 4) and the Modified DISCERN score (0 to 5). A specific meniscus repair score (MRSS scored out of 22) was developed for this study, in the same way that a specific score has been developed for other similar studies (anterior cruciate ligament, spine, etc.). Results: Forty-four (44) videos were included in the study. The average number of views per video was 180,100 (± 222,000) for a total number of views of 7,924,095. The majority of the videos were from North America (90.9%). In most cases, the source (uploader) that published the video was a doctor (59.1%). A manufacturer, an institution and a non-medical source were the other sources. The content actually contained information on meniscus repair in only 50% of the cases. The mean scores for the JAMA benchmark, MD score and MRSS were 1.6/4± 0.75, 1.2/5 ± 1.02 and 4.5/22 (± 4.01) respectively. No correlation was found between the number of views and the quality of the videos. The quality of videos from medical sources was not superior to those from other sources. Conclusion: The content of YouTube videos on meniscus repair is of very low quality. Physicians should inform patients and, more importantly, contribute to the improvement of these contents.

The Quality Analysis of Hallux Valgus Videos on YouTube

2021 ◽  
Author(s):  
Enes Sari ◽  
Levent FAZLI Umur
Keyword(s):  
Hallux Valgus ◽  
Information Quality ◽  
Statistical Significance ◽  
Poor Quality ◽  
Quality Analysis ◽  
Accurate Information ◽  
Youtube Videos ◽  
The Mean ◽  
The Difference

BACKGROUND:The aim of this study was to evaluate the information quality of YouTube videos on hallux valgus. METHODS:A YouTube search was performed using the keyword 'hallux valgus' to determine the first 300 videos related to hallux valgus. A total of 54 videos met our inclusion criteria and evaluated for information quality by using DISCERN, Journal of the American Medical Association (JAMA) and hallux valgus information assessment (HAVIA) scores. Number of views, time since the upload date, view rate, number of comments, number of likes, number of dislikes, video power index (VPI) values were calculated to determine video popularity. Video length (sec), video source and video content were also noted. The relation between information quality and these factors were statistically evaluated. RESULTS:The mean DISCERN score was 30.35{plus minus}11.56 (poor quality) (14-64), the mean JAMA score was 2.28{plus minus}0.96 (1-4), and the mean HAVIA score was 3.63{plus minus}2.42 (moderate quality) (0.5-8.5). Although videos uploaded by physicians had higher mean DISCERN, JAMA, and HAVIA scores than videos uploaded by non-physicians, the difference was not statistically significant. Additionally, view rates and VPI values were higher for videos uploaded by health channels, but the difference did not reach statistical significance. A statistically significant positive correlation was found between video length and DISCERN (r= 0.294, p= 0.028), and HAVIA scores (r= 0.326, p= 0.015). CONCLUSIONS:This present study demonstrated that the quality of information available on YouTube videos about hallux valgus was low and insufficient. Videos containing accurate information from reliable sources are needed to educate patients on hallux valgus, especially in less frequently mentioned topics such as postoperative complications and healing period.

scholarly journals Assessment of Visual Quality in Eyes with Forme Fruste Keratoconus and Mild and Moderate Keratoconus Based on Optical Quality Analysis System II Parameters

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Zhonghao Ren ◽  
Liyan Xu ◽  
Qi Fan ◽  
Kaili Yang ◽  
Shengwei Ren ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Visual Quality ◽  
Quality Parameters ◽  
Optical Quality ◽  
Normal Group ◽  
Quality Analysis ◽  
Significant Difference ◽  
Analysis System ◽  
Forme Fruste Keratoconus

Purpose. The study aimed to evaluate the visual quality of forme fruste keratoconus (FFK) and mild and moderate keratoconus by using an optical quality analysis system II (OQAS-II) and to explore the correlation between optical quality parameters and the disease progression. Methods. Twenty-one normal eyes, twenty-one FFK eyes, twenty-one mild keratoconus eyes, and twenty-one moderate keratoconus eyes were included in this prospective study. The optical quality parameters, such as object scatter index (OSI), modulation transfer function cutoff (MTF cutoff), strehl ratio (SR), and OQAS-II values at contrasts of 100% (OV-100), 20% (OV-20), and 9% (OV-9), were measured by OQAS-II. The repeatability of these parameters was analyzed by intraclass correlation coefficient (ICC), repeatability coefficient (RC), and coefficient of variation (CVw). Correlations between optical quality parameters and mean central keratometry readings (Kmean) were evaluated. The sensitivity and specificity of the parameters were analyzed using the receiver operating characteristic (ROC). Results. All the optical quality parameters among four groups showed good repeatability (all ICC≥0.75). The MTF cutoff, SR, OV-100, OV-20, OV-9 in FFK, mild and moderate keratoconus eyes were significantly lower than those in the normal group (all P<0.05). The ROC analyses of the MTF cutoff, SR, OV-100, OV-20, and OV-9 showed significant area under the curve (AUC) in discriminating FFK form normal, mild keratoconus from FFK, and moderate keratoconus from mild keratoconus (all P<0.05). The OSI in mild and moderate keratoconus eyes were significantly higher than that in FFK and normal group (all P<0.05), while the OSI showed no significant difference between the FFK group and normal group (P>0.05). The ROC analyses of the OSI showed significant AUC in discriminating mild keratoconus from FFK and moderate keratoconus from mild keratoconus (all P<0.05). In addition, the MTF cutoff was closely correlated to Kmean in keratoconus eyes (r = −0.710, P<0.001). Conclusion. The repeatability of OQAS-II is good in measuring visual quality of normal as well as FFK, mild, and moderate keratoconus. The visual quality of the FFK, mild, and moderate keratoconus is worse than that in normal eyes. The OQAS-II has the potential value in screening FFK from normal eyes and might be a useful tool for evaluating the progression of keratoconus.

scholarly journals Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lolita Wikander ◽  
Marilynne N. Kirshbaum ◽  
Nasreena Waheed ◽  
Daniel E. Gahreman
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Online Survey ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pelvic Floor Exercises ◽  
Body Mass Index Score

Abstract Background Urinary incontinence (UI) can negatively affect a woman’s quality of life, participation in sport and athletic performance. The objectives of this study were to determine the prevalence of UI in competitive women powerlifters; identify possible risk factors and activities likely to provoke UI; and establish self-care practices. Methods This international cross-sectional study was conducted using an online survey completed by 480 competitive women powerlifters aged between 20 and 71 years. The Incontinence Severity Index (ISI) was used to determine the severity of UI. Results We found that 43.9% of women had experienced UI within the three months prior to this study. The deadlift was the most likely, and the bench-press the least likely exercise to provoke UI. ISI scores were positively correlated with parity (τ = 0.227, p < 0.001), age (τ = 0.179, p < 0.001), competition total (τ = 0.105, p = 0.002) and body mass index score (τ = 0.089, p = 0.009). There was no significant correlation between ISI and years strength training (τ = − 0.052, p = 0.147) or years powerlifting (τ = 0.041, p = 0.275). There was a negative correlation between ISI score with having a pelvic floor assessment (η = 0.197), and the ability to correctly perform pelvic floor exercises (η = 0.172). Conclusion The prevalence of UI in this cohort was at the upper limit experienced by women in the general population. Women who had undergone a pelvic floor examination or were confident in correctly performing pelvic floor exercises experienced less severe UI.

An interview with 40 patients with stress urinary incontinence after uro-gynaecological rehabilitation

1996 ◽  
Vol 63 (3) ◽  
pp. 338-341
Author(s):  
G. Olivo ◽  
A. Calisti ◽  
G. Carluccio ◽  
G. Poletti ◽  
A. Lotto
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Functional Electrical Stimulation ◽  
Female Urinary Incontinence ◽  
Pelvic Floor Exercises

Uro-gynaecological rehabilitation is a sequential therapeutic cocktail of biofeedback, functional electrical stimulation and kinesitherapy of the pelvic floor. Results of an interview with 40 female patients after uro-gynaecological rehabilitation are reported, in order to evaluate the effectiveness of the treatment on the quality of life, the popularity of this method, its acceptability and the difficulty of the pelvic floor exercises. In our experience uro-gynaecological rehabilitation has several positive aspects compared to traditional surgical treatment; in selected cases of female urinary incontinence, this method is therefore proposed as a valid therapeutic alternative.

scholarly journals Quality of YouTube Videos on Laparoscopic Cholecystectomy for Patient Education

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Joseph N. Hewitt ◽  
Joshua G. Kovoor ◽  
Christopher D. Ovenden ◽  
Gayatri P. Asokan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Patient Education ◽  
Interobserver Reliability ◽  
Video Quality ◽  
Intraclass Correlation ◽  
Scoring Systems ◽  
Sources Of Information ◽  
Youtube Videos ◽  
Private Corporations

Background. Surgical patients frequently seek information from digital sources, particularly before common operations such as laparoscopic cholecystectomy (LC). YouTube provides a large amount of free educational content; however, it lacks regulation or peer review. To inform patient education, we evaluated the quality of YouTube videos on LC. Methods. We searched YouTube with the phrase “laparoscopic cholecystectomy.” Two authors independently rated quality of the first 50 videos retrieved using the JAMA, Health on the Net (HON), and DISCERN scoring systems. Data collected for each video included total views, time since upload, video length, total comments, and percentage positivity (proportion of likes relative to total likes plus dislikes). Interobserver reliability was assessed using an intraclass correlation coefficient (ICC). Association between quality and video characteristics was tested. Results. Mean video quality scores were poor, scoring 1.9/4 for JAMA, 2.0/5.0 for DISCERN, and 4.9/8.0 for HON. There was good interobserver reliability with an ICC of 0.78, 0.81, and 0.74, respectively. Median number of views was 21,789 (IQR 3000–61,690). Videos were mostly published by private corporations. No video characteristic demonstrated significant association with video quality. Conclusion. YouTube videos for LC are of low quality and insufficient for patient education. Treating surgeons should advise of the website’s limitations and direct patients to trusted sources of information.

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