Alessandro Sturiale*, Raad Dowais, Felipe Celedon Porzio, Luigi Brusciano, Gaetano Gallo, Riccardo Morganti and Gabriele Naldini Pages 219 - 226 ( 8 )
Background: In the past, most people sought medical information by consulting health care professionals. Nowadays, many people started to use online resources to access medical information.
Objective: The study aims to investigate whether YouTube videos on hemorrhoids and hemorrhoid surgery can be a useful e-learning source for the general population, surgical trainees and specialists.
Methods: A YouTube search was performed in October 2019 using the keywords “hemorrhoids” and “hemorrhoid surgery”, and the videos were divided into 2 groups according to the keywords. Three independent researchers assessed the metadata and classified them according to the level of accuracy (hemorrhoid group) and the level of usefulness (hemorrhoid surgery group). Cohen’s test and Kappa (K) value were used to evaluate the inter-investigators agreement.
Results: A total of 200 videos were analyzed, 100 for each keyword. Regarding the hemorrhoid group, 43 videos (48.3%) were misleading, 9 were accurate (10.1%), 18 were approximate (20.2%), and 19 were considered a personal experience (21.4%). Regarding the hemorrhoid surgery group, around 60% of the videos were lacking a clear explanation, while about 16% were inaccurate. Only the remaining 24% were considered useful for teaching.
Conclusion: Around half of the YouTube videos regarding hemorrhoids topic were found to be misleading or inaccurate and present a risk of harmful consequences. Credible videos with accurate information need to be uploaded by medical professionals and medical institutions and some sort of filtering, using categories by the staff of YouTube, appears to be necessary. Care must be taken to produce clear, high-quality operative clips with proper scientific commentary.
YouTube, hemorrhoids, social media, medical education, e-learning, health care professionals.
Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy and General and Colorectal Surgery, Yarmouk University, Irbid, Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy and Cirugia Coloproctologica, Hospital de la Fuerza Aerea de Chile, Santiago de Chile, U.O.C General and Obesity Surgery, University of Study of Campania “Luigi Vanvitelli” Naples, Naples, Department of General Surgery, University of Magna Graecia of Catanzaro - School of Medicine and Surgery, Catanzaro, Section of Statistics, University Hospital of Pisa, Pisa, Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa