Evidence map›Paper›PMID 26650225›Full record

ArticleInternational urogynecology journal2016

Mid-urethral slings on YouTube: quality information on the internet?

Maryse Larouche, Roxana Geoffrion, Darren Lazare, Aisling Clancy, Terry Lee, Nicole A Koenig, Geoffrey W Cundiff, Lynn Stothers

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In one paragraph

Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Article
  8. Surgical mesh information on YouTubeCanadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
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  9. Evaluation of YouTube videos on primary bladder pain syndrome.International urogynecology journal · 2022
    Article
  10. Article
  11. Review
  12. Quality of Information Available on YouTube Videos Pertaining to Thyroid Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maryse LaroucheDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada. maryse.larouche@gmail.com.
Roxana GeoffrionDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Darren LazareDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Aisling ClancyDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, Canada.
Terry LeeCentre for Health Evaluation and Outcome Sciences, University of British Columbia, Vancouver, BC, Canada.
Nicole A KoenigDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Geoffrey W CundiffDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Lynn StothersDepartment of Urology, University of British Columbia, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisScant literature exists about the quality of urogynecological content on social media. Our objective was to measure the accuracy and comprehensiveness of YouTube videos related to mid-urethral sling (MUS) procedures.

methodsYouTube was searched using the terms "mid-urethral sling," "vaginal tape," "TVT," "TOT," "TVT surgery," and "TOT surgery." Duplicates and videos with less than 1,000 views were excluded. We developed a standardized questionnaire for this project, assessing each video's target audience, main purpose, relevance, informed consent elements, surgical steps, and bias. The primary outcome was the presence of all elements of informed consent. Inter-rater reliability (IRR) was calculated using the Fleiss' kappa statistic. Descriptive statistics were also obtained.

resultsFive reviewers each rated 56 videos. Mean IRR was moderate (Fleiss' kappa 0.58 ± 0.24). Video content was classified as physician educational material (67.9 %), patient information (16.1 %), advertisement (10.7 %), lawsuit recruitment (1.8 %), and unclear (3.6 %). MUS was the primary topic for 82.1 % of the videos. The remainder discussed other types of anti-incontinence procedures or prolapse surgery. None of the videos mentioned all four elements of informed consent. Of 32 videos demonstrating surgical technique, none showed the complete list of pre-determined surgical steps. The mean number of listed steps was 7.6/16. Only four videos mentioned at least one post-operative patient instruction. A marketing element was shown in 26.8 % of videos.

conclusionsPatient information about MUS on YouTube is lacking and often biased. Physicians and students viewing YouTube videos for educational purposes should be cognizant of the variability in the surgical steps demonstrated.

Indexed as

Gynecologic Surgical ProceduresSuburethral SlingsFemaleHumansSocial MediaVideo RecordingMedical educationMidurethral slingsSocial mediaStress urinary incontinenceSuburethral slingsSurgical education

Identifiers

PMID26650225

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.