Evidence map›Paper›PMID 31834973›Full record

ArticleBJU international2020

Information on surgical treatment of benign prostatic hyperplasia on YouTube is highly biased and misleading.

Patrick Betschart, Manolis Pratsinis, Gautier Müllhaupt, Roman Rechner, Thomas Rw Herrmann, Christian Gratzke, Hans-Peter Schmid, Valentin Zumstein, Dominik Abt

Abstract read
PubMed Publisher
In one paragraph

Article in BJU international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. ChatGPT's competence in responding to urological emergencies.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Analysis of quality information provided by "Dr. YouTubeInternational journal of impotence research · 2023
    Article
  12. Social Media and Apps in Urology.Current surgery reports · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Analyzing the quality and validity of holmium laser enucleation of prostate (HoLEP) videos on social media.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Patrick BetschartDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.ORCID 0000-0002-8496-9470
Manolis PratsinisDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.
Gautier MüllhauptDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.ORCID 0000-0002-5725-5608
Roman RechnerDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.
Thomas Rw HerrmannUrology Clinic, Spital Thurgau AG, Frauenfeld, Switzerland.
Christian GratzkeDepartment of Urology, Albert-Ludwigs-University, Freiburg, Germany.
Hans-Peter SchmidDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.
Valentin ZumsteinDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.
Dominik AbtDepartment of Urology, Cantonal Hospital St Gallen, St Gallen, Switzerland.ORCID 0000-0002-1915-4726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the quality of videos on the surgical treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH) available on YouTube, given that such video-sharing platforms are frequently used as sources of patient information and the therapeutic landscape of LUTS/BPH has evolved substantially during recent years. MATERIALS AND

methodsA systematic search for videos on YouTube addressing treatment options for LUTS/BPH was performed in May 2019. Measures assessed included basic data (e.g. number of views), grade of misinformation and reporting of conflicts of interest. The quality of content was analysed using the validated DISCERN questionnaire. Data were analysed using descriptive statistics.

resultsA total of 159 videos with a median (range) of 8570 (648-2 384 391) views were included in the analysis. Only 21 videos (13.2%) were rated as containing no misinformation, 26 (16.4%) were free of commercial bias, and two (1.3%) disclosed potential conflicts of interest. According to DISCERN, the median overall quality of the videos was low (2 out of 5 points for question 16). Only four of the 15 assessed categories (bipolar and holmium laser enucleation of the prostate, transurethral resection of the prostate and patient-based search terms) were scored as having moderate median overall quality (3 points).

conclusionMost videos on the surgical treatment of LUTS/BPH on YouTube had a low quality of content, provided misinformation, were subject to commercial bias and did not report on conflicts of interest. These findings emphasize the importance of thorough doctor-patient communication and active recommendation of unbiased patient education materials.

Indexed as

Health EducationInformation DisseminationSocial MediaVideo RecordingBiasHumansLower Urinary Tract SymptomsMaleProstatic Hyperplasiabenign prostatic syndromelower urinary tract symptomspatient informationsocial media#UroBPHYouTube

Identifiers

PMID31834973

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.