Evidence map›Paper›PMID 41684367›Full record

ArticleBrain & spine2026

Swipe, watch, learn? An analysis of TikTok as a source of patient education on spondylolisthesis.

Celine Akta, Moses El Kayali, Lukas Schönnagel, Luis Bürck, Maximilian Muellner, Friederike Schömig, Matthias Pumberger, Tom Folkerts

Abstract read
In one paragraph

Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Celine AktaCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Moses El KayaliCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Lukas SchönnagelCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Luis BürckCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Maximilian MuellnerCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Friederike SchömigCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Matthias PumbergerCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Tom FolkertsCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Social media has become a major source of health information. TikTok, a rapidly expanding global platform that enables broad dissemination of medical content, yet the accuracy and reliability of such information remain uncertain. In this context, assessing the educational quality of videos on spondylolisthesis is of increasing clinical relevance. Research question: To evaluate the quality, reliability, and educational value of TikTok videos on spondylolisthesis and identify factors associated with higher-quality content. Material and methods: TikTok was searched in August 2025 using the keyword "spondylolisthesis." Video metrics, uploader type and content category were recorded. Two orthopedic surgeons independently assessed reliability and quality using the DISCERN tool, Journal of the American Medical Association (JAMA) benchmarks, and Global Quality Score (GQS). Results: A total of 254 TikTok videos were screened, of which 82 met inclusion criteria, totaling 4.15 million views and 55,967 likes. Private users uploaded 46.3%, surgeons 28.0%, physiotherapists 23.2%, and researchers 2.4%. Overall quality was poor (DISCERN 34.1 ± 17.6; JAMA 1.8 ± 1.1; GQS 2.6 ± 1.1). Videos by surgeons and physiotherapists scored significantly higher (p < 0.001), and educational content outperformed patient experiences (p < 0.001). Longer videos correlated with higher quality scores, while engagement metrics were not predictive. Discussion and conclusion: Most TikTok videos on spondylolisthesis showed low quality and limited reliability. Educational content produced by healthcare professionals performed better, while popularity metrics were not indicative of quality. Spine specialists should recognize TikTok's growing role in patient education and contribute accurate, evidence-based content to improve information quality.

Indexed as

Digital healthPatient educationSocial mediaSpine surgerySpondylolisthesisTikTok

Identifiers

PMID41684367
PMCPMC12892042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.