Evidence map›Paper›PMID 42726176›Full record

ArticleObesity surgery2026

Quality, Reliability, and Content Characteristics of Metabolic Bariatric Surgery Videos on TikTok, YouTube, and Facebook: A Mixed-Methods Cross-Platform Analysis.

Mohamed Yasser El-Mezayen, Ahmed Abokhozima, Nesma Saaed Ahmed, Passant Elaidy, Hossam Elghadban, Mohamed Shaker Abou Al-Ela, Noha Gamal AbdulNasser, Mohamed F A Kashwaa, Ahmed Abo Elmagd, Hassan El-Masry

Abstract read
In one paragraph

Article in Obesity surgery, 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

10 authors.

Mohamed Yasser El-Mezayen *Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0006-2117-9515
Ahmed Abokhozima *Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0000-0003-0921-0904
Nesma Saaed AhmedFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0007-9693-6143
Passant ElaidyFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0007-0001-038X
Hossam ElghadbanFaculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID http://orcid.org/0000-0003-3076-301X
Mohamed Shaker Abou Al-ElaSurgery Department, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID http://orcid.org/0000-0003-4375-4307
Noha Gamal AbdulNasserFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0007-5934-8094
Mohamed F A KashwaaFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Ahmed Abo ElmagdFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0004-4428-3310
Hassan El-MasryFaculty of Medicine, Alexandria University, Alexandria, Egypt. hasan.hasan1801@alexmed.edu.eg.ORCID http://orcid.org/0009-0000-6177-3697

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSocial media platforms have become major sources of health information, including content related to metabolic bariatric surgery (MBS). While these platforms offer wide accessibility and high user engagement, concerns remain regarding the quality, reliability, and completeness of the information presented. Comparative evaluations across platforms integrating both quantitative quality assessment and qualitative insights are limited.

methodsA cross-sectional mixed-methods content analysis was conducted on 45 publicly available videos (15 per platform) from TikTok, YouTube, and Facebook, identified using standardized search terms. Data extraction included video metadata, engagement metrics, uploader characteristics, and content features. Video quality and reliability were assessed using the Video Information and Quality Index (VIQI), Global Quality Score (GQS), and DISCERN instrument. Inter-rater reliability was evaluated using intraclass correlation coefficients. Additionally, thematic analysis of rater comments was performed to explore qualitative content patterns.

resultsSignificant differences were observed across platforms in video duration, content characteristics, and engagement (p < 0.001). TikTok videos were shortest and demonstrated the highest median views and engagement rates, while YouTube videos were longest and Facebook videos showed moderate duration and engagement. Quality assessment revealed significantly lower VIQI, GQS, and DISCERN scores for YouTube compared with TikTok and Facebook (p < 0.001), with no significant difference between TikTok and Facebook. High-quality content (GQS ≥ 4) was absent on YouTube but present in 60-66.7% of TikTok and Facebook videos. Inter-rater reliability was good to excellent across all tools (ICC range: 0.81-0.88). Qualitative analysis demonstrated recurring themes of incomplete clinical information, limited discussion of risks, and a predominance of positively framed narratives, especially in short-form content.

conclusionMBS-related content on social media varies significantly across platforms in terms of quality, reliability, and engagement. While TikTok and Facebook demonstrated higher overall quality scores than YouTube, all platforms exhibited important deficiencies in critical patient-centered information. High engagement does not equate to high informational quality. These findings highlight the need for improved content regulation, increased involvement of healthcare professionals, and development of standardized guidelines to enhance the educational value of bariatric surgery information on social media.

Indexed as

Bariatric SurgerySocial MediaVideo RecordingCross-Sectional StudiesDigital MediaHumansReproducibility of ResultsDISCERNGlobal quality scoreMetabolic bariatric surgerySocial mediaVideo information and quality indexVideo quality assessment

Identifiers

PMID42726176
PMCPMC13645848

What OpenQuestion holds

Textmetadata
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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.