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    Educational quality of YouTube videos on musculoskeletal ultrasound
    (Springer Science and Business Media Deutschland GmbH, 2021) Zengin, Orhan; Önder, Mustafa Erkut
    Introduction/objectives: A progressively growing number of rheumatologists have integrated musculoskeletal ultrasound (MSUS) as a prized tool in their daily clinical practice over the past two decades. Lately, YouTube is often used by healthcare professionals as an educational tool. This study aimed to analyze the quality of educational information available on YouTube pertaining to MSUS. Method: We performed a search using the keyword “musculoskeletal ultrasound” on YouTube in January 2021. Of the first 200 videos screened, 147 met the inclusion criteria. The quality and reliability of the videos were evaluated using the global quality score (GQS) and modified DISCERN score, and their popularity was assessed using the Video Power Index (VPI). Results: Of the 147 videos evaluated, 58 (39.5%) were of high quality, 30 (20.4%) were of moderate quality, while 59 (40.1%) were of low quality. The modified DISCERN score and the duration of the videos were significantly higher in the high-quality videos than the moderate- and low-quality videos (p < 0.001 for all). The median number of views per day, likes, comments, and the popularity of the videos assessed with VPI were significantly higher in the high- and moderate-quality group compared to the low-quality videos (p < 0.001, p < 0.001, p = 0.007, and p < 0.001, respectively). Conclusion: The quality of YouTube videos as an educational source on MSUS is unsatisfactory. Professional organizations and physicians should consider creating more high-quality MSUS videos. YouTube should consider filtering out poor-quality videos in collaboration with experts in the field.Key Points• Although rheumatologists are increasingly using ultrasound as an extension of their exam, accessing musculoskeletal ultrasound training is still facing some challenges.• YouTube is commonly used as an educational source by medical students and healthcare professionals.• Approximately 60% of the videos related to musculoskeletal ultrasound on YouTube revealed high and moderate quality, while the remaining 40% were of low quality and not suitable for medical education.• A filtering mechanism is required to improve the quality of YouTube content on MSUS
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    Quality of English-language videos available on YouTube as a source of information on osteoporosis
    (Springer Science and Business Media Deutschland GmbH, 2022) Önder, Mustafa Erkut; Önder, Çağatay Emir; Zengin, Orhan
    Osteoporosis awareness is essential for preventing osteoporotic fractures. Social media platforms have enormous potential to both support and deter patients’ decisions on healthcare. The current study demonstrated that the majority of YouTube videos on osteoporosis provide useful information with sufficient quality. Purpose: YouTube is the most popular video-sharing platform for patients seeking online information about their medical condition. However, there are concerns regarding the accuracy and quality of YouTube content. We aimed to analyze the quality of English-language YouTube videos on osteoporosis. Methods: A YouTube search was performed on April 21, 2021, using the keywords “osteoporosis,” “osteoporosis exercise,” “osteoporosis diet,” and “osteoporosis treatment.” The reviewers recorded the content, source, and detailed characteristics of the included videos. The reliability and quality of the videos were analyzed using the modified DISCERN score and Global Quality Scale (GQS) score by a rheumatologist and endocrinologist. Results: Of the 400 videos screened, 238 were included in the study after applying the exclusion criteria. A total of 205 (86.1%) videos revealed useful information about osteoporosis whereas 33 (13.9%) were misleading. In terms of quality, 48% of the videos were of high quality, 34% were of moderate quality, and 18% were of low quality. The videos posted by universities and professional organizations had the highest modified DISCERN and GQS scores indicating high reliability and quality. Conclusion: This study demonstrated that the majority of YouTube videos on osteoporosis contained useful information with sufficient quality. However, physicians should be aware of misleading information and correct any misinformation during face-to-face meetings with patients. YouTube should consider creating partnerships with professional organizations in the field of osteoporosis to produce high-quality videos in line with their new health content policy.
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    Quality of healthcare information on YouTube: psoriatic arthritis
    (Springer, 2023) Önder, Mustafa Erkut; Zengin, Orhan
    Background YouTube is an increasingly used platform for medical information. However, the validity of health-related information on psoriatic arthritis (PsA) on YouTube has not been determined. Objective The purpose of this study was to evaluate the accuracy and quality of YouTube videos concerning PsA. Materials and methods A YouTube search was performed on April 18, 2021, using the keyword "psoriatic arthritis." Two independent raters accessed the content, source, and detailed characteristics of the included videos. The reliability and quality of the videos were analyzed using the modified DISCERN score, Journal of the American Medical Association benchmark criteria score, and global quality scale score. Results Of the 200 videos screened, 155 were included in the study after applying the exclusion criteria. A total of 132 (85.2%) videos revealed useful information about PsA, whereas the remaining 23 (14.8%) were misleading. Video interaction parameters including the median number of views, views per day, likes, dislikes, and comments demonstrated no significant difference between the two groups. The videos posted by universities and professional organizations displayed the highest reliability and quality scores. Conclusion The majority of YouTube videos on PsA contained useful information. However, physicians should alert patients to the possibility of misinformation and non-validated sources. Professional organizations in the field of rheumatology, such as the American College of Rheumatology and European League Against Rheumatism, should consider collaborating with YouTube to deliver high-quality content.
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    The changes of mean platelet volume and platelet distribution width in patients with rheumatoid arthritis and their correlation with disease activity
    (Editore Carbone, 2015) Yıldırım, Adem; Karabiber, Mehmet; Sürücü, Gülseren Dost; Türkbeyler, İbrahim Halil; Karakoyun, Ahmet; Selkuc, Mustafa Yavuz; Zengin, Orhan
    Aims: The link between inflammation and platelet activation was already proven. Only a few studies have been reported using platelet indices (platelet count (PC), mean platelet volume (MPV) and platelet distribution width (PDW)) as an indicator of acute phase response for assessment of disease activity. The aim of this study was to evaluate the PC, MPV and PDW trends in patients with rheumatoid arthritis (RA) comparing with control group. We also investigated whether these parameters were associated with disease activity score (DAS28-CRP) in RA patients. Materials and methods: Ninety consecutive RA patients fulfilling American College of Rheumatology criteria (RA group) and 52 rheumatic disease free participants (control group) were included this study. PC, MPV and PDW values of RA group compared with controls. Correlation tests were used in order to evaluate the relationship between the DAS28-CRP scores and PC as well as MPV and PDW. Results: We found significantly higher MPV and lower PDW values in the RA group when compared with controls. There were negative correlations between DAS28-CRP and MPV (r=-0,231, p=0,029) also PDW (r=-0,216, p=0,041) while correlation between DAS28-CRP and platelet count was not significant statistically. Conclusion: This study demonstrated that platelet indices such as MPV and PDW may provide helpful information for assessment of disease activity in patients with RA.
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    YouTube as a source of information on gout: a quality analysis
    (Springer Science and Business Media Deutschland GmbH, 2021) Önder, Mustafa Erkut; Zengin, Orhan
    YouTube is a popular video-sharing platform commonly visited by patients and healthcare professionals for medical information. Gout is the most frequent cause of inflammatory arthritis in adults. However, the accuracy and quality of gout-related information on YouTube are not fully known. Thus, the aim of this study was to assess the reliability and quality of YouTube videos pertaining to gout. A YouTube search was conducted using the keywords “gout”, “gout arthritis”, “gout treatment”, and “gout diet”. Of the 240 videos screened, 114 that met the inclusion criteria were included in the study. The number of days since upload, number of views, likes, dislikes, comments and duration of the videos were recorded. A Modified DISCERN tool and the Global Quality Scale (GQS) were used to evaluate the reliability and quality of the videos. Of the 114 analyzed videos, 87.72% were deemed as useful while 12.28% contained misleading information with higher viewership. The most common topic was “gout diet”. The majority of the videos demonstrated high quality (57.89%), followed by intermediate quality (28.95%) while the percentage of low-quality videos was 13.16%. Videos posted by academic institutions/professional organizations and physicians had higher modified DISCERN and GQS scores indicating higher reliability and quality. This study demonstrated that the majority of YouTube videos on gout provide useful information. However, physicians should be aware of the limited nature of YouTube and correct any misinformation during face-to-face meetings. YouTube should consider avoiding misleading videos using validity scales such as modified DISCERN and GQS.