Smear Sonucu ‘Önemi Belirlenemeyen Atipik Skuamöz Hücreler (ASC-US)’ Olarak Raporlanan Hastalar İçin Youtube Yeterli ve Güvenilir Bir Bilgi Kaynağı mı?

Year 2025, Volume: 11 Issue: 3, 349 - 356, 29.09.2025

Gizem Ay Haldız

https://doi.org/10.53394/akd.1514840

Abstract

Amaç: ‘Önemi belirlenemeyen atipik skuamöz hücreler (ASC-US)’ servikal smear incelemelerinde en sık raporlanan anormalliktir. Rutin kontrol amaçlı smear testi veren, ancak smear sonucunda ASC-US yazdığını gören ve tedirgin olan hastalar bilgi edinmek için sıklıkla internete başvururlar. Bu çalışmada YouTube’un ASC-US'lu hastalar için yeterli ve güvenilir bir bilgi kaynağı olup olmadığını değerlendirmeyi amaçladık.
Yöntem: Nisan 2024 tarihinde YouTube'da ‘Önemi belirlenemeyen atipik skuamöz hücreler’, ‘ASC-US’ ve ‘ASCUS’ terimleri kullanılarak yapılan aramalarda çıkan Türkçe dilindeki videolar değerlendirilmiştir. Değerlendirmede çalışma için oluşturulan içerik kriterleri (0-18 puan), doğruluk ve güvenilirliği değerlendiren Journal of American Medical Association (JAMA) kriterleri (0-4 puan) ile modifiye DISCERN kriterleri (0-5 puan) kullanılmıştır. İzleyiciye ASC-US’un anlamını açıklayan, altta yatan premalign ve malign lezyon olma ihtimalinin düşüklüğünden, HPV testinin gerekliliğinden, izlenebilecek tanı ve tedavi prosedürlerinden bahseden videolar temel yeterlilikte kabul edilmiştir.
Bulgular: Dahil olma ve dışlanma kriterlerini karşılayan 25 video değerlendirilmiştir. Videoların tamamında konuşmacı hekimdir. İçerik kriterlerine göre puanlar 4-17 arasında olup ortalaması 9,04’tür. JAMA kriterlerine göre puanlar 0-2 arasında olup ortalaması 0,96’dır. Modifiye DISCERN kriterlerine göre puanlar 1-3 arasında olup ortalaması 2,16’dır. Yalnızca dört video temel yeterliliktedir.
Sonuç: Paylaşımlar hekimler tarafından anlatılan doğru içeriğe sahip videolar olsada hastalara yeterli bilgi sağlama ve hastaların endişelerini giderme konusunda yetersiz kalmıştır. Ayrıca güvenilirlikleri zayıf-orta düzeydedir.

Keywords

ASC-US , ASCUS , Önemi Belirlenemeyen Atipik Skuamöz Hücreler , Pap Smear , Pap Test , Papanicolaou Smear , HPV

Ethical Statement

Çalışmada herkesin izleyebileceği YouTube videoları, genel kullanıma açık JAMA ve modifiye DISCERN kriterleri kullanıldığı için literatürde yer alan benzer çalışmalarda olduğu gibi etik kurul onayı alınmamıştır.

Is Youtube an Adequate and Reliable Source of Information for Patients with 'Atypical Squamous Cells of Undetermined Significance (ASC-US)' In Smear?

Abstract

Objective: 'Atypical squamous cells of undetermined significance (ASC-US)' is the most frequently reported abnormality in cervical smear examinations. Patients who undergo a smear for routine control, but see that the smear result says ASC-US and become anxious, often turn to the internet to get information. We aimed to evaluate whether YouTube is an adequate and reliable source of information for patients with ASC-US.
Material and Methods: Videos in the Turkish language that appeared in searches using the terms ‘Önemi belirlenemeyen atipik skuamöz hücreler’, ‘ASC-US’, or ‘ASCUS’ on YouTube in April 2024 were evaluated. In the evaluation, content criteria created for the study (0-18 points), Journal of American Medical Association (JAMA) criteria (0-4 points) and modified DISCERN criteria (0-5 points), were used. Videos that explain to the viewer the meaning of ASC-US, the low likelihood of an underlying premalignant and malignant lesion, the necessity of HPV testing, the diagnostic and treatment procedures that can be followed were considered sufficient.
Results: Twenty five videos that met the inclusion and exclusion criteria were reviewed. The speakers in all of the videos were physicians. According to the content criteria, the scores were between 4-17 and the mean was 9,04. According to JAMA criteria, the scores were between 0-2 and the mean was 0,96. According to the modified DISCERN criteria, the scores were between 1-3 and the mean was 2,16. Only four videos were basically sufficient.
Conclusion: Although the videos were explained by physicians and contained correct information, they were insufficient in providing patients with adequate information and alleviating their concerns. Moreover, their reliability was poor to moderate.

Keywords

ASC-US , ASCUS , Atypical Squamous Cells of Undetermined , Significance , Pap Smear , Pap Test , Papanicolaou Smear , HPV

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