Educational quality of YouTube videos on external versus endoscopic dacryocystorhinostomy surgery

Öz

Objective: To evaluate whether there is a difference in surgical training quality between endoscopic and external dacryocystorhinostomy (DCR) surgery videos on YouTube with the Laparoscopic Surgery Video Training Guide (LAP-VEGaS) video evaluation tool.
Matherial and methods: A comprehensive search was carried out on YouTube, using the following terms “DCR, External dacryocystorhinostomy, Endoscopic dacryocystorhinostomy’’. Videos with 100 or more views were recorded. The number of views, age, number of likes, number of dislikes, number of comments, length, type of surgery, view ratio, like ratio, viewer interaction, and video power index (VPI) were recorded. Two researchers independently assessed the videos for surgery educational quality according to LAP-VEGaS video assessment tool.
Results: After exclusion criteria, 74 out of a total of 108 videos were included in the study (27: external DCR, 47: endoscopic DSR). After the LAP-VEGaS evaluation, 30 (40.5%) of the videos were found to be of high quality and 44 (59.5%) were of low quality. External DCR videos were statistically significantly more high-quality videos than endoscopic videos (p=0.046). The average LAP- VEGaS score of external DCR videos was 10.65±2.98, and the mean LAP-VEGaS score of endoscopic DCR videos was 8.44±3.70, and the difference between them was statistically significant (p=0.009). Videos performed by ophthalmologists are statistically significantly higher quality videos according to LAP- VEGaS video assessment tool analysis (p=0.017). Concerning the selection of low and high quality videos, there was a significant agreement between two observers (kappa score 0.775).
Conclusions: Most of the DCR videos on YouTube are significantly lacking in case presentations, treatment options, and intraoperative and postoperative complications. In the future, we think that evaluating surgical videos on open access platforms such as YouTube with standard guidelines before they are published, and going through a review process may help increase the educational value of video materials.

Anahtar Kelimeler

• YouTube
• external dacryocystorhinostomy
• endoscopic dacryocystorhinostomy
• nasolacrimal duct obstructions
• LAP-VEGaS video assessment tool

Eksternal ve endoskopik dakriyosistorinostomi cerrahisinde YouTube videolarının eğitim kalitesi.

Öz

Amaç: YouTube'daki endoskopik ve eksternal dakriyosistorinostomi (DSR) cerrahi videoları arasında cerrahi eğitim kalitesinde fark olup olmadığını Laparoskopik Cerrahi Video Eğitim Kılavuzu (LAP-VEGaS) video değerlendirme aracı ile değerlendirmek.
Gereç ve yöntem: YouTube'da “DSR, Eksternal Dakriyosistorinostomi, Endoskopik Dakriyosistorinostomi” terimleri kullanılarak kapsamlı bir arama yapıldı. 100 veya daha fazla izlenen videolar kaydedildi. Videoların izlenme sayısı, beğeni sayısı, yorum sayısı, video uzunlukları, ameliyat şekli, ameliyatı yapan cerrah, izlenme oranı, beğenme oranı, izleyici etkileşimi ve video güç indeksi (VPI) kaydedildi. Dakriyosistorinostomi konusunda deneyimli iki araştırmacı, videoları LAP-VEGaS video değerlendirme kılavuzuna göre cerrahi eğitim kalitesi açısından değerlendirdi.
Bulgular: Dışlama kriterlerinden sonra toplam 108 videodan 74'ü çalışmaya dahil edildi (27: Eksternal DSR, 47: Endoskopik DSR). LAP-VEGaS değerlendirmesi sonucunda videoların 30'unun (%40,5) yüksek kaliteli, 44'ünün (%59,5) ise düşük kaliteli videolar olduğu tespit edildi. Eksternal DSR videoları, endoskopik videolardan istatistiksel olarak anlamlı derecede daha yüksek kaliteli videolar idi (p=0,046). Eksternal DSR videolarının ortalama LAP-VEGaS skoru 10,65±2,98, endoskopik DSR videolarının ortalama LAP-VEGaS skoru 8,44±3,70 idi ve aralarındaki fark istatistiksel olarak anlamlıydı (p=0,009). Oftalmologlar tarafından yayınlanan videolar, LAP-VEGaS video değerlendirme aracı analizine göre istatistiksel olarak anlamlı derecede daha kaliteli videolardı(p=0,017). Düşük ve yüksek kaliteli videoların seçimiyle ilgili olarak, iki gözlemci arasında önemli derecede uyum olduğu görüldü (kappa puanı 0,775).
Sonuçlar: YouTube'daki popüler DSR videolarından çoğu sunum, tedavi seçenekleri, intraoperatif ve postoperatif komplikasyonlar açısından önemli ölçüde eksiktir. Gelecekte cerrahi videoların YouTube gibi açık erişim platformlarında yayınlanmadan önce hakem inceleme sürecinden geçirilmesinin videoların eğitsel değerinin artmasına yardımcı olabileceğini düşünmekteyiz.

Anahtar Kelimeler

• YouTube
• eksternal dakriyosistorinostomi
• endoskopik dakriyosistorinostomi
• nazolakrimal kanal tıkanıklıkları
• LAP-VEGaS video değerlendirme aracı.

Kaynakça

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