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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 吳冠諭 | 網路醫學假新聞知多少——攝護腺肥大手術影片之分析 | 2020/6/30 下午 04:06:51 | 0 |
| 原 文 | 題 目 | Information on surgical treatment of benign prostatic hyperplasia on YouTube is highly biased and misleading. BJU Int 2020; 125: 595–601 |
| 作 者 | Patrick Betschart , Manolis Pratsinis, Gautier Mullhaupt , Roman Rechner, Thomas RW Herrmann , Christian Gratzke , Hans–Peter Schmid, Valentin Zumstein and Dominik Abt | |
| 出 處 | BJU Int 2020; 125: 595–601 | |
| 出版日期 | April, 2020 | |
| 評 論 |
隨著手機和wifi的普及，網路已成為大多數人生活中不可或缺的一部分，根據國外統計，大約有70%的人曾在網路上搜尋健康醫藥的相關資訊。其中，YouTube在全世界有超過19億的使用者，是目前世界使用人口第二多的影音平台。以男性常見的攝護腺肥大為例，在YouTube上有超過12000則攝護腺肥大的相關影片。這些影片內容包含疾病介紹，治療方式，甚至手術畫面。如此龐大的資訊雖然可以幫助社會大眾對於攝護腺肥大有更進一步的認識，但偏差或是片面的資訊也可能造成普羅大眾的誤解，甚至醫病間的爭執。 本篇文章搜尋”攝護腺肥大手術治療”的相關影片，只收錄至少有500名以上觀看者的英文影片，並排除醫院的手術教學影片進行分析。總共有159支影片符合條件被列入研究，觀看者中位數有8570人。影片會由9名泌尿科醫師觀看評分，總共只有21(13.2%)支影片正確無誤，26 (16.4%)支影片沒有暗藏商業訊息，更只有2(1.3%)支影片有告知利益衝突。經由DISCERN 問卷分析發現，大部分影片品質不佳，主要包含錯誤醫療訊息，暗藏商業訊息，或是未揭露利益衝突。這個結果顯示網路醫療資訊雖然可以增加病人對於疾病和治療的認識，但最重要的還是醫病間的溝通。強化醫病溝通，才能獲得正確又符合自身的醫療資訊，避免落入商業資訊的陷阱。 |
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| abstract |
Objectives To assess the quality of videos on the surgical treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH) available on YouTube, given that such video-sharing platforms are frequently used as sources of patient information and the therapeutic landscape of LUTS/BPH has evolved substantially during recent years. Materials and Methods A systematic search for videos on YouTube addressing treatment options for LUTS/BPH was performed in May 2019. Measures assessed included basic data (e.g. number of views), grade of misinformation and reporting of conflicts of interest. The quality of content was analysed using the validated DISCERN questionnaire. Data were analysed using descriptive statistics. Results A total of 159 videos with a median (range) of 8570 (648– 2 384 391) views were included in the analysis. Only 21 videos (13.2%) were rated as containing no misinformation, 26 (16.4%) were free of commercial bias, and two (1.3%) disclosed potential conflicts of interest. According to DISCERN, the median overall quality of the videos was low (2 out of 5 points for question 16). Only four of the 15 assessed categories (bipolar and holmium laser enucleation of the prostate, transurethral resection of the prostate and patient-based search terms) were scored as having moderate median overall quality (3 points). Conclusion Most videos on the surgical treatment of LUTS/BPH on YouTube had a low quality of content, provided misinformation, were subject to commercial bias and did not report on conflicts of interest. These findings emphasize the importance of thorough doctor–patient communication and active recommendation of unbiased patient education materials. |
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