Evaluating YouTube Videos on Facelift Surgery for Facial Rejuvenation as a Resource for Patients

Objectives: This study evaluated the content and patient educational quality of YouTube videos on facelift surgery for facial rejuvenation. This study investigated the relationship between education quality compared to video content, video metrics, and popularity. Methods: Two hundred videos were identified across 4 search terms: “facelift surgery,” “facelift surgery what to expect,” “facelift surgery patient education,” and “what is facelift surgery.” Unrelated videos, operating room recordings, medical professional lectures, non-English, non-audio, and testimonials were excluded from review. Video quality was assessed using the Global Quality Score (GQS) (range: 1-5), modified DISCERN score (range: 5-25), and JAMA Benchmark Criteria (range: 0-4). Secondary outcomes included upload source, video metrics (views, likes, dislikes, duration, days since upload, comments), and Video Power Indexto measure popularity. The first 10 comments on videos were characterized as positive, neutral, or negative. Results: One hundred forty-three videos were excluded (43 did not meet criteria, 100 duplicates), and 57 videos were included. Fifty-five videos (96.5%) were uploaded by private medical practices. Overall video quality was poor across all 3 scoring systems: GQS (2.92 ± 1.14), modified DISCERN (13.03 ± 3.64), and JAMA Benchmark Criteria (1.78 ± 0.52). Popularity positively correlated with JAMA Benchmark Criteria (R = .49, P < .05) but did not correlate with other quality criteria. Conclusions: For patients undergoing facelift surgery, there are limited educational videos on YouTube with few videos detailing indications, alternatives, complications, and the postoperative course. YouTube is a growing resource for patient education and opportunities exist for medical institutions to produce higher-quality videos for prospective patients.

目的：本研究评估了YouTube上有关面部除皱的面部提升手术视频的内容以及对患者的教育质量。本研究还探讨了教育质量与视频内容、视频指标以及受欢迎程度之间的关系。 方法：通过4个搜索词确定了200个视频，这些搜索词分别是：“面部提升手术”、“面部提升手术预期”、“面部提升手术患者教育”以及“什么是面部提升手术”。无关视频、手术室录像、医学专业讲座、非英语、无音频以及推荐视频均被排除在审查范围之外。视频质量通过全球质量评分（GQS）（范围：1 - 5）、改良的DISCERN评分（范围：5 - 25）以及《美国医学会杂志》基准标准（范围：0 - 4）进行评估。次要结果包括上传来源、视频指标（观看次数、点赞数、差评数、时长、自上传以来的天数、评论数）以及视频影响力指数以衡量受欢迎程度。视频的前10条评论被归类为正面、中立或负面。 结果：143个视频被排除（43个不符合标准，100个重复），57个视频被纳入研究。55个视频（96.5%）由私人医疗机构上传。在所有3个评分系统中，视频总体质量较差：GQS（2.92 ± 1.14）、改良的DISCERN（13.03 ± 3.64）以及《美国医学会杂志》基准标准（1.78 ± 0.52）。受欢迎程度与《美国医学会杂志》基准标准呈正相关（R = 0.49，P < 0.05），但与其他质量标准无关。 结论：对于接受面部提升手术的患者来说，YouTube上相关教育视频有限，很少有视频详细介绍适应症、替代方案、并发症以及术后过程。YouTube是一个不断发展的患者教育资源，医疗机构有机会为潜在患者制作更高质量的视频。