Abdomen 2015; 2: e953. doi: 10.14800/Abdomen.953; © 2015 by Nancy Gupta, et al.
http://www.smartscitech.com/index.php/Abdomen
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Quality assessment of YouTube videos as a source of
information on Colonoscopy
Nancy Gupta
1
, Gurpratap Sandhu
2
, Arun Aggarwal
3
, Harkirat Singh
4
, Forman Leanne
1
1
Department of Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY
2
Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
3
Department of Medicine, Division of Gastroenterology, Wright State University, Dayton, Ohio
4
Department of Gastroenterology and Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA
Correspondence: Nancy Gupta
E-mail: drnancygupta87@gmail.com
Received: August 08, 2015
Published online: September 02, 2015
Background: Wide variability exists in quality of health related information posted across social media. You Tube is
the most frequently visited site for video informatics. In this study we assessed the quality of information available on
YouTube regarding colonoscopy. Methods: The YouTube search engine was queried on Oct 21, 2014 under the term
“Colonoscopy”. Analysis was restricted to English language, medical videos of first 10 pages of search results,
generating a total of 186 videos. Videos were classified into 8 categories: intra-procedure videos, patient education,
healthcare provider education, patient testimonial, public awareness, post colonoscopy patient videos, patients having
colonoscopy and unrelated videos. Number of views and viewer ratings were noted. Results: Of the 186 videos
reviewed: 41 were intra-procedure videos, 34 were patient education, 27 related to health care provider education, 24
were patient testimonials, 22 aimed at raising public awareness, 15 were post colonoscopy videos, 3 videos depicted
patients undergoing colonoscopy and 20 unrelated. The maximum number of views was generated for intra-procedure
videos followed by the videos of patients undergoing colonoscopy, although this category only had 3 videos. The ratio
of likes over dislikes was highest for patient testimonials. Conclusion: Patients searching for information regarding
colonoscopy on YouTube will be presented with a sizeable, overall poor quality and non peer reviewed content. The
study highlights the need on YouTube for evidence based, easy to understand videos addressing various aspects of
colonoscopy, possibly sponsored by professional medical societies.
Keywords: YouTube; colonoscopy; education; internet; social media; e-health
To cite this article: Nancy Gupta, et al. Quality assessment of YouTube videos as a source of information on Colonoscopy.
Abdomen 2015; 2: e953. doi: 10.14800/Abdomen.953.
Introduction
Colorectal Cancer (CRC) is the third most common cancer
and second major cause of cancer related mortality and death
in the United States
[1]
. CRC is the perfect example of
multistage development
[2]
, where it progresses through the
stage of polyp, adenoma and carcinoma before it finally
metastasizes. Precancerous polyps and colorectal cancer are
usually asymptomatic during the initial stages, making
screening colonoscopy an essential tool to detect colorectal
cancer while it is still confined to the colon. If caught in the
initial stages, colorectal cancer has a potential for cure.
Colonoscopy permits endoscopic evaluation of the entire
colorectum. Besides being used as a screening tool,
therapeutic procedures like polypectomies can be performed
during the baseline procedure. While Colonoscopy is
recommended by both the United States Preventative
Services Task Force and the American College of
Gastroenterology, the rate of colorectal cancer screening by
colonoscopy remains less than optimal. One of the reasons
RESEARCH ARTICLE