Urology. 2020 Aug 10. pii: S0090-4295(20)30970-5. [Epub ahead of print]
OBJECTIVE: To evaluate the content, reliability and quality of the most viewed YouTube videos related to testicular self-examination (TSE).METHODS: The terms "testicular self-examination", "testis examination" and "testis exam" were used to search YouTube videos.Of 300 videos, a total of 123 videos were included.They were divided into two groups according to accuracy: useful information (Group 1, n=78, 63.4%) and misleading information (Group 2, n=45, 36.6%).A 5-point modified DISCERN tool was used to assess the reliability,a 5-point Global Quality Score (GQS) was used to evaluate the quality,and a 7-point scale was used to assess the comprehensiveness of the videos.
RESULTS: DISCERN score (median 3, IQR:3-4 vs. median 1, IQR:0-2, p<0.001), GQS (median 4, IQR:4-5 vs. median 1, IQR:1-2, p<0.001) and comprehensiveness score (median 6, IQR:5-6 vs. median 1, IQR:0-2, p<0.001) were higher in Group 1.This group also had higher numbers in terms of total views, views per day and likes.It was seen that universities/professional organizations/non-profit physician/physician groups (23.1%),stand-alone health information websites (21.8%) and testicular cancer survivors (28.2%) uploaded most of the videos in Group 1,whereas the majority in Group 2 were individual users (68.9%).
CONCLUSION: We observed that YouTube videos are of high quality,reliability and rich content in terms of all of the steps related to how TSE should be done. However, since the YouTube search algorithm is not actually sufficient enough, it is not easy and practical for a lay man to find a suitable video by searching for "keyword" in the YouTube list.
Keywords: Internet; YouTube videos; patient education; testicular self-examination; testis cancer