bims-librar Biomed News
on Biomedical librarianship
Issue of 2021–07–25
24 papers selected by
Thomas Krichel, Open Library Society



  1. J Med Libr Assoc. 2021 Apr 01. 109(2): 295-300
       Objective: In regard to locating clinical trials for a systematic review, limited information is available about how librarians locate clinical trials in biomedical databases, including (1) how much information researchers provide librarians to assist with the development of a comprehensive search strategy, (2) which tools librarians turn to for information about study design methodology, and (3) librarians' confidence levels in their knowledge of study design methodology. A survey was developed to explore these aspects of how a medical librarian locates clinical trials when facilitating systematic reviews for researchers.
    Methods: In this cross-sectional study, a 21-question survey was sent to medical librarians via several email listservs during April 2020. Respondents were limited to librarians who make the decisions on search terms for systematic reviews.
    Results: Responses (n=120) indicated that librarians were often asked to search for various types of clinical trials. However, there was not a consistent method for creating search strategies that locate diverse types of clinical trials. Multiple methods were used for search strategy development, with hedges being the most popular method. In general, these librarians considered themselves to be confident in locating trials. Different resources were used to inform study types, including textbooks, articles, library guides and websites.
    Discussion: Medical librarians indicated that while they felt confident in their searching skills, they did not have a definitive source of information about the various types of clinical trials, and their responses demonstrated a clear need and desire for more information on study design methodology.
    Keywords:  clinical trials; study design methodology; survey; systematic reviews
    DOI:  https://doi.org/10.5195/jmla.2021.1144
  2. J Med Libr Assoc. 2021 Apr 01. 109(2): 286-294
       Objective: Research was conducted on the embedded librarian program at The University of Arizona College of Pharmacy and the Health Sciences Library to understand how this service is relevant to users and identify the potential for further improvement. This study examined users' information-seeking behaviors and considered the implications for the effectiveness of the embedded librarian service.
    Methods: The authors conducted 18 semi-structured interviews of faculty, researchers, and students at the College of Pharmacy to obtain descriptive accounts of how they seek information, manage information, and use the library and library services. The authors examined the interview transcripts through qualitative descriptive analysis.
    Results: The interview responses confirm that users seek information outside of the physical library and tend to ask their peers for information or assistance in obtaining information. They mostly feel comfortable in searching, but some of them may lack sufficient search skills and tend to use a few known databases. While those who are familiar with the librarian seek the librarian's assistance more often, others tend not to seek the librarian's assistance. The ways they manage information vary, which requires customized assistance.
    Conclusions: The close proximity of a physically embedded librarian is beneficial to users and positions the librarian to provide proactive assistance in the existing user information-seeking behavior environment. While some users do not seek assistance, the embedded librarian can provide proactive assistance in such areas as making users aware of other database options and helping them choose relevant databases and effectively manage information.
    Keywords:  embedded librarian; information-seeking behavior; pharmacy education
    DOI:  https://doi.org/10.5195/jmla.2021.950
  3. J Med Libr Assoc. 2021 Apr 01. 109(2): 330-335
      Three new librarians highlight their varied pathways into health sciences librarianship and offer insight into how they are navigating the challenges and successes of being new to the profession. The authors define a new health sciences librarian as a person who has fewer than five years of experience in health sciences librarianship specifically, having either recently graduated from library school or entered the health sciences from another type of librarianship. Jamia Williams speaks about her journey from new MLS graduate to health science librarian; Kelsa Bartley details her transition from library professional to health science librarian; and Jahala Simuel shares her experiences moving from academic librarian to health science librarian. This commentary provides strategies, tips, and tricks that new health sciences librarians may use to hone their craft and explore opportunities for professional development.
    Keywords:  health sciences librarianship; mentorship; new health sciences librarians; new librarians; professional development strategies
    DOI:  https://doi.org/10.5195/jmla.2021.1184
  4. J Med Libr Assoc. 2021 Apr 01. 109(2): 311-316
       Background: One-shot library sessions have numerous drawbacks; most notably, they rarely have a long-term impact on students' research behavior or skill sets. Library literature notes that when students interact with an embedded librarian, their skills improve. While close partnerships with subject faculty are important, librarians must also assess students' skill sets to determine the impact of these teaching efforts.
    Case presentation: During the course, the embedded librarian used various activities and assignments to teach information-seeking skills, with the expected outcome of increased skill sets. This IRB-approved research project focused on measuring and assessing students' information-seeking abilities before and after interacting with the embedded nursing librarian. Changes in students' information fluency skills were measured using pre- and post-tests.
    Conclusions: The study results provide evidence of the benefits of the embedded librarianship model. Continued measurement of students' skills acquisition is important to enable librarians and library administrators to show the positive impacts the library has on student learning and success.
    Keywords:  assessment; collaboration; embedded librarian; nursing; undergraduate students
    DOI:  https://doi.org/10.5195/jmla.2021.913
  5. Health Info Libr J. 2021 Jul 23.
       BACKGROUND: Cancer patients may experience stress because of insufficient information about their illness, health condition, or treatment, but some may fear what the information reveals.
    OBJECTIVE: This study aims to determine health information-seeking behaviour, the attitudes of cancer patients, the barriers they face in seeking health information and their sociodemographic and disease characteristics.
    METHODS: A survey was conducted with 84 cancer patients in Turkey. Descriptive statistics were performed to determine the characteristics of information seeking and barriers found.
    RESULTS: Cancer patients are likely to seek health information, often confident about finding resources easily. The main problems are as follows: (1) insufficient information from health care providers; (2) understanding medical terminology; and (3) lack of help from health care providers to explain information retrieved.
    DISCUSSION: The information-seeking behaviour of cancer patients in this sample in Turkey resembles studies elsewhere, with (overall) evidence of monitoring behaviour (wanting to find out more about the disease, treatment and effects on lived experience).
    CONCLUSIONS: The cancer patients in this survey were generally willing and confident in their information seeking to find out more about the disease, treatment and effects on lifestyle. The main barriers were medical terminology, insufficient explanations and information from healthcare providers.
    Keywords:  health information needs; information-seeking behaviour; patient education; patient information; questionnaires
    DOI:  https://doi.org/10.1111/hir.12387
  6. J Med Libr Assoc. 2021 Apr 01. 109(2): 174-200
    PRISMA-S Group
       Background: Literature searches underlie the foundations of systematic reviews and related review types. Yet, the literature searching component of systematic reviews and related review types is often poorly reported. Guidance for literature search reporting has been diverse and, in many cases, does not offer enough detail to authors who need more specific information about reporting search methods and information sources in a clear, reproducible way. This document presents the PRISMA-S (Preferred Reporting Items for Systematic reviews and Meta-Analyses literature search extension) checklist, and explanation and elaboration.
    Methods: The checklist was developed using a three-stage Delphi survey process, followed by a consensus conference and public review process.
    Results: The final checklist includes sixteen reporting items, each of which is detailed with exemplar reporting and rationale.
    Conclusions: The intent of PRISMA-S is to complement the PRISMA Statement and its extensions by providing a checklist that could be used by interdisciplinary authors, editors, and peer reviewers to verify that each component of a search is completely reported and, therefore, reproducible.
    Keywords:  information retrieval; literature search; reporting guidelines; reproducibility; search strategies; systematic reviews
    DOI:  https://doi.org/10.5195/jmla.2021.962
  7. J Med Libr Assoc. 2021 Apr 01. 109(2): 258-266
       Objective: There are no existing validated search filters for the group of 37 Organisation for Economic Co-operation and Development (OECD) countries. This study describes how information specialists from the United Kingdom's National Institute for Health and Care Excellence (NICE) developed and evaluated novel OECD countries' geographic search filters for MEDLINE and Embase (Ovid) to improve literature search effectiveness for evidence about OECD countries.
    Methods: We created the draft filters using an alternative approach to standard filter construction. They are composed entirely of geographic subject headings and are designed to retain OECD country evidence by excluding non-OECD country evidence using the NOT Boolean operator. To evaluate the draft filters' effectiveness, we used MEDLINE and Embase literature searches for three NICE guidelines that retrieved >5,000 search results. A 10% sample of the excluded references was screened to check that OECD country evidence was not inadvertently excluded.
    Results: The draft MEDLINE filter reduced results for each NICE guideline by 9.5% to 12.9%. In Embase, search results were reduced by 10.7% to 14%. Of the sample references, 7 of 910 (0.8%) were excluded inadvertently. These references were from a guideline about looked-after minors that concerns both OECD and non-OECD countries.
    Conclusion: The draft filters look promising-they reduced search result volumes while retaining most OECD country evidence from MEDLINE and Embase. However, we advise caution when using them in topics about both non-OECD and OECD countries. We have created final versions of the search filters and will validate them in a future study.
    Keywords:  Embase; Geography; MEDLINE; literature searching; search filter
    DOI:  https://doi.org/10.5195/jmla.2021.978
  8. Health Informatics J. 2021 Jul-Sep;27(3):27(3): 14604582211024708
      Patients' online access to their EHR together with the rapid proliferation of medical information on the Internet has changed how patients use information to learn about their health. Patients' tendency to turn to the Internet to find information about their health and care is well-documented. However, little is known about patients' information seeking behavior when using online EHRs. By using information horizons as an analytical tool this paper aims to investigate the information behavior of cancer patients who have chosen to view their EHRs (readers) and to those who have not made that option (non-readers). Thirty interviews were conducted with patients. Based on information horizons, it seems that non-reading is associated with living in a narrower information world in comparison to readers. The findings do not suggest that the smallness would be a result of active avoidance of information, or that it would be counterproductive for the patients. The findings suggest, however, that EHRs would benefit from comprehensive linking to authoritative health information sources to help users to understand their contents. In parallel, healthcare professionals should be more aware of their personal role as a key source of health information to those who choose not to read their EHRs.
    Keywords:  Electronic healthcare records; health information; information behavior; information horizons; patients
    DOI:  https://doi.org/10.1177/14604582211024708
  9. J Med Libr Assoc. 2021 Apr 01. 109(2): 267-274
       Objective: In 2018, the Network of the National Libraries of Medicine (NNLM) launched a sponsorship program to support public library staff in completing the Medical Library Association's Consumer Health Information Specialization (CHIS). The objectives of our study were to: (1) determine whether completion of the sponsored specialization improved ability to provide consumer health information; (2) identify new health information services, programming, and outreach activities at public libraries; (3) investigate benefits of the specialization; and (4) determine the impact of sponsorship on obtaining and continuing the specialization.
    Methods: We used REDCap to administer a 16-question survey in August 2019 to 224 public library staff who were sponsored during the first year of the program. We measured competence in providing consumer health information aligned with the eight Core Competencies for Providing Consumer Health Information Services [1] as well as new activities at public libraries, benefits of the specialization to public library staff, career gains, and the likelihood of continuing the specialization based on funding.
    Results: More than 80% of 136 participants reported an increase in core consumer health competencies, with a statistically significant improvement in mean competency scores after completing the specialization. Ninety percent of participants have continued their engagement with NNLM, and more than half offered new health information programs and services. While more than half planned to renew the specialization or obtain the Level II specialization, 72% indicated they would not continue without NNLM sponsorship.
    Conclusions: Findings indicate that NNLM sponsorship of the CHIS specialization was successful in increasing the capacity of public library staff to provide health information to their communities.
    Keywords:  consumer health; continuing education; public libraries
    DOI:  https://doi.org/10.5195/jmla.2021.970
  10. J Med Libr Assoc. 2021 Apr 01. 109(2): 323-329
       Background: In 2015, librarians at Purdue University began fielding requests from many disciplines to consult or collaborate on systematic review projects, and in 2016, health sciences librarians led the launch of a formal systematic review service. In 2019, Purdue University Libraries was reorganized as the Libraries and School of Information Studies (PULSIS) and assigned its own course designation, ILS. The increase in calls for systematic review services and the ability to teach ILS courses inspired the development of a credit-bearing ILS systematic review course.
    Case presentation: We designed, taught, and assessed a one-credit systematic review course for graduate students, using a backward-design course development model and applying self-determination theoretical concepts into lessons, assignments, and assessments. Using qualitative pre- and post-assessments, we discovered a variety of themes around student motivations, expectations, and preferences for the course. In quantitative post-class assessments, students reported improved confidence in all systematic review processes, with the highest confidence in their ability to choose and use citation management managers, describe the steps in the systematic review process, and understand the importance of a reproducible and systematic search strategy.
    Conclusions: We considered our pilot a success. Next steps include testing 2- and 3-credit- hour models and working to formally integrate the course into departmental and certificate curriculums. This case report provides a model for course design principles, learning outcomes, and assessments that librarians and library administrators can use to adjust their systematic review services.
    Keywords:  faculty librarians; instruction; student-centered learning; systematic review
    DOI:  https://doi.org/10.5195/jmla.2021.1073
  11. J Med Libr Assoc. 2021 Apr 01. 109(2): 317-322
       Background: While writing a scoping review, we needed to update our search strategy. We wanted to capture articles generated by our additional search terms and articles published since our original search. Simultaneously, we strove to optimize project resources by not rescreening articles that had been captured in our original results.
    Case presentation: In response, we created Open Update Re-run Deduplicate (OUR2D2), a computer application that allows the user to compare search results from a variety of library databases. OUR2D2 supports extensible markup language (XML) files from EndNote and comma-separated values (CSV) files using article titles for comparisons. We conducted unit tests to ensure appropriate functionality as well as accurate data extraction and analysis. We tested OUR2D2 by comparing original and updated search results from PubMed, Embase, Clarivate Web of Science, CINAHL, Scopus, ProQuest Dissertation and Theses, and Lens and estimate that this application saved twenty-one hours of work during the screening process.
    Conclusions: OUR2D2 could be useful for individuals seeking to update literature review strategies across fields without rescreening articles from previous searches. Because the OUR2D2 source code is freely available with a permissive license, we recommend this application for researchers conducting literature reviews who need to update their search results over time, want a powerful and flexible analysis framework, and may not have access to paid subscription tools.
    Keywords:  collaborative work; literature search; open access
    DOI:  https://doi.org/10.5195/jmla.2021.1105
  12. J Med Libr Assoc. 2021 Apr 01. 109(2): 167-173
      The Journal of the Medical Library Association (JMLA) recently issued a call for submissions that recognize and address social injustices; speak to diversity, equity, and inclusion in our workforce and among our user populations; and share critical perspectives on health sciences librarianship as well as those on any topic within JMLA's scope written by authors who are Black, Indigenous, or People of Color. We also committed to creating more equitable opportunities for authors, reviewers, and editorial board members from marginalized groups. As part of this effort, we conducted a demographic survey of all individuals who served as a member of the JMLA editorial board or reviewer or had submitted a manuscript to JMLA between 2018 and 2020. We found that most survey respondents are white, heterosexual, women and do not identify with a disability, meaning that JMLA is missing out on a diversity of perspectives and life experiences that could improve the journal's processes and policies, enrich its content, and accelerate the research and practice of health sciences librarianship. Therefore, to avoid perpetuating or aggravating systemic biases and power structures in scholarly publishing or health sciences librarianship, we pledge to take concrete steps toward making JMLA a more diverse and inclusive journal.
    DOI:  https://doi.org/10.5195/jmla.2021.1216
  13. J Med Libr Assoc. 2021 Apr 01. 109(2): 201-211
       Objective: The decisions and processes that may compose a systematic search strategy have not been formally identified and categorized. This study aimed to (1) identify all decisions that could be made and processes that could be used in a systematic search strategy and (2) create a hierarchical framework of those decisions and processes.
    Methods: The literature was searched for documents or guides on conducting a literature search for a systematic review or other evidence synthesis. The decisions or processes for locating studies were extracted from eligible documents and categorized into a structured hierarchical framework. Feedback from experts was sought to revise the framework. The framework was revised iteratively and tested using recently published literature on systematic searching.
    Results: Guidance documents were identified from expert organizations and a search of the literature and Internet. Data were extracted from 74 eligible documents to form the initial framework. The framework was revised based on feedback from 9 search experts and further review and testing by the authors. The hierarchical framework consists of 119 decisions or processes sorted into 17 categories and arranged under 5 topics. These topics are "Skill of the searcher," "Selecting information to identify," "Searching the literature electronically," "Other ways to identify studies," and "Updating the systematic review."
    Conclusions: The work identifies and classifies the decisions and processes used in systematic searching. Future work can now focus on assessing and prioritizing research on the best methods for successfully identifying all eligible studies for a systematic review.
    Keywords:  evidence identification; evidence synthesis; systematic reviews; systematic searching
    DOI:  https://doi.org/10.5195/jmla.2021.1086
  14. Health Info Libr J. 2021 Jul 23.
       BACKGROUND: The majority of the US population have poor knowledge of cancers related to human papillomavirus (HPV). Identifying best sources for communicating this information can guide strategies to promote HPV vaccination.
    OBJECTIVES: To assess the relationship between sources of health information and individuals' knowledge of HPV-related cervical and oropharyngeal cancer.
    METHODS: This study conducts logistic regression on the most recent wave (2019) of the Health Information National Trends Survey. Dependent variables are indicators for self-reported awareness that HPV causes (a) cervical cancer and (b) oropharyngeal cancer. The primary indicator is a variable for different sources of health information: The Internet, professional sources, print materials, friends/family and never looked for health information.
    RESULTS: Being female, young, non-Hispanic White and having college education is associated with higher odds of knowing about HPV-related cervical cancer. Controlling for demographic factors, individuals using professionals and the Internet are more likely to know that HPV causes cervical cancer (aOR: 2.65, 95% CI: 1.66, 4.25; aOR: 2.47, 95% CI: 1.75, 3.50, respectively) compared to those who have never looked for health information. Similar results were found for HPV-related oropharyngeal cancer.
    CONCLUSION: Findings provide implications for targeted messaging through effective channels to improve HPV vaccination uptake.
    Keywords:  health literacy; information seeking behaviour; patient education; patient information; public health
    DOI:  https://doi.org/10.1111/hir.12393
  15. J Med Libr Assoc. 2021 Apr 01. 109(2): 212-218
       Objective: The purpose of this study was to compare pharmacy students' ability to correctly answer drug information questions using Micromedex with Watson, Micromedex without Watson, or Google.
    Methods: This multicenter randomized trial compared pharmacy student responses to drug information questions using Micromedex with Watson, Micromedex without Watson, or Google from January to March of 2020. First- to fourth-year pharmacy students at two institutions were included. The primary outcome was the number of correct answers. Secondary outcomes were the time taken to answer the questions and differences in number of correct answers by pharmacy student year and institution.
    Results: The analysis included 162 participants: 52 students in the Micromedex group, 51 students in the Watson group, and 59 students in the Google group. There was a significant difference among groups in the total number of questions answered correctly (p=0.02). Post-hoc analysis revealed that participants in the Micromedex group answered more questions correctly than those in the Google group (p=0.015). There were no significant differences between Micromedex and Watson groups (p=0.52) or between Watson and Google groups (p=0.22). There was also no difference in time to complete the questions among groups (p=0.72).
    Conclusion: Utilizing Google did not save students time and led to more incorrect answers. These findings suggest that health care educators and health sciences librarians should further reinforce training on the appropriate use of drug information resources.
    Keywords:  information storage and retrieval; internet; medical informatics; pharmacy student
    DOI:  https://doi.org/10.5195/jmla.2021.1085
  16. J Med Libr Assoc. 2021 Apr 01. 109(2): 240-247
       Objective: This study was intended to (1) provide clinical trial data-sharing platform designers with insight into users' experiences when attempting to evaluate and access datasets, (2) spark conversations about improving the transparency and discoverability of clinical trial data, and (3) provide a partial view of the current information-sharing landscape for clinical trials.
    Methods: We evaluated preview information provided for 10 datasets in each of 7 clinical trial data-sharing platforms between February and April 2019. Specifically, we evaluated the platforms in terms of the extent to which we found (1) preview information about the dataset, (2) trial information on ClinicalTrials.gov and other external websites, and (3) evidence of the existence of trial protocols and data dictionaries.
    Results: All seven platforms provided data previews. Three platforms provided information on data file format (e.g., CSV, SAS file). Three allowed batch downloads of datasets (i.e., downloading multiple datasets with a single request), whereas four required separate requests for each dataset. All but one platform linked to ClinicalTrials.gov records, but only one platform had ClinicalTrails.gov records that linked back to the platform. Three platforms consistently linked to external websites and primary publications. Four platforms provided evidence of the presence of a protocol, and six platforms provided evidence of the presence of data dictionaries.
    Conclusions: More work is needed to improve the discoverability, transparency, and utility of information on clinical trial data-sharing platforms. Increasing the amount of dataset preview information available to users could considerably improve the discoverability and utility of clinical trial data.
    Keywords:  clinical trials; data sharing; data-sharing platforms
    DOI:  https://doi.org/10.5195/jmla.2021.992
  17. J Pharm Pract. 2021 Jul 17. 8971900211033120
      Background: To augment traditional sources of health information at a time of reduced accessibility, a free online telepharmacy service was developed during the COVID-19 pandemic. Objectives: This study details the process of developing and operating an online telepharmacy service, analyzes its usage, and assesses users' health information-seeking patterns. Methods: The service utilized various platforms for receiving and processing queries, communication, and promotion. Submissions received from March 20 to May 31, 2020 were processed for analysis. Parameters analyzed were time patterns of query submission, response time, service feedback, user and patient demographics, and subjects of inquiry. Results: A total of 271 queries were analyzed. Query frequency decreased over time, consistent with relaxation of quarantine restrictions and increasing availability of information. Peak hours of query influx were outside typical business hours. The majority of users were from the general public (93.8%) and preferred to receive responses through text (61.2%). The majority of users from the general public belonged to the 15- to 25-year-old age group (41.1%) and sought information for oneself. Most submissions mentioned COVID-related topics. From the general public, there was greatest interest in drug indications and vitamins, supplements, and herbal products, and from healthcare professionals, in drug procurement. Users who provided feedback (n = 12) all expressed satisfaction with the service and the information they received. Conclusion: Transition to the "new normal" entails adopting alternative platforms to augment traditional sources of health information. An online telepharmacy service may be utilized to provide and clarify medication information as part of primary care.
    Keywords:  COVID-19; drug information service; health information; primary health care; telehealth
    DOI:  https://doi.org/10.1177/08971900211033120
  18. J Med Libr Assoc. 2021 Apr 01. 109(2): 336-338
      Recent global events have underscored the need for broad access to digitized library special collections. At the same time, a burgeoning field of scientific and historical inquiry is finding a goldmine of data in the physical old books and manuscripts stored for centuries on library shelves. This article gives an overview of some of the interesting studies employing library materials in the new field of biocodicology, which expands the field of codicology (learning about book history through studying a copy's physical attributes, sometimes referred to as "archaeology of the book") to interrogate physical books with proteomic, genomic, and microbiomic tools. Historical health sciences collections provide rich, new research avenues for budding biocodicologists, and biocodicology and other interdisciplinary fields focused on material culture present an unforeseen justification for institutions' continued preservation and access to individual physical copies.
    Keywords:  biocodicology; history; rare books
    DOI:  https://doi.org/10.5195/jmla.2021.1080
  19. J Med Libr Assoc. 2021 Apr 01. 109(2): 275-285
       Objective: We aimed to determine overlaps and optimal combination of multiple database retrieval and citation tracking for evidence synthesis, based on a previously conducted scoping review on facilitators and barriers to implementing nurse-led interventions in dementia care.
    Methods: In our 2019 scoping review, we performed a comprehensive literature search in eight databases (CENTRAL, CINAHL, Embase, Emcare, MEDLINE, Ovid Nursing Database, PsycINFO, and Web of Science Core Collection) and used citation tracking. We retrospectively analyzed the coverage and overlap of 10,527 retrieved studies published between 2015 and 2019. To analyze database overlap, we used cross tables and multiple correspondence analysis (MCA).
    Results: Of the retrieved studies, 6,944 were duplicates and 3,583 were unique references. Using our search strategies, considerable overlaps can be found in some databases, such as between MEDLINE and Web of Science Core Collection or between CINAHL, Emcare, and PsycINFO. Searching MEDLINE, CINAHL, and Web of Science Core Collection and using citation tracking were necessary to retrieve all included studies of our scoping review.
    Conclusions: Our results can contribute to enhancing future search practice related to database selection in dementia care research. However, due to limited generalizability, researchers and librarians should carefully choose databases based on the research question. More research on optimal database retrieval in dementia care research is required for the development of methodological standards.
    Keywords:  database; dementia; evidence-based nursing; implementation science; literature searching
    DOI:  https://doi.org/10.5195/jmla.2021.1129
  20. Aesthet Surg J. 2021 Jul 23. pii: sjab291. [Epub ahead of print]
       BACKGROUND: TikTok is one of the most popular and fastest growing social media apps in the world. Previous studies have analyzed the quality of patient education information on older video platforms, but the quality of plastic and cosmetic surgery videos on TikTok has not yet been determined.
    OBJECTIVES: To analyze the source and quality of certain cosmetic procedure videos on TikTok.
    METHODS: The TikTok mobile application was queried for content related to two popular face procedures (rhinoplasty and blepharoplasty) and two body procedures (breast augmentation and abdominoplasty). Two independent reviewers analyzed video content according to the DISCERN scale, a validated, objective criteria that assesses the quality of information on a scale of 1-5. Quality scores were compared between videos produced by medical and nonmedical creators and between different content categories.
    RESULTS: There were 4.8 billion views and 76.2 million likes across included videos. Videos were created by MDs (56%) and laypersons (44%). Overall average DISCERN score out of 5 corresponded to very poor video quality for rhinoplasty (1.55), blepharoplasty (1.44), breast augmentation (1.25) and abdominoplasty (1.29). DISCERN scores were significantly higher among videos produced by MDs than by laypersons for all surgeries. Comedy videos consistently had the lowest average DISCERN scores, while educational videos had the highest.
    CONCLUSIONS: It is increasingly important that medical professionals understand the possibility of patient misinformation in the age of social media. We encourage medical providers to be involved in creating quality information on TikTok and educate patients about misinformation to best support health literacy.
    DOI:  https://doi.org/10.1093/asj/sjab291
  21. Dent Traumatol. 2021 Jul 21.
       BACKGROUND/AIM: Traumatic dental injuries are a common health problem in children. The aim of this study was to evaluate the quality of the video contents on YouTube™ regarding traumatic dental injuries in children taking into account the information of IADT, and to analyze whether it is useful for patients and dentists.
    MATERIAL AND METHODS: A search was performed on YouTube™ using the search term "trauma in pediatric dentistry" with the default filter set to "sort by relevance". Based on this search, 127 videos were included. Demographic data such as the source, type, duration, upload date, number of likes and dislikes, interaction index, and viewing rate of the videos were recorded. Using a 23-point scale for video content analysis, they were classified into groups as low, moderate, and high content.
    RESULTS: A total of 127 videos were analyzed. Most of the videos were uploaded by healthcare professionals (n = 90; 70.8%). The average length of the videos was 16.4 min (range: 0.6-122.9 min; median: 7.8). The average number of views of each video was 3702.9 views (range: 4-87 103). The average interaction index (views/day) was 2.4 views (range: 0.00-19.5). The average viewing rate was 522.3 (range: 1.8-6381.2). The average number of "likes" was 45.0 (range: 0-619) and the average number of "dislikes" was 2.1 (range: 0-81). The mean number of days since the uploading of the video was 772.8 days (range: 23-3805). Most of the videos (94.4%, n = 120) were educational videos and 27 (21.2%), 40 (31.4%), and 60 (47.2%) were classified as high-content, moderate-content, and low-content groups, respectively.
    CONCLUSIONS: YouTube™ videos can be a useful resource for dental trauma in children. However, there is a need to improve the quality of YouTube™ videos uploaded by oral health professionals.
    Keywords:  YouTube™; dental trauma; pediatric dentistry
    DOI:  https://doi.org/10.1111/edt.12708
  22. Urol Int. 2021 Jul 21. 1-7
       INTRODUCTION: Patients nowadays often search video-sharing platforms for online patient education materials. Since previous assessments of urological videos were limited to English, we systematically assessed the quality of videos on treatment of benign prostatic hyperplasia (BPH), prostate cancer (PCa), and urinary stone disease (USD) in 4 different languages on YouTube using validated instruments.
    METHODS: The search for videos on YouTube addressing treatment options of BPH, PCa, and USD was performed in October 2020 in -English, French, German, and Italian. Assessed parameters included basic data (e.g., number of views), grade of misinformation, and reporting of conflicts of interest. Quality of content was analyzed using the validated DISCERN questionnaire. Data were analyzed using descriptive statistics.
    RESULTS: A total of 240 videos (60 videos in each language) were analyzed. Videos on USD in English had the highest number of views (median views 271,878 [65,313-2,513,007]). The median overall quality of videos assessed showed a moderate quality (2.5-3.4 points out of 5 points for DISCERN item 16). Median total DISCERN score of all videos divided by language showed very similar results: English (39.75 points), French (38 points), German (39.5 points), and Italian (39 points). Comparing the different diseases, videos about BPH showed the highest median scores, especially in German language (median score 43.25 points).
    CONCLUSIONS: Videos concerning the treatment of BPH, PCa, and USD have a low to moderate quality of content, with no differences seen between the languages assessed. These findings further support the notion of improved patient information materials on video platforms such as YouTube.
    Keywords:  Benign prostatic syndrome; Patient information; Prostate cancer; Stone disease; YouTube
    DOI:  https://doi.org/10.1159/000517292