bims-librar Biomed News
on Biomedical librarianship
Issue of 2022–08–07
thirteen papers selected by
Thomas Krichel, Open Library Society
  1. Factors Affecting the Use of Medical Articles for Citation and Academic Reference.
  2. A Sisyphean Task for Residents: Preparing Literature Reviews About Adverse Events Presented at Morbidity and Mortality Conferences.
  3. Wanted! Health information students & early career health information workers new to writing for publication.
  4. [Is the internet a reliable source of information for patients eligible for breast reconstruction by DIEP flap?]
  5. Content and Quality of Online Videos About Ostomy Pouch Changes: A Descriptive Study.
  6. Online information in Spanish on probiotics, yoghurt, kefir, kombucha, fibre and prebiotics: an analysis of the quality of information and the certainty of the evidence supporting health claims.
  7. Does YouTube Provide Qualified Patient Education Videos About Atrial Fibrillation?
  8. Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok.
  9. Social media may cause emergent SARMs abuse by athletes: a content quality analysis of the most popular YouTube videos.
  10. Readability Assessment of Online Peripheral Artery Disease Education Materials.
  11. An evaluation of readability and understandability of online education materials for breast cancer survivors.
  12. Health information seeking in the digital age: a national survey of women with disabilities.
  13. Mental health-related internet use by people with a diagnosis of chronic psychiatric disorder, attending community mental health centres.
  1. Adv Med Educ Pract. 2022 ;13 755-763
    Factors Affecting the Use of Medical Articles for Citation and Academic Reference.
    Ian Wiens, Angela Ramjiawan, Julia Wiens, Kevin Fung, Malcolm Gooi, Patrick Gooi, Amanda Hu, Darren Leitao, Lily H P Nguyen, Adrian Gooi.
       Introduction: Increases in publication quantity and the onset of open access have increased the complexity of conducting a literature search. Bibliometric markers, like impact factor (IF), have traditionally been used to help identify high-quality research. These markers exist amongst a variety of other factors, which poses the following question: what factors are examined when considering articles for clinical and academic research?
    Objective: To determine what factors are involved when authors choose citations to include in their publications.
    Methods: A voluntary and anonymous questionnaire-based survey was distributed to medical students, residents, and faculty from multiple medical schools across Canada during the 2020/2021 academic year. Survey ratings were scored on a 5-point Likert scale and open word response.
    Results: The study collected 156 complete sets of responses including 78 trainees (61 medical students and 17 residents), and 78 faculty. Language of the article (3.93) and availability on PubMed/Medline (3.77) were found more important than country of origin (2.14), institution (2.26), and IF (2.97). Trainees found the following factors more important than faculty: year of publication (3.94 vs 3.47, p = 0.0016), availability on Google/Google Scholar (2.51 vs 1.88, p = 0.0013), Open-access (2.46 vs 1.87, p = 0.0011), and Free access (2.73 vs 2.31, p = 0.049).
    Conclusion: Our study identified differences in faculty and trainee literature search preferences, bias towards English language publications, and the movement towards online literature sources. This knowledge provides insight into what biases individuals may be exposed to based on their language and literature search preferences. Future areas of research include how trainees' opinions change over time, identifying trainee ability to recognize predatory journals, and the need for better online journal article translators to mitigate the language bias. We believe this will lead to higher quality evidence and optimal patient care amongst healthcare workers.
    Keywords:  evidence based medicine; medical education; research methodology; research priorities
    DOI:  https://doi.org/10.2147/AMEP.S355465
  2. J Surg Educ. 2022 Jul 31. pii: S1931-7204(22)00170-2. [Epub ahead of print]
    A Sisyphean Task for Residents: Preparing Literature Reviews About Adverse Events Presented at Morbidity and Mortality Conferences.
    Alexandros N Flaris, Christopher J Carnabatu, Alison Smith, Eric R Simms, John W Baker, Rebecca Schroll, Mary Killackey, Emad Kandil.
       OBJECTIVE: Surgery Morbidity and Mortality (M&M) presentations include a thorough literature review. This requires a significant amount of time expenditure frequently incompatible with the current surgical resident work hours. Additionally, literature reviews can be redundant for commonly encountered adverse events. The goal of this study was to explore (a) how surgery residents perform literature reviews, and (b) how repetitive presented adverse events are.
    DESIGN: A survey was sent out during the academic year 2019-2020. The Morbidity and Mortality repository for that academic year was indexed, and the proportion of adverse events having occurred more than once calculated. The amount of time spent on literature reviews, proportion of repetitive adverse events as well as degree of thoroughness of reviews was evaluated on a 1 to 5 Likert scale.
    SETTING: Tulane University General Surgery program, New Orleans, LA, USA.
    PARTICIPANTS: All clinically active residents.
    RESULTS: All residents, filled out the survey. Seventeen out of 29 (58.6%) residents reported dedicating approximately one hour performing literature reviews. Median studying time was 1 hour (interquartile range: 1-1.5 hours). Seventeen out of 29 (58.6%) residents employed 2 resources. The most common combination of resources was PubMed and Google (11/29, 37.9%). Most residents (21/29, 72.4%) believed that their thoroughness was at most average (≤3/5 on a Likert scale) and 27/29 (93.1%) believed that their literature review could have been more thorough. More than half of the adverse events presented were found to be redundant during that academic year.
    CONCLUSIONS: Time spent reviewing the literature does not allow for a thorough review, and a significant portion of adverse events presented are redundant. A central repository for literature reviews of adverse events would improve the quality of reviews and avoid duplicating efforts.
    Keywords:  Complication; Redundancy; Repetitiveness; Surgical education; Trainee
    DOI:  https://doi.org/10.1016/j.jsurg.2022.07.010
  3. Health Info Libr J. 2022 Aug 03.
    Wanted! Health information students & early career health information workers new to writing for publication.
    Frances Johnson.
      Invitation to health information students and early career health information workers new to writing for publication to share evaluations of existing services or investigations into service improvement.
    Keywords:  dissemination; dissertations; evaluation; information services; research and development
    DOI:  https://doi.org/10.1111/hir.12455
  4. Ann Chir Plast Esthet. 2022 Jul 28. pii: S0294-1260(22)00105-4. [Epub ahead of print]
    [Is the internet a reliable source of information for patients eligible for breast reconstruction by DIEP flap?]
    R Dubian, M El Ayoubi, S Niddam, C Jaloux, C Philandianos, D Casanova.
       INTRODUCTION: Informing breast reconstruction patients is a major factor in shared medical decision-making. In the light of the development of multimedia, patients face a paradoxical duality: the possibility of consulting various sources while having impression of a lacking the needed information. The objective of this study is to assess the quality of the available information around MR by DIEP on Youtube.
    METHODS: For this descriptive study, we reviewed 531 videos resulted from the terms "DIEP breast reconstruction". 39 videos were analyzed in detail. The evaluation criteria established from the SOFCPRE sheet were listed in 43 items divided into 4 themes. A score representing the percentage of correct information is then calculated.
    RESULTS: The average length of the videos is 40'05″±46'45″. The average total score is 42.52%. Concerning the subgroups, the themes generalities and physiopathology have the highest result (66.10% of the correct items). This is followed by technique and perioperative preparation (51.65%), postoperative (27.35%) and finally complications (22.76%). Only 2 videos have an excellent total score (>80%).
    CONCLUSION: The information on breast reconstruction by DIEP flap on Youtube seems insufficient and lacks quality. The surgeon should strive to provide the highest quality of information and refer patients to reliable sources.
    Keywords:  Breast reconstruction; DIEP; Information; Reconstruction mammaire; Video; Vidéo; Youtube
    DOI:  https://doi.org/10.1016/j.anplas.2022.07.006
  5. Wound Manag Prev. 2022 Aug;68(8): 25-32
    Content and Quality of Online Videos About Ostomy Pouch Changes: A Descriptive Study.
    Zeynep Temiz, Didem Kandemir.
       BACKGROUND: Many health-related videos are available online. One type of health-related video is related to stoma pouch change. However, a system to evaluate the quality and content of these videos is lacking.
    PURPOSE: To evaluate the content and quality of YouTube videos on colostomy pouch change.
    METHODS: A descriptive study was carried out by searching for videos on March 15, 2021, using the key words "colostomy care," "colostomy bag/pouch change," and "ostomy bag/pouch change." A 5-point Global Quality Scale was used to evaluate the quality of the videos, and a 10-point scale was used to evaluate the content. The videos were classified as "useful" or "useless" according to their content and quality scores.
    RESULTS: A total of 128 videos were found; 94 videos met the criteria and were included in the study. The content of the 94 videos was examined by 2 independent researchers. The overall content score of the videos was 8.24 ± 1.56, and the overall quality score was 3.14 ± 0.97. A total of 66 (70.21%) videos were useful, and 28 (29.79%) videos were useless. The mean scores of useful videos for content (9.09 ± 0.83) and the average Global Quality Scale scores (3.53 ± 0.76) were significantly higher than those of useless videos (6.17 ± 0.90 and 2.25 ± 0.75, respectively; (P < .05). The results showed that 57.6% of the useful videos were uploaded by universities, professional organizations, and health care professionals, and 67.9% of the useless videos were uploaded by patients; the difference was statistically significant (P < .05).
    CONCLUSIONS: Results indicated that the majority of online videos evaluated were accurate. Most of these videos were uploaded by universities, professional organizations, health care professionals, or medical advertisers. Although there were many limitations to this study, the authors suggest that health care professionals can direct their patients to these sources after hospital discharge. However, future studies are needed..
  6. BMJ Open. 2022 Aug 03. 12(8): e063316
    Online information in Spanish on probiotics, yoghurt, kefir, kombucha, fibre and prebiotics: an analysis of the quality of information and the certainty of the evidence supporting health claims.
    Andreu Prados-Bo, Montserrat Rabassa, Mireia Bosch, Gonzalo Casino.
       OBJECTIVE: To examine the certainty of the evidence supporting health claims about probiotics, yoghurt, kefir, kombucha, fibre and prebiotics, and to assess the quality of online information in Spanish.
    DESIGN: Content analysis.
    METHODS: We compiled a data set of 114 web pages by searching six popular search phrases in Spanish relating to probiotics, yoghurt, kefir, kombucha, fibre and prebiotics on Google.es and coded them for typology and health claims. We examined the certainty of the evidence for health claims from systematic reviews. Information quality was assessed according to 10 criteria, where a web page: mentions scientific publications and reports their conclusions; quantifies relative and absolute effects; acknowledges some limitations; discusses certainty of evidence; reports the potential harms, alternatives and costs; and does not argue based on personal experiences.
    RESULTS: Gastrointestinal health (86.0%), general health (57.9%), cardiovascular health (53.5%) and immune system health (50.9%) were the most widely mentioned topics. Half of claims (52.6%, 70/133) were supported by evidence from systematic reviews. Probiotics had the highest number of claims supported by evidence and kombucha the lowest. The highest certainty was found for antibiotic-associated diarrhoea, necrotising enterocolitis and otitis (moderate) in probiotics and yoghurt, infectious diarrhoea and hepatic encephalopathy (moderate) in prebiotics, and cardiovascular health (high to moderate) and colorectal cancer (moderate) in fibre. On a scale of 0-10, the median information quality score for all web pages was 3. Only 18.4% reported study conclusions, 7.9% quantified the effects, 28.9% acknowledged some limitations in the research and 42.1% reported potential harms.
    CONCLUSIONS: Most online health claims for dietary interventions intended for improving health through the gut microbiome are supported by low or very low certainty of evidence. Online information does not align with the evidence and is incomplete or unbalanced.
    Keywords:  gastroenterology; nutrition & dietetics; public health
    DOI:  https://doi.org/10.1136/bmjopen-2022-063316
  7. Front Public Health. 2022 ;10 925691
    Does YouTube Provide Qualified Patient Education Videos About Atrial Fibrillation?
    Chong Luo, Longrong Bian, Lijie Jiang, Weitao Liang, Zhong Wu.
       Objective: Patients utilize the internet as a pathway to acquire knowledge of specific diseases. However, there are limited oversight and review mechanisms to ensure the authenticity of online information. This study aimed to evaluate the quality of video-based resources used to obtain information about atrial fibrillation (AF).
    Methods: Multiple AF-specific keywords were used to perform a systematic search of YouTube. Two independent reviewers reviewed the top 50 results of each keyword search. To record data, the Journal of the American Medical Association (JAMA) score, modified DISCERN score, AF-specific score (AFSS), and essential score (Escore) were used. The Kruskal-Wallis test was used for intergroup comparisons.
    Results: A total of 74 videos that met the inclusion criteria were included in the analysis. In terms of video quality, 68% were poor, 19% were moderate, and 13% were exceptional. Videos submitted by publishers with a medical background were much less popular (p < 0.05) than those submitted by publishers without a medical background. The video quality did not differ among those included in this study.
    Conclusions: Some videos on YouTube that are of real value are not as popular as those with low-quality content submitted by news agencies/media publishers. Furthermore, videos submitted by those with a medical background do not receive as much attention as others. It is important to acknowledge that video platforms should establish content and quality auditing mechanisms for videos. Furthermore, publishers should ensure that viewers receive accurate and complete knowledge and use more concise and accessible images or animations that are tailored to the audience.
    Keywords:  We media; YouTube; atrial fibrillation; official account; patient education; physician
    DOI:  https://doi.org/10.3389/fpubh.2022.925691
  8. Plast Reconstr Surg Glob Open. 2022 Jul;10(7): e4443
    Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok.
    Siyou Song, Keon Min Park, Kiet Phong, Esther A Kim.
       Background: Social media platforms have changed the way medical information is disseminated. Transgender patients may utilize social media to learn about gender-affirming surgery (GAS). Although videos on social media are readily accessible, their content is not verified or peer-reviewed. Therefore, this study aimed to evaluate the quality and reliability of YouTube and TikTok videos related to GAS.
    Methods: YouTube and TikTok were queried for gender-affirming top surgery, metoidioplasty, phalloplasty, breast augmentation, and vaginoplasty. Quality of video content was analyzed by the DISCERN scale. Quality scores were compared among the type of GAS, account user, and content category.
    Results: There were 275 YouTube videos and 55 TikTok videos. Most videos focused on masculinizing top surgery (P < 0.001). Overall, videos on masculinizing GAS had higher quality and reliability than videos on feminizing GAS (P < 0.001). Chest surgery videos were of higher quality than those on genital surgery (P ≤ 0.001). Videos on masculinizing top surgery had the highest quality, whereas vaginoplasty had the lowest quality and reliability (P < 0.001). Videos produced by health care professionals and academic institutions had the greatest quality and reliability, respectively (P < 0.0001), whereas videos produced by patients were the least reliable (P < 0.0001).
    Conclusions: Videos on GAS ranged from poor to good quality and reliability. Health care professionals, especially plastic surgeons, should create high-quality videos on social media to educate transgender patients. There should also be greater efforts in disseminating existing high-quality videos on social media. Resources posted on social media platforms can reach a wide audience through accessible means.
    DOI:  https://doi.org/10.1097/GOX.0000000000004443
  9. Phys Sportsmed. 2022 Aug 04. 1-8
    Social media may cause emergent SARMs abuse by athletes: a content quality analysis of the most popular YouTube videos.
    Nikhil Vasireddi, Henrik A Hahamyan, Yash Kumar, Mitchell K Ng, James E Voos, Jacob G Calcei.
       OBJECTIVES: Selective Androgen Receptor Modulators (SARMs) social media interest is at an all-time high. The aim of this study is to analyze the: (1) quality; (2) educational content; and (3) reliability of the most relevant YouTube videos on SARMs to explain growing SARMs abuse by recreational and professional athletes.
    METHODS: 'SARMs' was queried (28 November 2021) through the YouTube video library. The top 100 videos filtered by relevance were categorized by source, type of content, educational quality by Global Quality Score (GQS), reliability by Journal of American Medicine Association (JAMA) criteria, YouTube tags, attitude toward SARMs use, and whether the video provided specific support on how to use SARMs. For all outcome variables, descriptive statistics and comparison among source types and category types were performed.
    RESULTS: Mean JAMA score was 1.6 ± 0.7 out of 4. Mean GQS score was 2.5 ± 1.1 out of 5. Patient videos were of lower educational quality than athletic trainer videos (GQS: 2.11 ± 0.95 vs. 2.95 ± 1.00, p < 0.01), and videos categorized as user experience were of lower educational quality than videos categorized as general SARMs information (GQS: 1.92 ± 0.90 vs. 2.72 ± 1.07, p < 0.05). User experience and dosing recommendation videos were statistically significantly more positive in attitude than both general SARMs information and SARMS vs. other PEDs.
    CONCLUSION: Quality, content, and reliability of SARMs YouTube videos was low. Social media likely causes SARMs abuse through disseminating biased SARMs misinformation. These results serve to educate public health oversight bodies, healthcare providers, and sports team members to better identify signs of SARMs abuse, and promote discussion to discourage SARMs abuse.
    Keywords:  Performance enhancing drugs; YouTube; athletes; drug abuse; selective androgen receptor modulators; social media; substance use disorder
    DOI:  https://doi.org/10.1080/00913847.2022.2108352
  10. J Vasc Surg. 2022 Aug 02. pii: S0741-5214(22)01948-6. [Epub ahead of print]
    Readability Assessment of Online Peripheral Artery Disease Education Materials.
    Tucker D Avra, Monica Le, Stephanie Hernandez, Katie Thure, Jesus G Ulloa.
       OBJECTIVE: Online resources can be a valuable source of information for patients and have been shown to result in more inquiry during medical office visits, following physician medical recommendation more closely, and making self-directed lifestyle changes. The accessibility to these resources is limited by the readability level of the article and the literacy level of the population. Peripheral artery disease (PAD) is estimated to affect between 8 and 12 million people in the United States with greater disease severity among under insured or un-insured populations. As PAD continues to increase in prevalence, it is imperative that patients have access to comprehensible patient-centered health information. This study aims to evaluate the readability of online PAD patient education materials.
    METHODS: The search engine Google was utilized to collect the first 25 patient-accessible online articles pertaining to the search term "peripheral artery disease." Articles were then categorized by source type: hospital, professional society, or other. Readability was measured using the following tests: Automated Readability Index (ARI), Coleman-Liau Index, (CLI) Flesch-Kincaid Grade Level (FKGL), Gunning Fog, Linsear Write Formula, and the SMOG Index. Statistical analyses were performed using Statistical Analysis Software (SAS), with p-values <0.05 being statistically significant.
    RESULTS: Twenty-five articles were categorized by source and statistically analyzed. The average readability of PAD patient education materials was 10.8 and significantly above the AMA, NIH, and USDHHS recommended reading level of 6th grade. Readability scores among source categories were not significantly different.
    CONCLUSIONS: Commonly available online PAD resources are written at a grade level above that currently recommended by medical societies. Hospitals, professional societies, and other stakeholders in PAD patient education should take into consideration the readability of their materials to make medicine more accessible. Readable articles may combat historic, and structural racism often found in our health care system that marginalizes those with lower health literacy. It is imperative to develop patient education at an appropriate level to enrich patient autonomy.
    Keywords:  PAD; health literacy; patient education material; peripheral artery disease; readability
    DOI:  https://doi.org/10.1016/j.jvs.2022.07.022
  11. J Cancer Surviv. 2022 Aug 01.
    An evaluation of readability and understandability of online education materials for breast cancer survivors.
    Emily Restrepo, Naomi Ko, Erica T Warner.
       PURPOSE: We aimed to determine the availability of existing web-based educational materials on breast cancer survivorship and assess their readability and understandability.
    METHODS: We identified materials eligible for review in two ways: (1) reviews of websites of major cancer-related organizations (e.g., American Cancer Society); (2) Google searches for breast cancer survivorship, breast cancer, breast cancer follow-up care, and cancer survivorship. We measured Flesch-Kincaid and New Dale Readability of existing breast cancer and breast cancer survivorship materials. Readability grade levels 5 to 8 were considered ideal to acceptable. We used the Patient Education Materials Assessment Tool (PEMAT) to measure the understandability of 53 videos and 152 written materials, such as booklets and manuals. A resource was considered understandable and/or actionable if it scored ≥ 70% on either the understandability section or the actionability section of the PEMAT.
    RESULTS: We identified a total of 205 existing materials including brochures, booklets, facts sheets, websites, and videos in English. The average Flesch-Kincaid grade score of written educational materials was 9.7 (range 3.5-16.4), which translates to a 9th grade reading level. According to the New Dale-Chall readability assessment, most of the materials were in the 9 to 10 grade level range. The average PEMAT score was 88.6% (range 56-100%).
    CONCLUSION: Patient educational materials are available online as printable, written materials, and videos and they focus on a wide selection of survivorship-related topics. Most of the breast cancer educational materials that are available online were above an 8th grade reading level. The PEMAT results, however, suggest that materials are easy to understand regarding word choice and style, use of numbers, organization, layout and design, and use of visual aids.
    IMPLICATIONS FOR CANCER SURVIVORS: Understandable patient education materials are essential for guiding breast cancer survivors towards improving their health outcomes and optimizing their quality of life.
    Keywords:  Breast Cancer; Breast cancer survivor; Cancer survivor; Patient education; Survivorship
    DOI:  https://doi.org/10.1007/s11764-022-01240-w
  12. Disabil Rehabil. 2022 Aug 02. 1-10
    Health information seeking in the digital age: a national survey of women with disabilities.
    Susan Robinson-Whelen, Rosemary B Hughes, Jeanne L Alhusen, Leanne Beers, Charles G Minard, David Davidson.
       PURPOSE: Access to high quality and accessible online health information (OHI) is critical for reducing disparities, overcoming barriers, and improving the health of women with disabilities. This study aimed to understand women with physical disabilities' use of the Internet to access OHI, most often searched health topics, perceived usefulness of OHI, and self-reported eHealth literacy and challenges in OHI seeking.
    METHODS: We conducted a national online survey with 508 women with physical disabilities who used the Internet.
    RESULTS: Respondents utilized a wide variety of OHI resources. They searched a broad array of health and disability-related topics, with bowel/bladder and finding a physician the most highly searched topics. They generally had confidence in their eHealth literacy skills and ability to understand statistics in OHI. Nevertheless, although our sample consisted of a majority of highly educated internet-users, a sizeable percentage found OHI seeking difficult and frustrating, did not find the information very helpful, and had concerns about the quality of information.
    CONCLUSIONS: This study serves as a call to action to disability and rehabilitation scientists, health care providers, and other health professionals to enhance the availability and accessibility of OHI critical to empowering women with physical disabilities to make well-informed health decisions. Implications for rehabilitationAccess to high quality online health information (OHI) is critical for reducing disparities, overcoming barriers, and improving the health of women with disabilities.Many of the women with disabilities in our study found OHI seeking difficult and frustrating, did not find the information very helpful, and had concerns about the quality of the information.Disability and rehabilitation scientists, health care providers, and public health and health policy professionals need to do more to enhance the availability and accessibility of OHI and resources critical to empowering women with physical disabilities to make well-informed health decisions.Physical medicine and rehabilitation scientists are encouraged to develop and improve assistive technologies needed for accessing OHI, which in turn can promote the independent functioning of people with disabilities.
    Keywords:  Online health information seeking; disability; eHealth literacy; survey study; women
    DOI:  https://doi.org/10.1080/09638288.2022.2105960
  13. Health Info Libr J. 2022 Aug 02.
    Mental health-related internet use by people with a diagnosis of chronic psychiatric disorder, attending community mental health centres.
    Abdurrahman Yakisir, Zekiye Cetinkaya Duman.
       BACKGROUND: There is little information on Internet use for obtaining mental health information among individuals with chronic psychiatric disorders, who are receiving services from community mental health centres (CMHCs).
    OBJECTIVE: To investigate the mental health information-seeking behaviour of individuals with chronic psychiatric disorders who attend CMHCs.
    METHOD: This is a cross-sectional descriptive study. The data was collected by questionnaire (structured interview format) (n = 135 participants). The collected data were analysed with descriptive statistics and chi-square test.
    RESULTS: It was found that 75.6% of the participants used the internet to search for information about mental health problems. Although the information retrieved from the internet was frequently or occasionally shared with the mental health team (19.6% and 40.2% of the participants, respectively), general online communication with professionals was rare (93.1% of the participants had not contacted mental health professionals).
    CONCLUSIONS: Most participants looked for information about their mental health on the internet. Therefore, mental health professionals should consider how to facilitate professional-patient therapeutic communication, with acknowledged Internet use by individuals with chronic psychiatric disorders.
    Keywords:  consumer health information; e-health; health professionals; information sources; internet; mental health; mental health services; patient information
    DOI:  https://doi.org/10.1111/hir.12449
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