Evaluation of the Reliability, Utility, and Quality of the Information in Transoral Endoscopic Thyroidectomy Vestibular Approach Videos Shared on Open Access Video Sharing Platform YouTube

Background: The internet is a broadly preferred source of information both by patients and medical professionals. YouTube™ is a significant information source that may be a useful tool to inform the public, medical students, and residents, and may improve the learning experience if used adequately. In this study, we aimed to estimate the quality and accuracy of videos regarding Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) aired on YouTube, which is the most popular video platform of the online world. Materials and Methods: We evaluated the first 50 videos, returned by the YouTube research engine, in reply to the "TOETVA" keyword. The popularity of the videos was assessed using the video power index (VPI). The educational quality, accuracy, and transparency of the content regarding TOETVA were estimated by using the DISCERN questionnaire score (DISCERNqs), Journal of American Medical Association benchmark criteria (JAMABC), and global quality score (GQSc). The technical quality was ranked through TOETVA Scoring System (TOETVA-SS) by a TOETVA practicioning endocrine surgeon. Results: The content of the videos were about surgical technique with a rate of 68%. According to sources, videos uploaded by physicians had significantly higher DISCERNqs, JAMABC, GQSc, and TOETVA-SS scores. Unlike, videos uploaded by physicians had a lower VPI than videos uploaded by nonmedical sources. The videos of surgical technique had significantly higher DISCERNqs, JAMABC, GQSc, and TOETVA-SS scores. Surgical technique videos also had higher VPI scores than "information about disease or surgery" videos. Also, negative correlations were found between the VPI (popularity index) and educational value (GQSc), transparency (JAMABC), and technical quality (TOETVA-SS) scores. Conclusions: The data acquired from YouTube videos regarding TOETVA is of below expected quality and reliability. Nevertheless, the educative potential of the online video platform, YouTube, cannot be underestimated.