Abstract
Objective: YouTube, the second most accessed site on the internet, has become a widespread source of healthcare information for patients. Videos for Coronary Artery Bypass Grafts (CABG) have accrued tens of millions of views on the platform, yet their educational quality is unknown. This study investigates the level of bias and misinformation in videos regarding CABG procedures on YouTube. Methods: YouTube was searched for various terms such as “Coronary Bypass Graft Procedure.” After applying exclusion criteria, 73 videos were assessed. Two independent reviewers rated the material with the Global Quality Scale (GQS; 5 = high quality, 3 = low quality) to judge educational value. A ratio of view count to days since upload was applied to assess video popularity. Source, modality, and date of upload were recorded for each video as well. Results: An average GQS score of 2.95 was found, indicating poor educational quality amongst the 73 YouTube videos for CABG procedures. Videos uploaded by physicians (56 or 76.7%) had a significantly higher average GQS score than those not uploaded by physicians (p<0.001). In grouping cohorts by modality, physician-led presentations (24 or 32.9%) produced the highest average GQS score of 3.35; conversely, patient-friendly delivery methods (18 or 24.7%) yielded the lowest average GQS score of 2.36 (p<0.001) (Fig 2.). Neither view ratio nor days since upload significantly correlated with educational quality of the video. Conclusion: Although Coronary Artery Bypass Graft videos are readily available on YouTube, they often contain considerable biases and misleading information. With online sources for healthcare education now commonplace, physicians must be aware of the vast quantities of low-quality videos patients often encounter when weighing different treatment options. Further analysis of CABG videos on YouTube may allow physicians to ameliorate this gap by producing videos that are not only high quality, but highly viewed on the platform.
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