Abstract
BackgroundThe internet has changed the way both physicians and patients search for health information. WebSurg® is a valuable source of information that informs surgeons about new technologies and techniques and aims to promote quality, safety, and patient-centered care. In this study, our aim is to evaluate the popularity, quality, transparency, and accuracy of videos about minimally invasive video-assisted parathyroidectomy (MIVAP).Materials and methodsA total of 31 videos related to MIVAP returned by the WebSurg® search engine in response to the keywords “MIVAP”, “video assisted parathyroidectomy’’, and “minimally invasive parathyroidectomy’’ were included in this study. Videos were evaluated in terms of time since upload, run time, country, academic degree, and the number of views and likes. The popularity of videos was determined by the video power index (VPI) formula. The DISCERN questionnaire score (DISCERNqs), global quality score (GQSc), and Journal of American Medical Association benchmark criteria (JAMABC) scoring systems were used to analyze WebSurg® videos for reliability and quality.ResultsThe academic degree of the members was MD in 90.32% of uploaded videos. Forty-eight point thirty-eight percent (48.38%) of the videos were uploaded by members from France. There was no significant difference between the DISCERNqs, JAMABC, GQSc, and MIVAP scoring system (MIVAP-SS) scores in terms of academic degree and country. A statistically significant negative correlation was found between the time since upload and the VPI score (r=-0.683, p<0.001). The run time was positively correlated with the DISCERNqs, JAMABC, GQSc, and MIVAP-SS scores (p=0.003, p=0.002, p=0.003, p<0.001, respectively). For the MIVAP-SS score, the Spearman correlation analysis demonstrated a statistically significant positive correlation with VPI, DISCERNqs, JAMABC, and GQSc (p<0.05).ConclusionVideos about MIVAP are helpful for surgeons to learn the procedure step-by-step before the surgery they will be performing but still below the expected quality. It is recommended to use MIVAP-SS points, which is a novel scoring system, to ensure standardization and improve quality.
Highlights
Improved preoperative imaging techniques and an intraoperative assay to confirm normalization of the parathyroid hormone have allowed changes in the treatment of hyperparathyroidism
There was no significant difference between the DISCERNqs, Journal of American Medical Association benchmark criteria (JAMABC), global quality score (GQSc), and minimally invasive video-assisted parathyroidectomy (MIVAP) scoring system (MIVAP-SS) scores in terms of academic degree and country
The run time was positively correlated with the DISCERNqs, JAMABC, GQSc, and MIVAP-SS scores (p=0.003, p=0.002, p=0.003, p
Summary
Improved preoperative imaging techniques and an intraoperative assay to confirm normalization of the parathyroid hormone have allowed changes in the treatment of hyperparathyroidism. Surgeons should choose a surgical approach that has a high cure rate, low-risk profile, and cost comparable to other available techniques. Since the first report of endoscopic parathyroidectomy by Gagner [1] in 1996, video-assisted techniques have been applied to surgery of the neck, and several series have documented the feasibility of these approaches for parathyroid diseases [2]. MIVAP is one of the most common targeted approaches for hyperparathyroidism, focused on the pathological parathyroid gland(s), and all patients with sporadic primary hyperparathyroidism are potential candidates for this. WebSurg® is a valuable source of information that informs surgeons about new technologies and techniques and aims to promote quality, safety, and patient-centered care. Our aim is to evaluate the popularity, quality, transparency, and accuracy of videos about minimally invasive video-assisted parathyroidectomy (MIVAP)
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