Abstract
Aim: End-stage renal disease (ESRD) presents significant challenges for patients and healthcare systems. Treatment options include renal transplant, peritoneal dialysis, and hemodialysis, with hemodialysis being the most common, necessitating suitable vascular access like arteriovenous fistula (AVF), graft, or catheter. This study aims to analyze the quality of YouTube videos on vascular access for hemodialysis, using the 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) as a benchmark and employing JAMA, Global Quality, and DISCERN scores. To our knowledge, this is the first study evaluating YouTube content quality on this topic. Material and Methods: A YouTube search for 'arteriovenous fistula' was conducted, analyzing the first 200 videos based on predetermined criteria. Exclusions included videos lacking sound, not in English, off-topic, or duplicates. Data collected included uploader details, upload date, views, comments, likes, and duration. Video accuracy was assessed using the DISCERN tool, JAMA Benchmark Criteria, and Global Quality Scoring System (GQSS). Results: Out of 200 videos, 13 were excluded, leaving 187 for analysis. The interobserver agreement was high (κ=0.967). The videos amassed 12,854,643 views, with a median duration of 5 minutes and a median of 3412 views per video. Most views were for videos with poor DISCERN scores. There was a significant association between DISCERN scores and video characteristics. Videos with higher DISCERN scores had longer durations (p=0.01). However, videos with lower scores received more likes and views (p<0.01). The mean DISCERN score was 33.7, indicating poor quality, with only 18.8% rated as good or excellent. Conclusion: The study underscores the variability in the quality of YouTube content regarding vascular access for hemodialysis. Patients are encouraged to prioritize videos uploaded by healthcare professionals, ensuring both quality and accuracy. Despite limitations, this study contributes to informed decision-making in the context of hemodialysis vascular access.
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