Skip to main content
Top
Published in: International Orthopaedics 10/2016

Open Access 01-10-2016 | Original Paper

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Authors: Ulrich Koller, Wenzel Waldstein, Klaus-Dieter Schatz, Reinhard Windhager

Published in: International Orthopaedics | Issue 10/2016

Login to get access

Abstract

Purpose

YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis.

Methods

The present study analyzed 133 YouTube videos using the search terms: hip arthritis, hip arthritis symptoms, hip arthritis diagnosis, hip arthritis treatment and hip replacement. Two quality assessment checklists with a scale of 0 to 12 points were developed to evaluate available video content for the diagnosis and the treatment of hip arthritis. Videos were grouped into poor quality (grade 0–3), moderate quality (grade 4–7) and excellent quality (grade 8–12), respectively. Three independent observers assessed all videos using the new grading system and independently scored all videos. Discrepancies regarding the categories were clarified by consensus discussion. For intra-observer reliabilities, grading was performed at two occasions separated by four weeks.

Results

Eighty-four percent (n = 112) had a poor diagnostic information quality, 14% (n = 19) a moderate quality and only 2% (n = 2) an excellent quality, respectively. In 86% (n = 114), videos provided poor treatment information quality. Eleven percent (n = 15) of videos had a moderate quality and only 3% (n = 4) an excellent quality, respectively.

Conclusions

The present study demonstrates that YouTube is a poor source for accurate information pertaining to the diagnosis and treatment of hip arthritis. These finding are of high relevance for clinicians as videos are going to become the primary source of information for patients. Therefore, high quality educational videos are needed to further guide patients on the way from the diagnosis of hip arthritis to its proper treatment.
Literature
1.
go back to reference Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum 58(1):26–35. doi:10.1002/art.23176 CrossRefPubMedPubMedCentral Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum 58(1):26–35. doi:10.​1002/​art.​23176 CrossRefPubMedPubMedCentral
2.
go back to reference Buckwalter JA, Saltzman C, Brown T (2004) The impact of osteoarthritis: implications for research. Clin Orthop Relat Res (427 Suppl):S6-15. Buckwalter JA, Saltzman C, Brown T (2004) The impact of osteoarthritis: implications for research. Clin Orthop Relat Res (427 Suppl):S6-15.
3.
go back to reference Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, Fang F, Schwartz TA, Nelson AE, Abbate LM, Callahan LF, Kalsbeek WD, Hochberg MC (2009) Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and caucasians: the johnston county osteoarthritis project. J Rheumatol 36(4):809–815. doi:10.3899/jrheum.080677 CrossRefPubMedPubMedCentral Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, Fang F, Schwartz TA, Nelson AE, Abbate LM, Callahan LF, Kalsbeek WD, Hochberg MC (2009) Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and caucasians: the johnston county osteoarthritis project. J Rheumatol 36(4):809–815. doi:10.​3899/​jrheum.​080677 CrossRefPubMedPubMedCentral
4.
go back to reference Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY (2004) Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 86-A(5):963–974PubMed Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY (2004) Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 86-A(5):963–974PubMed
5.
go back to reference Scott D (2006) Osteoarthritis of the hip. Clin Evid (Online) 2006. Scott D (2006) Osteoarthritis of the hip. Clin Evid (Online) 2006.
6.
7.
go back to reference Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Ton AW (2002) Patients’ use of the internet for medical information. J Gen Intern Med 17(3):180–185CrossRefPubMedPubMedCentral Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Ton AW (2002) Patients’ use of the internet for medical information. J Gen Intern Med 17(3):180–185CrossRefPubMedPubMedCentral
8.
go back to reference Starman JS, Gettys FK, Capo JA, Fleischli JE, Norton HJ, Karunakar MA (2010) Quality and content of internet-based information for ten common orthopaedic sports medicine diagnoses. J Bone Joint Surg Am 92(7):1612–1618. doi:10.2106/JBJS.I.00821 CrossRefPubMed Starman JS, Gettys FK, Capo JA, Fleischli JE, Norton HJ, Karunakar MA (2010) Quality and content of internet-based information for ten common orthopaedic sports medicine diagnoses. J Bone Joint Surg Am 92(7):1612–1618. doi:10.​2106/​JBJS.​I.​00821 CrossRefPubMed
9.
go back to reference Fox S, Rainie L (2002) E-patients and the online health care revolution. Physician Exec 28(6):14–17PubMed Fox S, Rainie L (2002) E-patients and the online health care revolution. Physician Exec 28(6):14–17PubMed
13.
15.
go back to reference Keurentjes JC, Pijls BG, Van Tol FR, Mentink JF, Mes SD, Schoones JW, Fiocco M, Sedrakyan A, Nelissen RG (2014) Which implant should we use for primary total hip replacement? a systematic review and meta-analysis. J Bone Joint Surg Am 96(Suppl 1):79–97. doi:10.2106/JBJS.N.00397 CrossRefPubMed Keurentjes JC, Pijls BG, Van Tol FR, Mentink JF, Mes SD, Schoones JW, Fiocco M, Sedrakyan A, Nelissen RG (2014) Which implant should we use for primary total hip replacement? a systematic review and meta-analysis. J Bone Joint Surg Am 96(Suppl 1):79–97. doi:10.​2106/​JBJS.​N.​00397 CrossRefPubMed
17.
go back to reference Chong T, Don DW, Kao MC, Wong D, Mitra R (2013) The value of physical examination in the diagnosis of hip osteoarthritis. J Back Musculoskel Rehab 26(4):397–400. doi:10.3233/BMR-130398 CrossRef Chong T, Don DW, Kao MC, Wong D, Mitra R (2013) The value of physical examination in the diagnosis of hip osteoarthritis. J Back Musculoskel Rehab 26(4):397–400. doi:10.​3233/​BMR-130398 CrossRef
18.
go back to reference Li B, Erdin E, Güneş MHI, Bebis G, Shipley T (2011) An analysis of anonymity usage. In: Domingo-Pascual J, Shavitt Y, Uhlig S (eds) Traffic monitoring and analysis. Traffic monitoring and analysis. Springer, Berlin, pp 113–116 Li B, Erdin E, Güneş MHI, Bebis G, Shipley T (2011) An analysis of anonymity usage. In: Domingo-Pascual J, Shavitt Y, Uhlig S (eds) Traffic monitoring and analysis. Traffic monitoring and analysis. Springer, Berlin, pp 113–116
19.
go back to reference Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRef Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRef
20.
go back to reference Streiner DL, Norman GR (1995) Health measurement scales: a practical guide to their development and use, 2nd edn. Oxford University Press, Oxford, p 231 Streiner DL, Norman GR (1995) Health measurement scales: a practical guide to their development and use, 2nd edn. Oxford University Press, Oxford, p 231
22.
go back to reference Altmann DG(1991) Practical statistics for medical research. Chapman and Hall, London Altmann DG(1991) Practical statistics for medical research. Chapman and Hall, London
24.
go back to reference Pant S, Deshmukh A, Murugiah K, Kumar G, Sachdeva R, Mehta JL (2012) Assessing the credibility of the “YouTube approach” to health information on acute myocardial infarction. Clin Cardiol 35(5):281–285. doi:10.1002/clc.21981 CrossRefPubMed Pant S, Deshmukh A, Murugiah K, Kumar G, Sachdeva R, Mehta JL (2012) Assessing the credibility of the “YouTube approach” to health information on acute myocardial infarction. Clin Cardiol 35(5):281–285. doi:10.​1002/​clc.​21981 CrossRefPubMed
30.
go back to reference Winter CC, Brandes M, Muller C, Schubert T, Ringling M, Hillmann A, Rosenbaum D, Schulte TL (2010) Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study. BMC Musculoskelet Disord 11:233–1CrossRefPubMedPubMedCentral Winter CC, Brandes M, Muller C, Schubert T, Ringling M, Hillmann A, Rosenbaum D, Schulte TL (2010) Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study. BMC Musculoskelet Disord 11:233–1CrossRefPubMedPubMedCentral
31.
go back to reference Lorig KR, Mazonson PD, Holman HR (1993) Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum 36(4):439–446CrossRefPubMed Lorig KR, Mazonson PD, Holman HR (1993) Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum 36(4):439–446CrossRefPubMed
32.
go back to reference Arnold CM, Faulkner RA (2010) The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis. J Aging Phys Act 18(3):245–260CrossRefPubMed Arnold CM, Faulkner RA (2010) The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis. J Aging Phys Act 18(3):245–260CrossRefPubMed
33.
go back to reference Minor MA, Hewett JE, Webel RR, Anderson SK, Kay DR (1989) Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arthritis Rheum 32(11):1396–1405CrossRefPubMed Minor MA, Hewett JE, Webel RR, Anderson SK, Kay DR (1989) Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arthritis Rheum 32(11):1396–1405CrossRefPubMed
36.
go back to reference Baerwald C, Verdecchia P, Duquesroix B, Frayssinet H, Ferreira T (2010) Efficacy, safety, and effects on blood pressure of naproxcinod 750 mg twice daily compared with placebo and naproxen 500 mg twice daily in patients with osteoarthritis of the hip: a randomized, double-blind, parallel-group, multicenter study. Arthritis Rheum 62(12):3635–3644. doi:10.1002/art.27694 CrossRefPubMed Baerwald C, Verdecchia P, Duquesroix B, Frayssinet H, Ferreira T (2010) Efficacy, safety, and effects on blood pressure of naproxcinod 750 mg twice daily compared with placebo and naproxen 500 mg twice daily in patients with osteoarthritis of the hip: a randomized, double-blind, parallel-group, multicenter study. Arthritis Rheum 62(12):3635–3644. doi:10.​1002/​art.​27694 CrossRefPubMed
Metadata
Title
YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis
Authors
Ulrich Koller
Wenzel Waldstein
Klaus-Dieter Schatz
Reinhard Windhager
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 10/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3174-7

Other articles of this Issue 10/2016

International Orthopaedics 10/2016 Go to the issue