A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok

As of November 2021, TikTok has one billion monthly active users and is recognized as the most engaging social media platform. TikTok has seen a surge in users and content creators, ranging from athletes to medical professionals. In the past year, content creators have utilized the app to advocate f...

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Main Authors: Rohun Gupta, Jithin John, Monik Gupta, Misha Haq, Emanuela Peshel, Elizabeth Boudiab, Kenneth Shaheen, Kongkrit Chaiyasate
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2022-09-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756296
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author Rohun Gupta
Jithin John
Monik Gupta
Misha Haq
Emanuela Peshel
Elizabeth Boudiab
Kenneth Shaheen
Kongkrit Chaiyasate
author_facet Rohun Gupta
Jithin John
Monik Gupta
Misha Haq
Emanuela Peshel
Elizabeth Boudiab
Kenneth Shaheen
Kongkrit Chaiyasate
author_sort Rohun Gupta
collection DOAJ
description As of November 2021, TikTok has one billion monthly active users and is recognized as the most engaging social media platform. TikTok has seen a surge in users and content creators, ranging from athletes to medical professionals. In the past year, content creators have utilized the app to advocate for social reforms, education, and other uses that were not previously considered. Breast cancer is the most commonly diagnosed cancer in women, with an expected 281,550 new cases of invasive breast cancer in 2021. As more individuals with breast cancer choose to undergo resection, the demand for autologous fat grafting in breast reconstruction has increased due to the natural look and feel of breast tissue. The purpose of this article is to analyze content related to breast reconstruction with fat grafting found on TikTok and recommend methods to improve patient education, care, and outcomes. We searched TikTok on November 1, 2021, for videos using the phrase “breast reconstruction with fat grafting.” The top 200 videos retrieved from the TikTok search algorithm were analyzed, and all commentaries, duplicates, and nonrelevant videos were removed. Video characteristics were collected, and two independent reviewers generated a DISCERN score A total of 131 videos were included in the study. They were found to have a combined 1,871,980 likes, 41,113 comments, and 58,662 shares. The videos had an average DISCERN score of 2.16. Content creators had an overall low DISCERN score in items involving the use of references, disclosure of risks for not obtaining treatment, and support for shared decision-making. When stratified, the DISCERN score was higher for videos created by physicians (DISCERN average 2.48) than for videos created by nonphysicians (DISCERN average 1.99; p < 0.001). Content creators can improve the quality of their videos by disclosing treatment risks, benefits and risks, discussing risks for not obtaining treatment, and advocating for shared decision-making. Furthermore, including citations and academic references may offer increased credibility and promote evidence practice. This article is limited by the variability seen on the TikTok platform that is influenced by algorithmic trends. The top 200 search results vary, making each compilation of videos selected for analysis unique. Furthermore, although DISCERN is a reliable source to assess patient information, it has not been tested for its reliability with videos such as on TikTok. Despite TikTok being developed as a social media platform, it has shown to be a medium for patient outreach and an educational tool.
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spelling doaj.art-31cb150c592042938a8cb938c49a9b792022-12-22T01:47:51ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712022-09-01490561461610.1055/s-0042-1756296A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTokRohun Gupta0Jithin John1Monik Gupta2Misha Haq3Emanuela Peshel4Elizabeth Boudiab5Kenneth Shaheen6Kongkrit Chaiyasate7Oakland University William Beaumont School of Medicine, Rochester, MichiganOakland University William Beaumont School of Medicine, Rochester, MichiganThe University of Toledo Health Science Campus, Toledo, OhioOakland University William Beaumont School of Medicine, Rochester, MichiganDepartment of General Surgery, Beaumont Health Systems, Royal Oak, MichiganDepartment of General Surgery, Beaumont Health Systems, Royal Oak, MichiganDepartment of Plastic Surgery, Beaumont Health Systems, Royal Oak, MichiganDepartment of Plastic Surgery, Beaumont Health Systems, Royal Oak, MichiganAs of November 2021, TikTok has one billion monthly active users and is recognized as the most engaging social media platform. TikTok has seen a surge in users and content creators, ranging from athletes to medical professionals. In the past year, content creators have utilized the app to advocate for social reforms, education, and other uses that were not previously considered. Breast cancer is the most commonly diagnosed cancer in women, with an expected 281,550 new cases of invasive breast cancer in 2021. As more individuals with breast cancer choose to undergo resection, the demand for autologous fat grafting in breast reconstruction has increased due to the natural look and feel of breast tissue. The purpose of this article is to analyze content related to breast reconstruction with fat grafting found on TikTok and recommend methods to improve patient education, care, and outcomes. We searched TikTok on November 1, 2021, for videos using the phrase “breast reconstruction with fat grafting.” The top 200 videos retrieved from the TikTok search algorithm were analyzed, and all commentaries, duplicates, and nonrelevant videos were removed. Video characteristics were collected, and two independent reviewers generated a DISCERN score A total of 131 videos were included in the study. They were found to have a combined 1,871,980 likes, 41,113 comments, and 58,662 shares. The videos had an average DISCERN score of 2.16. Content creators had an overall low DISCERN score in items involving the use of references, disclosure of risks for not obtaining treatment, and support for shared decision-making. When stratified, the DISCERN score was higher for videos created by physicians (DISCERN average 2.48) than for videos created by nonphysicians (DISCERN average 1.99; p < 0.001). Content creators can improve the quality of their videos by disclosing treatment risks, benefits and risks, discussing risks for not obtaining treatment, and advocating for shared decision-making. Furthermore, including citations and academic references may offer increased credibility and promote evidence practice. This article is limited by the variability seen on the TikTok platform that is influenced by algorithmic trends. The top 200 search results vary, making each compilation of videos selected for analysis unique. Furthermore, although DISCERN is a reliable source to assess patient information, it has not been tested for its reliability with videos such as on TikTok. Despite TikTok being developed as a social media platform, it has shown to be a medium for patient outreach and an educational tool.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756296breast reconstructionfat graftingbreast cancer
spellingShingle Rohun Gupta
Jithin John
Monik Gupta
Misha Haq
Emanuela Peshel
Elizabeth Boudiab
Kenneth Shaheen
Kongkrit Chaiyasate
A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
Archives of Plastic Surgery
breast reconstruction
fat grafting
breast cancer
title A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
title_full A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
title_fullStr A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
title_full_unstemmed A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
title_short A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok
title_sort cross sectional analysis of breast reconstruction with fat grafting content on tiktok
topic breast reconstruction
fat grafting
breast cancer
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756296
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