Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok

Background:. Social media platforms have changed the way medical information is disseminated. Transgender patients may utilize social media to learn about gender-affirming surgery (GAS). Although videos on social media are readily accessible, their content is not verified or peer-reviewed. Therefore...

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Main Authors: Siyou Song, BA, Keon Min Park, MD, Kiet Phong, BS, Esther A. Kim, MD
Format: Article
Language:English
Published: Wolters Kluwer 2022-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004443
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author Siyou Song, BA
Keon Min Park, MD
Kiet Phong, BS
Esther A. Kim, MD
author_facet Siyou Song, BA
Keon Min Park, MD
Kiet Phong, BS
Esther A. Kim, MD
author_sort Siyou Song, BA
collection DOAJ
description Background:. Social media platforms have changed the way medical information is disseminated. Transgender patients may utilize social media to learn about gender-affirming surgery (GAS). Although videos on social media are readily accessible, their content is not verified or peer-reviewed. Therefore, this study aimed to evaluate the quality and reliability of YouTube and TikTok videos related to GAS. Methods:. YouTube and TikTok were queried for gender-affirming top surgery, metoidioplasty, phalloplasty, breast augmentation, and vaginoplasty. Quality of video content was analyzed by the DISCERN scale. Quality scores were compared among the type of GAS, account user, and content category. Results:. There were 275 YouTube videos and 55 TikTok videos. Most videos focused on masculinizing top surgery (P < 0.001). Overall, videos on masculinizing GAS had higher quality and reliability than videos on feminizing GAS (P < 0.001). Chest surgery videos were of higher quality than those on genital surgery (P ≤ 0.001). Videos on masculinizing top surgery had the highest quality, whereas vaginoplasty had the lowest quality and reliability (P < 0.001). Videos produced by health care professionals and academic institutions had the greatest quality and reliability, respectively (P < 0.0001), whereas videos produced by patients were the least reliable (P < 0.0001). Conclusions:. Videos on GAS ranged from poor to good quality and reliability. Health care professionals, especially plastic surgeons, should create high-quality videos on social media to educate transgender patients. There should also be greater efforts in disseminating existing high-quality videos on social media. Resources posted on social media platforms can reach a wide audience through accessible means.
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spelling doaj.art-da70934f4bbc45cb999ffacef71148d92022-12-22T01:28:40ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-07-01107e444310.1097/GOX.0000000000004443202207000-00042Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTokSiyou Song, BA0Keon Min Park, MD1Kiet Phong, BS2Esther A. Kim, MD3From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, Calif.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, Calif.† Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, Calif.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, Calif.Background:. Social media platforms have changed the way medical information is disseminated. Transgender patients may utilize social media to learn about gender-affirming surgery (GAS). Although videos on social media are readily accessible, their content is not verified or peer-reviewed. Therefore, this study aimed to evaluate the quality and reliability of YouTube and TikTok videos related to GAS. Methods:. YouTube and TikTok were queried for gender-affirming top surgery, metoidioplasty, phalloplasty, breast augmentation, and vaginoplasty. Quality of video content was analyzed by the DISCERN scale. Quality scores were compared among the type of GAS, account user, and content category. Results:. There were 275 YouTube videos and 55 TikTok videos. Most videos focused on masculinizing top surgery (P < 0.001). Overall, videos on masculinizing GAS had higher quality and reliability than videos on feminizing GAS (P < 0.001). Chest surgery videos were of higher quality than those on genital surgery (P ≤ 0.001). Videos on masculinizing top surgery had the highest quality, whereas vaginoplasty had the lowest quality and reliability (P < 0.001). Videos produced by health care professionals and academic institutions had the greatest quality and reliability, respectively (P < 0.0001), whereas videos produced by patients were the least reliable (P < 0.0001). Conclusions:. Videos on GAS ranged from poor to good quality and reliability. Health care professionals, especially plastic surgeons, should create high-quality videos on social media to educate transgender patients. There should also be greater efforts in disseminating existing high-quality videos on social media. Resources posted on social media platforms can reach a wide audience through accessible means.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004443
spellingShingle Siyou Song, BA
Keon Min Park, MD
Kiet Phong, BS
Esther A. Kim, MD
Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
Plastic and Reconstructive Surgery, Global Open
title Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
title_full Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
title_fullStr Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
title_full_unstemmed Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
title_short Evaluating the Quality and Reliability of Gender-affirming Surgery Videos on YouTube and TikTok
title_sort evaluating the quality and reliability of gender affirming surgery videos on youtube and tiktok
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004443
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