YouTube as a Patient Education Resource for Male Hypogonadism and Testosterone Therapy.

Sex Med

Division of Urology, Department of Surgery, Rutgers-New Jersey Medical School, Newark NJ, USA; Department of Urology, Hackensack UMC-Meridian Health, Hackensack NJ, USA. Electronic address:

Published: April 2021

AI Article Synopsis

  • YouTube is a popular but unregulated platform where patients often seek information about treatment options for male hypogonadism and testosterone therapy.
  • A study analyzed 80 YouTube videos related to these topics, focusing on their reliability measured by view counts and the DISCERN score, particularly comparing videos featuring board-certified physicians to those without.
  • Results showed that while the majority of videos were deemed unreliable, those created by physicians tended to be more reliable despite having fewer views; this highlights the need for physicians and academic societies to produce verified content to better inform patients.

Article Abstract

Introduction: YouTube is an unregulated platform that patients are using to learn about treatment options.

Aim: To assess the reliability of YouTube videos (YTVs) related to male hypogonadism and testosterone therapy.

Methods: Searching on YouTube by relevance and view count, we analyzed the top 10 videos (80 videos total) for the following search terms: low testosterone, testosterone replacement therapy, AndroGel, and hypogonadism.

Main Outcome Measure: We recorded the number of views for each video, evaluated videos using the DISCERN score (DS) criterion, and compared the DS for videos including board-certified physicians and videos without. A second comparison was made between videos with board-certified physicians in urology, endocrinology, other MD, and those without any physician.

Results: The YTVs analyzed received a total of 38,549,090 views, a median of 25,201 and 17.30 views/day. Videos that featured physicians had significantly fewer views/day than videos that did not (39.48 CI 9,72 vs 1,731 CI 330, 3,132; P = .019). Most YTVs studied were unreliable. The median DS across all videos was 2. However, most videos created by physicians were found to be reliable with a median DS of 4. In addition, YTVs that did not feature a physician were found to be significantly less reliable than videos that featured a physician (3.22 CI 3.06, 4.09 vs 1.87 CI 1.56, 2.18; P < .001). There was no significant difference in the reliability or viewership of YTVs stratified by physician type.

Conclusion: Most YTVs related to male hypogonadism/testosterone therapy were unreliable, but there are reliable YTVs available. Reliable videos usually feature a physician and receive fewer views than unreliable YTVs. Physicians and academic societies should work to provide verified videos to provide patients with reliable information about male hypogonadism and testosterone therapy. CJ Warren, J Wisener, B Ward, et al. YouTube as a Patient Education Resource for Male Hypogonadism and Testosterone Therapy. Sex Med 2021;9:100324.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072170PMC
http://dx.doi.org/10.1016/j.esxm.2021.100324DOI Listing

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