Evidence map›Paper›PMID 40696472›Full record

SynthesisJournal of orthopaedic surgery and research2025

Evaluating the quality of osteonecrosis and avascular necrosis content on youtube: a multidimensional analysis using DISCERN, JAMA, and GQS tools.

Javid Mohammadzadeh Azarabadi, Kemal Gökkuş, Neveen Shalalfa

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Epistemic compression in large language model explanations of the gut-liver axis.Frontiers in cellular and infection microbiology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Javid Mohammadzadeh AzarabadiBaşkent University, Ankara, Turkey. dr_jma_md@yahoo.com.ORCID http://orcid.org/0000-0003-2393-3535
Kemal GökkuşBaşkent University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4916-3471
Neveen ShalalfaPalestine Polytechnic University, Hebron, Occupied Palestinian Territory.ORCID http://orcid.org/0000-0002-9511-622X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteonecrosis, or avascular necrosis (AVN), is a degenerative bone disorder caused by insufficient blood supply, primarily affecting weight-bearing joints. With increasing reliance on platforms like YouTube for health information, evaluating the quality of content related to AVN is crucial to prevent misinformation. This study aims to assess the quality and educational value of YouTube videos on AVN.

methodsA systematic search was conducted on November 17, 2024, using the terms "avascular necrosis" and "osteonecrosis." From an initial pool of 143,000 videos, 70 relevant videos were selected based on specific inclusion criteria. Two orthopedic surgeons independently reviewed these videos, assessing various characteristics and categorizing them by content and the uploader's background. The quality was evaluated using the DISCERN score, JAMA criteria, and Video Power Index (VPI). Inter-rater reliability was assessed using Intraclass Correlation Coefficients (ICC), which yielded a value of 0.903 (95% CI: 0.856 to 0.937), indicating nearly perfect agreement among reviewers.

resultsThe mean video length was 11.6 ± 16.5 min, with a total view count averaging 23,087 ± 46,868. The mean DISCERN, JAMA, and GQS scores were 45.7 ± 13.9, 2.6 ± 0.7, and 3.0 ± 0.9, respectively. Videos uploaded by doctors had slightly higher quality scores, but overall, many videos were rated as average or poor. A significant positive correlation was found between the VPI and quality scores (p < 0.05), while older videos tended to have lower quality scores.

conclusionsHealth-related videos on platforms like YouTube frequently do not meet high-quality standards, despite some differences in assessments. This emphasizes the need for better quality control and standardization in health content production. Collaboration among medical professionals, content creators, and platforms can significantly enhance online health education quality.

Indexed as

OsteonecrosisSocial MediaVideo RecordingHumansAvascular necrosisDISCERNGQSJAMAMedical information reliabilityOnline health educationOsteonecrosisYouTube

Identifiers

PMID40696472
PMCPMC12282020

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.