Evidence mapPaperPMID 41509864Full record

ArticleDigital health

Bilibili and TikTok as sources of medical information on osteonecrosis of the femoral head: A cross-platform content analysis.

Bingqi Wei, Liu Chen, Xinyue Zhang, Yijing Li, Jiarong Li, Xingyue Ren, Hang Li, Luwei Zhang, Yunfang Fan, Jiani Meng and 5 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Bingqi WeiSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0005-1065-4520
Liu ChenSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0003-8350-6145
Xinyue ZhangSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0001-0111-4400
Yijing LiSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0007-8401-2947
Jiarong LiSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0006-7662-8154
Xingyue RenSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.
Hang LiSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0002-3436-741X
Luwei ZhangSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0005-2692-7503
Yunfang FanSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0009-2354-5672
Jiani MengSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0009-0542-7883
Feiyang ChenSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.
Zimeng XieSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.
Yifan QiSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0004-9234-3226
Yueyang ChenSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.
Shangzeng WangSchool of Orthopedics, Henan University of Chinese Medicine, Zhengzhou, China.ORCID https://orcid.org/0009-0005-3654-3925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteonecrosis of the femoral head is a disabling orthopedic condition often diagnosed late due to limited public awareness. Social media platforms such as Bilibili and TikTok have become key sources of health information, yet the quality of content varies widely. Methods: We searched Bilibili and TikTok on February 12, 2025, using the Chinese term "" (osteonecrosis of the femoral head), which serves as both the scientific and commonly used colloquial expression. A total of 162 videos were analyzed using the modified DISCERN (mDISCERN), Global Quality Score, Video Information and Quality Index (VIQI), and Patient Education Materials Assessment Tool evaluation tools. User engagement metrics and content quality scores were compared between platforms using the Mann-Whitney Results: TikTok videos demonstrated significantly higher user engagement, reflected by greater numbers of likes, favorites and comments. However, Bilibili hosted a wider range of creators and provided more in-depth examination and diagnosis-oriented content. TikTok achieved higher scores in overall video quality (mDISCERN-sum and VIQI-sum), particularly in information flow,information accuracy and understandability, whereas Bilibili performed better in actionability, offering more detailed procedural or instructional guidance. Professional creators produced videos with higher scores in information flow and information accuracy, whereas non-professionals achieved higher actionability scores. Conclusion: TikTok and Bilibili serve complementary functions in osteonecrosis of the femoral head (ONFH) education: TikTok enhances awareness of early symptoms, while Bilibili supports deeper understanding of imaging, staging and treatment. Building on these strengths, future digital health efforts should integrate professional expertise, improve content governance and apply AI-assisted tools to deliver accurate, accessible and actionable ONFH information for earlier detection and better disease management.

Indexed as

Bilibilihealth information qualitymedical scienceosteonecrosis of the femoral headshort video platformTikTok

Identifiers

PMID41509864
PMCPMC12775365

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.