Evidence map›Paper›PMID 42183307›Full record

ArticleDigital health

Evaluating the reliability and quality of osteoporosis content on TikTok and BiliBili: A cross-sectional content analysis.

Siyuan Zhang, Xi Yang, Haowei Bai, Haohao Wang, Yao Chen, Pengyu Liu, Can Zhou, Hao Li, Min Zhang

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

9 authors.

Siyuan ZhangDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.ORCID https://orcid.org/0009-0004-5704-3367
Xi YangDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Haowei BaiDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.ORCID https://orcid.org/0009-0001-7450-3706
Haohao WangDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Yao ChenDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Pengyu LiuDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Can ZhouDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Hao LiDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.
Min ZhangDepartment of Orthopedics, The Second hospital of Shanxi Medical University, Taiyuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study evaluated the information quality and user engagement of osteoporosis-related videos on Bilibili and TikTok, and examined their associations with uploader characteristics, content topics, and video quality factors. Methods: On October 11, 2025, we conducted a systematic evaluation of the information quality and reliability of the top 100 Chinese-language short videos related to osteoporosis on TikTok and BiliBili platforms, ultimately including 171 valid videos for analysis. Using the Global Quality Scale (GQS) and a modified DISCERN instrument, we assessed multiple dimensions of video content. Furthermore, Spearman correlation analysis and the Kruskal-Wallis test were employed to examine how platform type, uploader category, and content characteristics influence video quality. Results: A total of 171 videos were included in the analysis, comprising 82 from Bilibili and 89 from Tiktok. Bilibili videos exhibited significantly longer durations compared to Tiktok videos (median 307.5 seconds vs. 151.0 seconds; P < 0.001). Conversely, Tiktok videos demonstrated significantly higher user engagement metrics, including median number of likes (3407.0 vs. 65.0; P < 0.001), collections (1432.0 vs. 78.0; P < 0.001), and shares (677.0 vs. 48.5; P < 0.001). Regarding uploader characteristics, professional institutions contributed only 4.1% of the total sample. Nevertheless, videos uploaded by professional institutions achieved the highest median GQS score (4.50) and mDISCERN score (4.00), significantly surpassing those uploaded by professional individuals and non-professional individuals (P = 0.011 and P < 0.001, respectively). User engagement metrics strongly intercorrelated ( Conclusions: Bilibili videos feature longer durations and more detailed content, whereas TikTok videos demonstrate superior user engagement. Videos uploaded by professional institutions attained higher quality ratings compared to other uploader types, although this finding is based on a small subsample (n=7) and should be interpreted with caution. Medication-related content attracted the greatest public attention. Nevertheless, the weak correlation between user engagement and quality scores indicates that high popularity does not equate to high informational reliability. These findings underscore the need to strengthen professional credentialing mechanisms and optimize algorithmic recommendations to enhance both the scientific accuracy and communicative reach of osteoporosis health information on short video platforms.

Indexed as

BiliBiliGQShealth information qualitymDISCERNosteoporosisshort-video platformsTikTok

Identifiers

PMID42183307
PMCPMC13191130

What Socratic holds

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LicenceCC BY-NC
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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.