Evidence map›Paper›PMID 42601764›Full record

ArticleMedicine2026

Quality and content evaluation of anal fistula information on TikTok and Bilibili: A cross-sectional study.

Xizhe Du, Shaopeng Huang, Qinghua Ye, Shuting Pan, Xia Xiao, Jiayi Xia, Yingru Zhuang

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xizhe DuDepartment of Anorectal Surgery, Shantou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shantou, China.ORCID 0009-0002-6324-7441
Shaopeng Huang
Qinghua Ye
Shuting Pan
Xia Xiao
Jiayi Xia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Short-video platforms are widely used for medical information, but the quality of anal fistula content remains uncertain. We evaluated anal fistula-related videos on TikTok and Bilibili and compared platforms and uploader categories. The top 200 videos under each platform's default comprehensive ranking were screened. Eligible videos were assessed using the Global Quality Score (GQS), modified DISCERN (mDISCERN), Journal of the American Medical Association benchmark criteria (JAMA), and 7-indicator completeness score (7-ICS). Platform and uploader differences were evaluated using nonparametric tests. Spearman correlations examined relationships between engagement and quality, and multivariable ordinal logistic regression identified factors associated with higher scores. Of 400 screened videos, 333 were included (TikTok, 167; Bilibili, 166). Median GQS, mDISCERN, JAMA, and 7-ICS scores were each 2.00. Treatment (71.4%) and clinical manifestations (63.9%) were the most frequently covered domains, whereas epidemiology (7.2%) and prevention (12.6%) were least covered. TikTok videos were shorter and received greater engagement than Bilibili videos (all P < .001). Bilibili had higher unadjusted 7-ICS scores and JAMA score distributions, while GQS and mDISCERN did not differ. After adjustment, TikTok was associated with higher GQS (OR, 2.26; 95% CI: 1.27-4.02) and lower 7-ICS (OR, 0.26; 95% CI: 0.13-0.50), but not with JAMA or mDISCERN. Specialist-physician uploader status and longer video duration were associated with higher scores for all 4 outcomes. Engagement metrics were strongly intercorrelated but were generally unrelated to quality measures. Anal fistula-related videos on both platforms were generally incomplete and of suboptimal quality. Platform differences were mixed rather than uniformly favoring TikTok or Bilibili. Specialist-physician authorship and longer duration were consistently associated with better scores. These cross-sectional findings represent associations, not causal effects.

Indexed as

Rectal FistulaVideo RecordingCross-Sectional StudiesDigital MediaHumansanal fistulaBilibilihealth communicationreliabilityshort videosTikTokvideo quality

Identifiers

PMID42601764
PMCPMC13480743

What Socratic holds

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Registered trials

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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.