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Video

Care Equity, Quality, and Safety

(A100) A Comprehensive Analysis of Gastrostomy Tube Education Across YouTube

Monday, October 13, 2025
12:00 PM - 1:00 PM EDT
Location: OTO EXPO, Posters

    Presenting Author(s)

  • HS

    Hayes Stancliff, BA

    Medical Student
    Penn State College of Medicine
    Hershey, PA, United States

    • Co-Author(s)

  • Quentin C. Durfee, BS

    Medical Student
    Penn State College of Medicine
    Hummelstown, Pennsylvania, United States

  • Hanel W. Eberly, MD

    Resident
    Yale New Haven Hospital
    Fairfield, Connecticut, United States

  • Andrew V. Meci, MPH

    Medical Student
    Penn State College of Medicine
    Hershey, Pennsylvania, United States

    • Senior Author(s)

  • NG

    Neerav Goyal, MD MPH FACS

    Professor; Division Chief Head and Neck Surgery; Vice Chair Patient Safety and Quality
    Penn State Milton S Hershey Medical Center
    Hershey, Pennsylvania, United States

Disclosure(s):
Hayes Stancliff, BA: No relevant relationships to disclose.
Quentin C. Durfee, BS: No relevant relationships to disclose.
Hanel W. Eberly, MD: No relevant relationships to disclose.
Andrew V. Meci, MPH: No relevant relationships to disclose.
Neerav Goyal, MD MPH FACS: No relevant relationships to disclose.


Introduction: Digital patient education for common medical devices, such as gastrostomy tubes, is increasingly essential in modern healthcare. This study aimed to assess the utility of YouTube videos as an educational resource for patients receiving gastrostomy tubes, given the platform's growing use for accessible, home-based medical education.

Methods: YouTube videos on gastrostomy tubes were identified using the terms “G Tube,” “Gastrostomy Tube,” “Keofeed Tube,” and “NG Tube.” The first 50 videos from each category were analyzed, excluding duplicates, shorts, non-English content, and non-medical material. Metadata such as views, likes, and user status was recorded, and videos were categorized by author credentialing, audience, and type. Two reviewers used the Modified DISCERN, GQS, and JAMA metrics to assess quality, and Kruskal-Wallis tests compared characteristics.

Results: This study analyzed 197 videos (46.4 million views), and most were informational videos for patients (46.19%) or healthcare professionals (43.15%), created by healthcare organizations (47.72%) or third parties (38.58%), and published within the last five years (58.37%). Few publishers were verified (20.81%). Average DISCERN, GQS, and JAMA scores were 14.93/25, 2.78/5, and 2.82/4, respectively. Videos from healthcare organizations had higher DISCERN and GQS scores (p < 0.0001), influenced by audience and type (p < 0.0001). JAMA scores were higher in videos by board-certified physicians (p < 0.0001). Views weakly correlated with DISCERN (ρ = 0.1429, p = 0.045), with strong inter-rater scoring agreement (p < 0.0001).

Conclusions: This analysis found that YouTube videos on gastrostomy tube education had moderate quality scores (DISCERN: 14.93/25, GQS: 2.78/5, JAMA: 2.82/4). As patients increasingly rely on YouTube, the prevalence of lower-quality resources highlights the need for healthcare professionals to guide patients to vetted content or develop high-quality resources. Videos from healthcare organizations or professionals were notably more effective, emphasizing their critical role in improving public medical education.