Study Design: 

Cross-sectional study.

Objective: 

To analyze publicly available content on a major social media outlet related to anterior cervical discectomy and fusion (ACDF) surgery based on perspective, location, timing, content, tone, and patient satisfaction.

Summary of Background Data: 

Social media offers a powerful platform for sharing the patient experience with the public through an unfiltered perspective. Social media content may influence future perceptions around surgical care and postings around ACDF have not been previously reported.

Methods: 

A query of content from a major social media outlet was performed for the study period January 1, 2018, to January 1, 2020, and returned 6500 publicly available posts. Content was identified by the hashtags “#acdf” or “#acdfsurgery.” Content was ranked by number of “likes.” Of the 1500 most popular posts, 1136 related to ACDF surgery and were included. Post content was characterized and classified.

Results: 

Patients created 85% of ACDF-related content and spine surgeons created 11.8%. Most posts portrayed the patient experience in the postoperative period and depicted patients performing activities of daily living, participating in sports, or completing work activities (54.4%). The connotation of posts was deemed to be positive in 79.2% of cases. In regard to their care or state of health as it related to ACDF surgery, 59.8% of patients expressed satisfaction, whereas 14.1% expressed dissatisfaction. Female patients were >4 times as likely to express dissatisfaction (odds ratio=4.16, P=<0.0001), with their clinical course compared with their male counterparts.

Conclusions: 

Patients were the source of most posts on a major social media outlet that pertained to ACDF surgery with a majority reporting positive tone and satisfaction. These mechanisms of communication offer surgeons unique insights into patient experience and may provide an opportunity for surgeons to assess patient feedback, influence patient perceptions, and enhance delivery of cervical spine care.

中文翻译：

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与颈前路椎间盘切除融合术 (ACDF) 手术相关的社交媒体帖子：患者和外科医生看法的横断面分析

学习规划： 

横断面研究。

客观的： 

根据视角、地点、时间、内容、语气和患者满意度，分析主要社交媒体上与前路颈椎间盘切除融合术 (ACDF) 手术相关的公开内容。

背景数据摘要： 

社交媒体提供了一个强大的平台，可以通过未经过滤的视角与公众分享患者体验。社交媒体内容可能会影响未来对手术护理的看法，而有关 ACDF 的帖子此前尚未有报道。

方法： 

对 2018 年 1 月 1 日至 2020 年 1 月 1 日研究期间的主要社交媒体内容进行了查询，返回了 6500 个公开帖子。内容由主题标签“#acdf”或“#acdfsurgery”标识。内容按“喜欢”的数量排名。在 1500 个最受欢迎的帖子中，有 1136 个与 ACDF 手术相关，被纳入其中。帖子内容被描述和分类。

结果： 

患者创建了 85% 的 ACDF 相关内容，脊柱外科医生创建了 11.8%。大多数帖子描述了患者术后的经历，并描述了患者进行日常生活活动、参加运动或完成工作活动的情况（54.4%）。79.2%的帖子内容被认为是积极的。对于ACDF手术相关的护理或健康状况，59.8%的患者表示满意，14.1%的患者表示不满意。与男性患者相比，女性患者对临床病程表示不满意的可能性是男性患者的 4 倍以上（比值比 = 4.16，P = <0.0001）。

结论： 

患者是主要社交媒体上大多数与 ACDF 手术相关的帖子的来源，大多数人表示积极的态度和满意度。这些沟通机制为外科医生提供了对患者体验的独特见解，并可能为外科医生提供评估患者反馈、影响患者感知和加强颈椎护理服务的机会。