#Fake news: A systematic review of mechanical thrombectomy results among neurointerventional stroke surgeons on Twitter

Adam Andrew Dmytriw, Thomas Joseph Sorenson, Jonathan M. Morris, Patrick J. Nicholson, Christopher Alan Hilditch, Christopher S. Graffeo, Waleed Brinjikji

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective Twitter is a popular social media platform among physicians. Neurointerventionalists frequently document their lifesaving mechanical thrombectomy cases on Twitter with very favorable results. We fear that there may be some social media publication bias to tweeted mechanical thrombectomy cases with neurointerventionalists being more likely to tweet cases with favorable outcomes. We used these publicly documented cases to analyze post-intervention Twitter-reported outcomes and compared these outcomes with the data provided in the gold standard literature. Methods Two reviewers performed a search of Twitter for tweeted cases of acute ischemic strokes treated with mechanical thrombectomy. Data were abstracted from each tweet regarding baseline characteristics and outcomes. Twitter-reported outcomes were compared with the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke (HERMES) trial individual patient meta-analysis. Results When comparing the tweeted results to HERMES, tweeted cases had a higher post-intervention rate of modified Thrombolysis In Cerebral Infarction (mTICI) scale score of 2c/3 (94% vs 71%, respectively; p<0.0001) and rate of National Institutes of Health Stroke Scale (NIHSS) score ≤2 (81% vs 21%, respectively; p<0.0001). There were no reported complications; thus, tweeted cases also had significantly lower rates of complications, including symptomatic intracerebral hemorrhage (0% vs 4.4%, respectively; p<0.0001), type 2 parenchymal hemorrhage (0% vs 5.1%, respectively; p<0.0001), and mortality (0% vs 15.3%, respectively; p<0.0001). Conclusions There is a significant difference between social media and reality even within the â € MedTwitter' sphere, which is likely due to a strong publication bias in Twitter-reported cases. Content on â € MedTwitter', as with most social media, should be accepted cautiously.

Original languageEnglish (US)
Pages (from-to)460-463
Number of pages4
JournalJournal of neurointerventional surgery
Volume11
Issue number5
DOIs
StatePublished - May 1 2019

Fingerprint

Social Media
Thrombectomy
Stroke
Publication Bias
Reperfusion
Cerebral Infarction
Cerebral Hemorrhage
National Institutes of Health (U.S.)
Fear
Meta-Analysis
Hemorrhage
Physicians
Mortality
Surgeons

Keywords

  • stroke
  • technique
  • technology
  • thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

#Fake news : A systematic review of mechanical thrombectomy results among neurointerventional stroke surgeons on Twitter. / Dmytriw, Adam Andrew; Sorenson, Thomas Joseph; Morris, Jonathan M.; Nicholson, Patrick J.; Hilditch, Christopher Alan; Graffeo, Christopher S.; Brinjikji, Waleed.

In: Journal of neurointerventional surgery, Vol. 11, No. 5, 01.05.2019, p. 460-463.

Research output: Contribution to journalArticle

Dmytriw, Adam Andrew ; Sorenson, Thomas Joseph ; Morris, Jonathan M. ; Nicholson, Patrick J. ; Hilditch, Christopher Alan ; Graffeo, Christopher S. ; Brinjikji, Waleed. / #Fake news : A systematic review of mechanical thrombectomy results among neurointerventional stroke surgeons on Twitter. In: Journal of neurointerventional surgery. 2019 ; Vol. 11, No. 5. pp. 460-463.
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title = "#Fake news: A systematic review of mechanical thrombectomy results among neurointerventional stroke surgeons on Twitter",
abstract = "Objective Twitter is a popular social media platform among physicians. Neurointerventionalists frequently document their lifesaving mechanical thrombectomy cases on Twitter with very favorable results. We fear that there may be some social media publication bias to tweeted mechanical thrombectomy cases with neurointerventionalists being more likely to tweet cases with favorable outcomes. We used these publicly documented cases to analyze post-intervention Twitter-reported outcomes and compared these outcomes with the data provided in the gold standard literature. Methods Two reviewers performed a search of Twitter for tweeted cases of acute ischemic strokes treated with mechanical thrombectomy. Data were abstracted from each tweet regarding baseline characteristics and outcomes. Twitter-reported outcomes were compared with the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke (HERMES) trial individual patient meta-analysis. Results When comparing the tweeted results to HERMES, tweeted cases had a higher post-intervention rate of modified Thrombolysis In Cerebral Infarction (mTICI) scale score of 2c/3 (94{\%} vs 71{\%}, respectively; p<0.0001) and rate of National Institutes of Health Stroke Scale (NIHSS) score ≤2 (81{\%} vs 21{\%}, respectively; p<0.0001). There were no reported complications; thus, tweeted cases also had significantly lower rates of complications, including symptomatic intracerebral hemorrhage (0{\%} vs 4.4{\%}, respectively; p<0.0001), type 2 parenchymal hemorrhage (0{\%} vs 5.1{\%}, respectively; p<0.0001), and mortality (0{\%} vs 15.3{\%}, respectively; p<0.0001). Conclusions There is a significant difference between social media and reality even within the {\^a} € MedTwitter' sphere, which is likely due to a strong publication bias in Twitter-reported cases. Content on {\^a} € MedTwitter', as with most social media, should be accepted cautiously.",
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author = "Dmytriw, {Adam Andrew} and Sorenson, {Thomas Joseph} and Morris, {Jonathan M.} and Nicholson, {Patrick J.} and Hilditch, {Christopher Alan} and Graffeo, {Christopher S.} and Waleed Brinjikji",
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AU - Dmytriw, Adam Andrew

AU - Sorenson, Thomas Joseph

AU - Morris, Jonathan M.

AU - Nicholson, Patrick J.

AU - Hilditch, Christopher Alan

AU - Graffeo, Christopher S.

AU - Brinjikji, Waleed

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N2 - Objective Twitter is a popular social media platform among physicians. Neurointerventionalists frequently document their lifesaving mechanical thrombectomy cases on Twitter with very favorable results. We fear that there may be some social media publication bias to tweeted mechanical thrombectomy cases with neurointerventionalists being more likely to tweet cases with favorable outcomes. We used these publicly documented cases to analyze post-intervention Twitter-reported outcomes and compared these outcomes with the data provided in the gold standard literature. Methods Two reviewers performed a search of Twitter for tweeted cases of acute ischemic strokes treated with mechanical thrombectomy. Data were abstracted from each tweet regarding baseline characteristics and outcomes. Twitter-reported outcomes were compared with the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke (HERMES) trial individual patient meta-analysis. Results When comparing the tweeted results to HERMES, tweeted cases had a higher post-intervention rate of modified Thrombolysis In Cerebral Infarction (mTICI) scale score of 2c/3 (94% vs 71%, respectively; p<0.0001) and rate of National Institutes of Health Stroke Scale (NIHSS) score ≤2 (81% vs 21%, respectively; p<0.0001). There were no reported complications; thus, tweeted cases also had significantly lower rates of complications, including symptomatic intracerebral hemorrhage (0% vs 4.4%, respectively; p<0.0001), type 2 parenchymal hemorrhage (0% vs 5.1%, respectively; p<0.0001), and mortality (0% vs 15.3%, respectively; p<0.0001). Conclusions There is a significant difference between social media and reality even within the â € MedTwitter' sphere, which is likely due to a strong publication bias in Twitter-reported cases. Content on â € MedTwitter', as with most social media, should be accepted cautiously.

AB - Objective Twitter is a popular social media platform among physicians. Neurointerventionalists frequently document their lifesaving mechanical thrombectomy cases on Twitter with very favorable results. We fear that there may be some social media publication bias to tweeted mechanical thrombectomy cases with neurointerventionalists being more likely to tweet cases with favorable outcomes. We used these publicly documented cases to analyze post-intervention Twitter-reported outcomes and compared these outcomes with the data provided in the gold standard literature. Methods Two reviewers performed a search of Twitter for tweeted cases of acute ischemic strokes treated with mechanical thrombectomy. Data were abstracted from each tweet regarding baseline characteristics and outcomes. Twitter-reported outcomes were compared with the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke (HERMES) trial individual patient meta-analysis. Results When comparing the tweeted results to HERMES, tweeted cases had a higher post-intervention rate of modified Thrombolysis In Cerebral Infarction (mTICI) scale score of 2c/3 (94% vs 71%, respectively; p<0.0001) and rate of National Institutes of Health Stroke Scale (NIHSS) score ≤2 (81% vs 21%, respectively; p<0.0001). There were no reported complications; thus, tweeted cases also had significantly lower rates of complications, including symptomatic intracerebral hemorrhage (0% vs 4.4%, respectively; p<0.0001), type 2 parenchymal hemorrhage (0% vs 5.1%, respectively; p<0.0001), and mortality (0% vs 15.3%, respectively; p<0.0001). Conclusions There is a significant difference between social media and reality even within the â € MedTwitter' sphere, which is likely due to a strong publication bias in Twitter-reported cases. Content on â € MedTwitter', as with most social media, should be accepted cautiously.

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