Zachary Klaassen1, Emily Vertosick2, Andrew J Vickers2, Melissa J Assel2, Giacomo Novara3, Cathy Pierce4, Christopher J D Wallis5, Alessandro Larcher6, Matthew R Cooperberg7, James W F Catto8, Alexander Kutikov9. 1. Section of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, USA; Georgia Cancer Center, Augusta, GA, USA. Electronic address: zklaassen19@gmail.com. 2. Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. 3. Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, Padua, Italy. 4. European Association of Urology, Arnhem, The Netherlands. 5. Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada; Division of Urology, Department of Surgery, Mount Sinai Hospital, Toronto, ON, Canada. 6. Department of Urology, IRCCS San Raffaele Scientific Institute, Milan, Italy. 7. Department of Urology, University of California-San Francisco Medical Center, San Francisco, CA, USA. 8. Academic Urology Unit, University of Sheffield, Sheffield, UK. 9. Division of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Abstract
Visual abstracts (VAs) are graphical representations of the key findings in manuscripts and have been adopted by many journals to improve content dissemination via social media. We sought to assess whether VAs, compared to key figures (KFs), increased reader engagement via social media using articles published in European Urology. We prospectively randomized 200 consecutive new publications to representation on Twitter and Instagram using either a VA (n = 99) or a KF (n = 101). Randomization was stratified by prostate cancer content. The primary outcome was Twitter impressions. Secondary outcomes included Twitter total engagements, link clicks, likes, and retweets, as well as Instagram likes. Analysis of covariance was conducted using the stratification variable as a covariate. We found that Twitter impressions were greater for tweets containing VAs compared to KFs (8385 vs 6882; adjusted difference 1480, 95% confidence interval [CI] 434-2526; p = 0.006). VA use was also associated with more retweets and likes (p < 0.002), but fewer full-article link clicks than KFs (60 vs 105, adjusted difference 45, 95% CI 21-70; p = 0.0004). The choice between VA and KF should depend on the relative value given to impressions versus full-article link clicks. PATIENT SUMMARY: We found that use of a visual abstract increases the social media reach of new urology articles when compared to key figures from the manuscript, but was associated in a significantly lower click-through rate. In the increasingly virtual world of academic medicine, these findings may assist authors, editors, and publishers with dissemination of new research.
Visual abstracts (VAs) are graphical representations of the key findings in manuscripts and have been adopted by many journals to improve content dissemination via social media. We sought to assess whether VAs, compared to key figures (KFs), increased reader engagement via social media using articles published in European Urology. We prospectively randomized 200 consecutive new publications to representation on Twitter and Instagram using either a VA (n = 99) or a KF (n = 101). Randomization was stratified by prostate cancer content. The primary outcome was Twitter impressions. Secondary outcomes included Twitter total engagements, link clicks, likes, and retweets, as well as Instagram likes. Analysis of covariance was conducted using the stratification variable as a covariate. We found that Twitter impressions were greater for tweets containing VAs compared to KFs (8385 vs 6882; adjusted difference 1480, 95% confidence interval [CI] 434-2526; p = 0.006). VA use was also associated with more retweets and likes (p < 0.002), but fewer full-article link clicks than KFs (60 vs 105, adjusted difference 45, 95% CI 21-70; p = 0.0004). The choice between VA and KF should depend on the relative value given to impressions versus full-article link clicks. PATIENT SUMMARY: We found that use of a visual abstract increases the social media reach of new urology articles when compared to key figures from the manuscript, but was associated in a significantly lower click-through rate. In the increasingly virtual world of academic medicine, these findings may assist authors, editors, and publishers with dissemination of new research.