Physicians are the primary contributors of hemorrhoid-related information on Chinese TikTok, accounting for over 93% of high-quality content.
A significant “engagement paradox” exists: low-quality, potentially misleading videos often achieve higher daily averages of likes and shares than high-quality, evidence-based content.
Video length serves as a structural proxy for quality, with longer videos showing a significant positive correlation with Global Quality (GQS) and mDISCERN scores.
Platform-wide improvements, including enhanced content moderation and incentives for authoritative sourcing, are critical for mitigating misinformation in proctology.
