Gastrointestinal cancer web sites: how do they address patients’ concerns?

Weißenberger, Christian; Müller, David C.; Beranek-Chiu, Jan; Neumann, Marcus M.; Jonassen, Sinje; Bartelt, Susanne; Schulz, Stefan; Witucki, Gerlo; Henne, Karl; Geißler, Michael; Fogel, Joshua

doi:10.1007/s00384-005-0046-9

Cited by 3 publications

(5 citation statements)

References 24 publications

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“…39 In fact, "cancer" is the second most common healthcarerelated search term across the internet, and specific search-terms such as "gastrointestinal cancer" and "bowel cancer" remain among the most frequent inputs. 39 As such, increased accessibility to digital resources may play a critical role in aiding patient education and increasing population-level health awareness related to cancer. 40 The present study expanded on these previous works, as we demonstrated that inequitable access to digital resources was an important independent risk factor of adverse outcomes even after controlling for other SDoH characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, up to 74% of patients ask their healthcare providers about reliable websites that can be used to acquire more information about their diagnosis, as well as prognosis 39 . In fact, “cancer” is the second most common healthcare‐related search term across the internet, and specific search‐terms such as “gastrointestinal cancer” and “bowel cancer” remain among the most frequent inputs 39 . As such, increased accessibility to digital resources may play a critical role in aiding patient education and increasing population‐level health awareness related to cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Papadakos et al had previously reported that online websites were among the most preferred mediums for patients seeking information on GIC 38 . In fact, up to 74% of patients ask their healthcare providers about reliable websites that can be used to acquire more information about their diagnosis, as well as prognosis 39 . In fact, “cancer” is the second most common healthcare‐related search term across the internet, and specific search‐terms such as “gastrointestinal cancer” and “bowel cancer” remain among the most frequent inputs 39 .…”

Section: Discussionmentioning

confidence: 99%

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The impact of digital inequities on gastrointestinal cancer disparities in the United States

Fei‐Zhang

Moazzam

Ejaz

et al. 2023

Journal of Surgical Oncology

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Background Modern‐day internet access and technology usage substantially impacts aspects of surgical care but remain ill‐defined for their associations with gastrointestinal‐cancer (GIC) outcomes. We sought to develop the Digital Inequity Index (DII), a novel, a self‐adapted tool to quantify access to digital resources, to assess the impact of “digital inequity” on GIC care and prognosis. Methods Adult (20+) patients with gastrointestinal malignancies between 2013 and 2017 were identified from the Surveillance, Epidemiology, and End Results Program database. DII was calculated based on 17 census‐tract level variables derived from the American Community Survey and Federal Communications Commission. Variables were categorized as infrastructure‐access (i.e., electronic device ownership, broadband type, internet provider availability, income‐broadband subscription ratio) or sociodemographic (i.e., education, income, disability status), ranked relative across all US counties, and then averaged into a composite score. The association between DII and surgery receipt, staging, surveillance period, and survival time were assessed with multiple logistic and linear regressions. Results Among 287 228 patients, increasing DII was associated with increased odds of late‐stage disease (highest odds ratio [OR]: 1.08, 95% confidence interval [CI]: 1.05–1.10 for hepatic) and decreased odds of receiving surgery (lowest OR: 0.94, 95% CI: 0.93–0.96 for hepatic). Higher DII was associated with shorter postoperative surveillance length (largest decrease −20.4% for hepatic) and overall survival length (largest decrease −16.0% for pancreatic). Sociodemographic and infrastructure‐access factors contributed equivalently to surveillance time disparities, while infrastructure‐access factors contributed more to survival disparities across GIC types. Conclusions As technology dependence has increased, inequities in digital access should be targeted as a contributor to surgical oncologic disparities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The impact of digital inequities on gastrointestinal cancer disparities in the United States

Fei‐Zhang

Moazzam

Ejaz

et al. 2023

Journal of Surgical Oncology

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“…[12][13][14] A study of 9,947 German-language gastrointestinal cancer websites demonstrated that only 17.7% provided information that was deemed relevant to patients' needs. 15 The American National Cancer Institute estimated that 40% of those who called their cancer information service had searched the internet for cancer information but only 20% found all that they sought. 16 In the current global economic climate, in which fiscal considerations have become paramount, it is of significant concern that the public must rely on charities for the best-quality cancer information.…”

Section: Discussionmentioning

confidence: 99%

Relative Quality of Internet-Derived Oesophageal Cancer Information

et al. 2010

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Worldwide internet access is increasing exponentially. The UK Government Office for National Statistics reported that between 2002 and 2009 the proportion of UK households with internet access increased from 46% to 70%. Between 2007 and 2009 the proportion of UK adults using the internet to access health information rose from 27% to 42%. Similar situations exist in Continental Europe and the USA, where 52% of internet users and 61% of adults respectively search online for medical information. In 2003 it was estimated that 4.5% of all internet searches globally were for health related information. Moreover, patients now frequently choose to seek health information online. Indeed Hesse et al reported that almost one in two patients search the internet before consulting a physician.

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“…Given that disparities within traditionally studied SDoH tend to associate with poorer digital resource access, this work showcases how digital inequity is an independent risk factor by controlling for these traditional-SDoH associations [58]. Despite this finding and the increasing importance of health-related internet use among cancer survivors, modern, comprehensive large-scale analyses such as the above have yet to be performed across a majority of cancers, including HNCs [59]. However, similar to the shift in how traditional SDoH are observed, the field of cancer disparities and this burgeoning recognition of digital inequity will start to harness big-data tools such as the DII, the Digital Divide Index, and others, in order to better contextualize understudied social factors and their role in health outcomes.…”

Section: Text Of Reviewmentioning

confidence: 92%

Large-data contextualizations of social determinant associations in pediatric head and neck cancers

Fei-Zhang,

Chelius,

Sheyn

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Prior investigations in social determinants of health (SDoH) and their impact on pediatric head and neck cancers are limited by the narrow scope of cancer types and SDoH being studied while lacking inquiry on the interrelational contribution of varied SDoH in real-world contexts. The purpose of this review is to discuss the current research tackling these shortcomings of SDoH-based studies in head and neck cancer and to discuss means of applying these findings in prospective initiatives and implementations. Recent findings Through leveraging contemporary, large-data analyses measuring diverse social vulnerabilities, several studies have identified comprehensive delineations of which social disparities contribute the largest quantifiable impact on the care of head and neck cancer patients. Progressing from prior SDoH-based research of the decade, these studies contextualize the effect of social vulnerabilities and have laid the foundations to begin addressing these issues in the complex, modern-day environment of interrelated social factors. Summary Social determinants of health markedly affect pediatric head and neck cancer care and prognosis in complex and surprising ways. Modern-day tools and analyses derived from large-data techniques have unveiled the quantifiable underpinnings of how SDoH impact these pathologies.

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Gastrointestinal cancer web sites: how do they address patients’ concerns?

Cited by 3 publications

References 24 publications

The impact of digital inequities on gastrointestinal cancer disparities in the United States

The impact of digital inequities on gastrointestinal cancer disparities in the United States

Relative Quality of Internet-Derived Oesophageal Cancer Information

Large-data contextualizations of social determinant associations in pediatric head and neck cancers

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