Abstract
Introduction
Recently published articles have established that a substantial number of cancer patients utilize the Internet to gather information about their respective diagnoses. The challenges for medical providers include understanding the prevalence and characteristics of patients using the Internet, reasons for Internet use, and the effectiveness of currently available websites in providing useful health-related information to patients.
Material and methods
Adults with cancer were asked to complete a self-administered, anonymous, 21-item questionnaire upon registration at the Alvin J. Siteman Cancer Center at the Washington University School of Medicine.
Results
There were 500 respondents (mean age 58 years (range 18–90), 83% Caucasian and 15% African-American). Three hundred ninety-eight participants (80%) reported access to the Internet, and 315 (63%) reported searching for information about cancer on the Internet. Patients accessing the Internet for cancer information were younger than those who did not (median age 56 vs. 63 years; p < 0.001). Internet usage for cancer information also differed by race (p < 0.0001) and education (p < 0.0001). Among patients who searched the Internet for cancer information, 13.3% of patients had their decisions towards treatments affected or changed, and 11.4% of patients had their choice in physicians affected or changed because of Internet use; 23.5% of patients sought information on clinical trials, and 9.5% of patients were influenced or changed their decision regarding clinical trial enrollment due to Internet information.
Discussion
Approximately two thirds of patients with cancer used the Internet to obtain information about their disease. Factors affecting Internet use for cancer information included age, race, and education. Clinical decisions can be affected by Internet use.
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References
Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin 59:225–249
Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW (2002) Patients' use of the Internet for medical information. J Gen Intern Med 17:180–185
Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165:2618–2624
Schwartz KL, Roe T, Northrup J, Meza J, Seifeldin R, Neale AV (2006) Family medicine patients' use of the Internet for health information: a MetroNet study. J Am Board Fam Med 19:39–45
Basch EM, Thaler HT, Shi W, Yakren S, Schrag D (2004) Use of information resources by patients with cancer and their companions. Cancer 100:2476–2483
Chen X, Siu LL (2001) Impact of the media and the internet on oncology: survey of cancer patients and oncologists in Canada. J Clin Oncol 19:4291–4297
Masood J, Shahzad J, Gujral SS (2006) WWW; the wild, wild web: internet usage in patients with urological cancer. BJU Int 98:942
Newnham GM, Burns WI, Snyder RD, Dowling AJ, Ranieri NF, Gray EL, McLachlan SA (2006) Information from the Internet: attitudes of Australian oncology patients. Intern Med J 36:718–723
Pautler SE, Tan JK, Dugas GR, Pus N, Ferri M, Hardie WR, Chin JL (2001) Use of the internet for self-education by patients with prostate cancer. Urology 57:230–233
Peterson MW, Fretz PC (2003) Patient use of the internet for information in a lung cancer clinic. Chest 123:452–457
Berland GK, Elliott MN, Morales LS, Algazy JI, Kravitz RL, Broder MS, Kanouse DE, Munoz JA, Puyol JA, Lara M et al (2001) Health information on the Internet: accessibility, quality, and readability in English and Spanish. JAMA 285:2612–2621
Ekman A, Hall P, Litton JE (2005) Can we trust cancer information on the Internet?—a comparison of interactive cancer risk sites. Cancer Causes Control 16:765–772
Ullrich PF Jr, Vaccaro AR (2002) Patient education on the internet: opportunities and pitfalls. Spine 27:E185–188
NCI Health Information National Trends Survey [http://hints.cancer.gov]
Metz JM, Devine P, DeNittis A, Jones H, Hampshire M, Goldwein J, Whittington R (2003) A multi-institutional study of Internet utilization by radiation oncology patients. Int J Radiat Oncol Biol Phys 56:1201–1205
Atkinson NL, Saperstein SL, Pleis J (2009) Using the internet for health-related activities: findings from a national probability sample. J Med Internet Res 11:e4
Buntrock S, Hopfgarten T, Adolfsson J, Onelov E, Steineck G (2007) The Internet and prostate cancer patients: searching for and finding information. Scand J Urol Nephrol 41:367–374
James N, Daniels H, Rahman R, McConkey C, Derry J, Young A (2007) A study of information seeking by cancer patients and their carers. Clin Oncol (R Coll Radiol) 19:356–362
Shim M (2008) Connecting internet use with gaps in cancer knowledge. Health Commun 23:448–461
Ziebland S, Chapple A, Dumelow C, Evans J, Prinjha S, Rozmovits L (2004) How the internet affects patients' experience of cancer: a qualitative study. BMJ 328:564
Eysenbach G (2003) The impact of the Internet on cancer outcomes. CA Cancer J Clin 53:356–371
Helft PR, Eckles RE, Johnson-Calley CS, Daugherty CK (2005) Use of the internet to obtain cancer information among cancer patients at an urban county hospital. J Clin Oncol 23:4954–4962
Smith RP, Devine P, Jones H, DeNittis A, Whittington R, Metz JM (2003) Internet use by patients with prostate cancer undergoing radiotherapy. Urology 62:273–277
Helft PR, Hlubocky F, Daugherty CK (2003) American oncologists' views of internet use by cancer patients: a mail survey of American Society of Clinical Oncology members. J Clin Oncol 21:942–947
Tejeda HA, Green SB, Trimble EL, Ford L, High JL, Ungerleider RS, Friedman MA, Brawley OW (1996) Representation of African-Americans, Hispanics, and whites in National Cancer Institute cancer treatment trials. J Natl Cancer Inst 88:812–816
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Results of this study were initially reported in a poster presentation at the American Society for Clinical Oncology annual meeting in Chicago, IL, in June 2008.
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Castleton, K., Fong, T., Wang-Gillam, A. et al. A survey of Internet utilization among patients with cancer. Support Care Cancer 19, 1183–1190 (2011). https://doi.org/10.1007/s00520-010-0935-5
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DOI: https://doi.org/10.1007/s00520-010-0935-5