Health-related Internet Use Among New Urology Clinic Patients
To assess internet usage among new patients seen by urologists and impact on post-consultation understanding for 4 common conditions: kidney stones, elevated prostate-specific antigen, male voiding, and female voiding. We performed a prospective study of new urology patients at our diverse urban, ac...
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| Vydané v: | Urology (Ridgewood, N.J.) Ročník 194; s. 1 - 6 |
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| Hlavní autori: | , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Elsevier Inc
01.12.2024
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| ISSN: | 0090-4295, 1527-9995, 1527-9995 |
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| Abstract | To assess internet usage among new patients seen by urologists and impact on post-consultation understanding for 4 common conditions: kidney stones, elevated prostate-specific antigen, male voiding, and female voiding.
We performed a prospective study of new urology patients at our diverse urban, academic urology practice for the above conditions over a 1-year period. A voluntary questionnaire assessed patients’ internet use related to referred conditions prior to encounters. Questions evaluated quality of information and patient understanding of symptoms/condition at baseline, after online searches, and after their urology visit. A patient-reported Likert scale of 1 (poor) to 10 (excellent) was used and internet “searchers” were compared to “non-searchers.”
Two hundred fifteen patients participated. Most respondents were Latino (41%) or Black (35%) and English-speaking (81%). Cohorts comprised 130 searchers (60%) and 85 non-searchers (40%). Searchers were significantly younger (median 53 vs 63 years, P <.001), more likely to have home internet access (P <.001), and more general medical internet use (P <.001). Overall, patients’ understanding of visit diagnoses increased after their encounters (median pre-visit rating 5 vs post-visit rating 10). Searchers reported a greater post-visit understanding compared to non-searchers (median rating 10 vs 9, P <.001), and a greater change in understanding from baseline (median +4 vs +3, P = .02).
Internet use is common amongst younger patients referred to urologists and may be associated with improved understanding of their condition after urologic consultation. Continued investigation of patient uses and attitude towards popular online resources can help urologists curate resources to benefit patients and providers alike. |
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| AbstractList | To assess internet usage among new patients seen by urologists and impact on post-consultation understanding for 4 common conditions: kidney stones, elevated prostate-specific antigen, male voiding, and female voiding.OBJECTIVETo assess internet usage among new patients seen by urologists and impact on post-consultation understanding for 4 common conditions: kidney stones, elevated prostate-specific antigen, male voiding, and female voiding.We performed a prospective study of new urology patients at our diverse urban, academic urology practice for the above conditions over a 1-year period. A voluntary questionnaire assessed patients' internet use related to referred conditions prior to encounters. Questions evaluated quality of information and patient understanding of symptoms/condition at baseline, after online searches, and after their urology visit. A patient-reported Likert scale of 1 (poor) to 10 (excellent) was used and internet "searchers" were compared to "non-searchers."METHODSWe performed a prospective study of new urology patients at our diverse urban, academic urology practice for the above conditions over a 1-year period. A voluntary questionnaire assessed patients' internet use related to referred conditions prior to encounters. Questions evaluated quality of information and patient understanding of symptoms/condition at baseline, after online searches, and after their urology visit. A patient-reported Likert scale of 1 (poor) to 10 (excellent) was used and internet "searchers" were compared to "non-searchers."Two hundred fifteen patients participated. Most respondents were Latino (41%) or Black (35%) and English-speaking (81%). Cohorts comprised 130 searchers (60%) and 85 non-searchers (40%). Searchers were significantly younger (median 53 vs 63 years, P <.001), more likely to have home internet access (P <.001), and more general medical internet use (P <.001). Overall, patients' understanding of visit diagnoses increased after their encounters (median pre-visit rating 5 vs post-visit rating 10). Searchers reported a greater post-visit understanding compared to non-searchers (median rating 10 vs 9, P <.001), and a greater change in understanding from baseline (median +4 vs +3, P = .02).RESULTSTwo hundred fifteen patients participated. Most respondents were Latino (41%) or Black (35%) and English-speaking (81%). Cohorts comprised 130 searchers (60%) and 85 non-searchers (40%). Searchers were significantly younger (median 53 vs 63 years, P <.001), more likely to have home internet access (P <.001), and more general medical internet use (P <.001). Overall, patients' understanding of visit diagnoses increased after their encounters (median pre-visit rating 5 vs post-visit rating 10). Searchers reported a greater post-visit understanding compared to non-searchers (median rating 10 vs 9, P <.001), and a greater change in understanding from baseline (median +4 vs +3, P = .02).Internet use is common amongst younger patients referred to urologists and may be associated with improved understanding of their condition after urologic consultation. Continued investigation of patient uses and attitude towards popular online resources can help urologists curate resources to benefit patients and providers alike.CONCLUSIONInternet use is common amongst younger patients referred to urologists and may be associated with improved understanding of their condition after urologic consultation. Continued investigation of patient uses and attitude towards popular online resources can help urologists curate resources to benefit patients and providers alike. To assess internet usage among new patients seen by urologists and impact on post-consultation understanding for 4 common conditions: kidney stones, elevated prostate-specific antigen, male voiding, and female voiding. We performed a prospective study of new urology patients at our diverse urban, academic urology practice for the above conditions over a 1-year period. A voluntary questionnaire assessed patients’ internet use related to referred conditions prior to encounters. Questions evaluated quality of information and patient understanding of symptoms/condition at baseline, after online searches, and after their urology visit. A patient-reported Likert scale of 1 (poor) to 10 (excellent) was used and internet “searchers” were compared to “non-searchers.” Two hundred fifteen patients participated. Most respondents were Latino (41%) or Black (35%) and English-speaking (81%). Cohorts comprised 130 searchers (60%) and 85 non-searchers (40%). Searchers were significantly younger (median 53 vs 63 years, P <.001), more likely to have home internet access (P <.001), and more general medical internet use (P <.001). Overall, patients’ understanding of visit diagnoses increased after their encounters (median pre-visit rating 5 vs post-visit rating 10). Searchers reported a greater post-visit understanding compared to non-searchers (median rating 10 vs 9, P <.001), and a greater change in understanding from baseline (median +4 vs +3, P = .02). Internet use is common amongst younger patients referred to urologists and may be associated with improved understanding of their condition after urologic consultation. Continued investigation of patient uses and attitude towards popular online resources can help urologists curate resources to benefit patients and providers alike. |
| Author | Dave, Priya Maria, Pedro Laudano, Melissa Patel, Rutul D. Ohmann, Erin Lowe, Franklin Watts, Kara L. Zhu, Michael Donnelly, Jillian Sankin, Alex Small, Alexander C. |
| Author_xml | – sequence: 1 givenname: Michael surname: Zhu fullname: Zhu, Michael organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 2 givenname: Rutul D. surname: Patel fullname: Patel, Rutul D. organization: Montefiore Medical Center, Department of Urology, Bronx, NY – sequence: 3 givenname: Priya surname: Dave fullname: Dave, Priya organization: Montefiore Medical Center, Department of Urology, Bronx, NY – sequence: 4 givenname: Erin surname: Ohmann fullname: Ohmann, Erin organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 5 givenname: Melissa surname: Laudano fullname: Laudano, Melissa organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 6 givenname: Franklin surname: Lowe fullname: Lowe, Franklin organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 7 givenname: Jillian surname: Donnelly fullname: Donnelly, Jillian organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 8 givenname: Pedro surname: Maria fullname: Maria, Pedro organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 9 givenname: Alex surname: Sankin fullname: Sankin, Alex organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 10 givenname: Alexander C. surname: Small fullname: Small, Alexander C. organization: Albert Einstein College of Medicine, Bronx, NY – sequence: 11 givenname: Kara L. surname: Watts fullname: Watts, Kara L. email: kwatts@montefiore.org organization: Albert Einstein College of Medicine, Bronx, NY |
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| Cites_doi | 10.1177/1558944717744340 10.1007/s13187-019-01614-2 10.1002/cncr.32524 10.2196/jmir.3117 10.2196/13512 10.1016/j.urology.2018.12.050 10.1111/and.14392 10.1016/S0090-4295(03)00251-6 10.1200/CCI.21.00174 10.1186/1472-6963-6-21 10.1046/j.1464-410x.2000.00831.x 10.1111/bju.15403 10.1007/s00383-019-04451-y 10.1111/j.1742-1241.2006.01094.x 10.2196/27723 10.1016/S1479-666X(04)80053-2 10.1080/10810730.2012.707292 10.1210/clinem/dgab128 10.1016/j.jpurol.2021.12.003 10.3389/fpubh.2022.924748 10.1177/2325967118796469 10.1007/s11420-017-9568-2 10.1200/OP.21.00764 |
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