Evidence map›Paper›PMID 24824330›Full record

ArticleJMIR research protocols2014

Analysis of internet usage among cancer patients in a county hospital setting: a quality improvement initiative.

Lucy Wallace, Lisa Lilley, William Lodrigues, Julie Dreadin-Pulliam, Xian-Jin Xie, Sakshi Mathur, Madhu Rao, Valorie Harvey, Ann Marilyn Leitch, Roshni Rao

Abstract read
In one paragraph

Article in JMIR research protocols, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. The Quality of Online Orthopaedic Oncology Information.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lucy WallaceUniversity of Texas Southwestern, Dallas, TX, United States. lucywallace77@yahoo.com.
Lisa Lilley
William Lodrigues
Julie Dreadin-Pulliam
Xian-Jin Xie
Sakshi Mathur
Madhu Rao
Valorie Harvey
Ann Marilyn Leitch
Roshni Rao

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer is one of the most common diseases that patients research on the Internet. The Commission on Cancer (CoC) recommended that Parkland Memorial Hospital (PMH) improve the oncology services website. PMH is Dallas County's public health care facility, serving a largely uninsured, minority population. Most research regarding patient Internet use has been conducted in insured, Caucasian populations, raising concerns that the needs of PMH patients may not be extrapolated from available data. The PMH Cancer Committee, therefore, adopted a quality improvement initiative to understand patients' Internet usage.

objectiveThe objective of the study was to obtain and analyze data regarding patients' Internet usage in order to make targeted improvements to the oncology services section of the institutional website.

methodsA task force developed an 11-question survey to ascertain what proportion of our patients have Internet access and use the Internet to obtain medical information as well as determine the specific information sought. Between April 2011 and August 2011, 300 surveys were administered to newly diagnosed cancer patients. Multivariate analyses were performed.

resultsOf 300 surveys, 291 were included. Minorities, primarily African-American and Hispanic, represented 78.0% (227/291) of patients. Only 37.1% (108/291) of patients had Internet access, most (256/291, 87.9%) having access at home. Younger patients more commonly had Internet access, with a mean age of 47 versus 58 years for those without (P<.001). Education beyond high school was associated with Internet access (P<.001). The most common reason for Internet research was to develop questions for discussion with one's physician. Patients most frequently sought information regarding cancer treatment options, outcomes, and side effects.

conclusionsLess than one-half of PMH oncology patients have Internet access. This is influenced by age, educational level, and ethnicity. Those with access use it to obtain information related to their cancer diagnosis. The most effective way of addressing our patients' needs using the institutional website is to provide links to reputable disease-specific sites.

Indexed as

cancerInternetpatient educationqualityquality improvement

Identifiers

PMID24824330
PMCPMC4034116

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.