ArticleCentral European journal of urology2026
Digital health engagement among urological patients in four European countries: findings from an international cross-sectional survey by the European Association of Urology Section of Outpatient and Office Urology.
Article in Central European journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Digital tools, including online information sources and medical apps, are increasingly woven into patient care. This study aimed to assess internet use, social media habits, online health information seeking, trust in online health resources, medical app use and willingness to use medical apps when prescribed, and attitudes toward electronic patient records (EPRs) among urology outpatients in four European countries. Material and methods: A multicenter, cross-sectional survey was conducted in urology outpatient practices in Poland, Greece, Hungary, and Germany. Each center enrolled ~50 consecutive patients. In total, 184 participants completed an anonymous paper questionnaire between January 2, 2025 and May 30, 2025. The 12-item questionnaire (developed following a PubMed literature review and CHERRIES guidance) combined multiple-choice and 10-point rating items. Group differences and associations were explored using χ Results: Participants were 79.35% male and 20.65% female; mean age 54.0 years (SD 16.4). Internet use was near universal (91.86%); 72.8% used the internet several times per day, 11.41% once daily, 7.6% weekly, and 7.6% reported never using it. YouTube (58.7%) and Facebook (54.35%) were the most frequently used social platforms, followed by Instagram (36.41%), TikTok (21.74%), and X (formerly Twitter) (18.48%); 15.76% reported no social media use. Trust in online health information was modest (mean 4.32/10, SD 2.3) and highest in Germany (5.08); education did not correlate with trust in any country (Spearman p ≥0.07). Conclusions: Among European urology outpatients, internet engagement is ubiquitous, but perceived usefulness, trust, and app adoption vary substantially across countries.
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