ArticleJournal of Indian Association of Pediatric Surgeons
Public Online Search Behavior for Pediatric Urology Conditions: A Google Trends Infodemiology Analysis of Symptom Awareness versus Treatment-seeking Interest across Four Entities (2004-2024).
Article in Journal of Indian Association of Pediatric Surgeons. 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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Authors and funding
6 authors.
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Abstract
Background: Pelviureteric junction obstruction (PUJO), vesicoureteric reflux (VUR), hypospadias, and undescended testis (UDT) (cryptorchidism) are among the most commonly encountered conditions in pediatric urology practice. However, caregiver online health-seeking behavior for these conditions remains poorly characterized. Objective: To compare symptom-seeking versus treatment-seeking online search behavior for these four conditions globally (2004-2024) and assess the impact of the coronavirus disease 2019 (COVID-19) pandemic. Study Design: Retrospective infodemiology study using Google Trends relative search volume data. Methods: Google Trends were queried globally at monthly resolution for 2004-2024. For each condition, 10 search terms - selected using prespecified criteria of clinical plausibility, lay vocabulary fidelity, and nonredundancy - were divided into symptom-seeking and treatment-seeking groups. A shared anchor term enabled cross-group normalization to yield a monthly symptom-to-treatment (S: T) ratio. Spearman correlation assessed temporal trends; the Kruskal-Wallis test with Bonferroni correction evaluated inter-entity differences. Results: Hypospadias showed the highest treatment-seeking volume and the lowest S: T ratio (0.003 ± 0.027), indicating persistent treatment-dominant searching throughout. UDT demonstrated a significant increasing S: T trend ( Conclusions: Significant differences exist in online caregiver health-seeking behavior across the four most common pediatric urological conditions, identifying condition-specific gaps in digital health literacy and targets for focused caregiver education.
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