An Analysis of Public Interest in Elective Neurosurgical Procedures During the COVID-19 Pandemic Through Online Search Engine Trends.

dc.contributor.author

Feng, Austin Y

dc.contributor.author

Garcia, Cesar A

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Jin, Michael C

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Ho, Allen L

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Li, Gordon

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Grant, Gerald

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Ratliff, John

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Skirboll, Stephen L

dc.date.accessioned

2023-04-13T19:40:55Z

dc.date.available

2023-04-13T19:40:55Z

dc.date.issued

2021-04

dc.date.updated

2023-04-13T19:40:53Z

dc.description.abstract

Objective

In the wake of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has recommended the temporary cessation of all elective surgeries. The effects on patients' interest of elective neurosurgical procedures are currently unexplored.

Methods

Using Google Trends, search terms of 7 different neurosurgical procedure categories (trauma, spine, tumor, movement disorder, epilepsy, endovascular, and miscellaneous) were assessed in terms of relative search volume (RSV) between January 2015 and September 2020. Analyses of search terms were performed for over the short term (February 18, 2020, to April 18, 2020), intermediate term (January 1, 2020, to May 31, 2020), and long term (January 2015 to September 2020). State-level interest during phase I reopening (April 28, 2020, to May 31, 2020) was also evaluated.

Results

In the short term, RSVs of 4 categories (epilepsy, movement disorder, spine, and tumor) were significantly lower in the post-CMS announcement period. In the intermediate term, RSVs of 5 categories (miscellaneous, epilepsy, movement disorder, spine, and tumor) were significantly lower in the post-CMS announcement period. In the long term, RSVs of nearly all categories (endovascular, epilepsy, miscellaneous, movement disorder, spine, and tumor) were significantly lower in the post-CMS announcement period. Only the movement disorder procedure category had significantly higher RSV in states that reopened early.

Conclusions

With the recommendation for cessation of elective surgeries, patient interests in overall elective neurosurgical procedures have dropped significantly. With gradual reopening, there has been a resurgence in some procedure types. Google Trends has proven to be a useful tracker of patient interest and may be used by neurosurgical departments to facilitate outreach strategies.
dc.identifier

S1878-8750(20)32710-8

dc.identifier.issn

1878-8750

dc.identifier.issn

1878-8769

dc.identifier.uri

https://hdl.handle.net/10161/27041

dc.language

eng

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Elsevier BV

dc.relation.ispartof

World neurosurgery

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10.1016/j.wneu.2020.12.143

dc.subject

Humans

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Brain Neoplasms

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Spinal Diseases

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Cerebrovascular Disorders

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Epilepsy

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Movement Disorders

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Craniocerebral Trauma

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Deep Brain Stimulation

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Neurosurgical Procedures

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Prosthesis Implantation

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Internet

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Information Seeking Behavior

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Search Engine

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Endovascular Procedures

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Elective Surgical Procedures

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COVID-19

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SARS-CoV-2

dc.title

An Analysis of Public Interest in Elective Neurosurgical Procedures During the COVID-19 Pandemic Through Online Search Engine Trends.

dc.type

Journal article

duke.contributor.orcid

Grant, Gerald|0000-0002-2651-4603

pubs.begin-page

e282

pubs.end-page

e293

pubs.organisational-group

Duke

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Neurobiology

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Neurosurgery

pubs.publication-status

Published

pubs.volume

148

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