Okuhara Tsuyoshi, Ishikawa Hirono, Urakubo Akiko, Hayakawa Masayo, Yamaki Chikako, Takayama Tomoko, Kiuchi Takahiro
Department of Health Communication, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
School of Public Health, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan.
Prev Med Rep. 2018 Oct 22;12:245-252. doi: 10.1016/j.pmedr.2018.10.014. eCollection 2018 Dec.
The provision of information about cancer is an important aspect of cancer care. Cancer information provided online is expected to meet the needs of information seekers. Whether information needs vary according to tumor site is largely unknown. We aimed to examine similarities and differences in informational needs by cancer type. Data were collected using a questionnaire administered on Japan's largest cancer information website, "Ganjoho service". A total of 2782 free descriptive responses in the period from April 2012 to December 2017 were analyzed using text-mining software. We identified the top 10 informational need contents, in order of appearance frequency, for eight tumor sites: gastric, colorectal, esophageal, lung, pancreatic, breast, cervical, and prostate cancer. Frequent information needs common to all tumor sites included symptoms, disease stages, treatments, chance of cure, recovery, metastasis, and recurrence. A need for information about diet, pain, side effects of treatments, complementary and alternative medicine was frequent for some tumor sites. Tumor site-specific information should include the following, according to cancer type: information of scirrhous carcinoma for gastric cancer; unusual feces for colorectal cancer; lung X-ray images for lung cancer; early detection for pancreatic cancer; adenocarcinoma, sexual activity, pregnancy, and childbirth for cervical cancer; breast conservation or reconstruction and triple negative cancer for breast cancer; test values and diagnosis and urinary problems for prostate cancer; and hormone therapy for breast and prostate cancer. Cancer information provided online should meet these frequent informational needs, considering similarities and differences of the information required according to tumor site.
提供癌症相关信息是癌症护理的一个重要方面。人们期望在线提供的癌症信息能够满足信息寻求者的需求。信息需求是否因肿瘤部位而异在很大程度上尚不清楚。我们旨在研究不同癌症类型在信息需求方面的异同。通过在日本最大的癌症信息网站“Ganjoho service”上进行问卷调查来收集数据。使用文本挖掘软件对2012年4月至2017年12月期间共2782条免费描述性回复进行了分析。我们确定了八个肿瘤部位(胃癌、结直肠癌、食管癌、肺癌、胰腺癌、乳腺癌、宫颈癌和前列腺癌)出现频率最高的前10项信息需求内容。所有肿瘤部位常见的频繁信息需求包括症状、疾病分期、治疗方法、治愈几率、康复情况、转移和复发。某些肿瘤部位对饮食、疼痛、治疗副作用、补充和替代医学方面的信息需求较为频繁。根据癌症类型,肿瘤部位特定信息应包括以下内容:胃癌的硬癌信息;结直肠癌的异常粪便;肺癌的肺部X光图像;胰腺癌的早期检测;宫颈癌的腺癌、性活动、怀孕和分娩;乳腺癌的保乳或重建以及三阴性乳腺癌;前列腺癌的检查值、诊断和泌尿系统问题;乳腺癌和前列腺癌的激素治疗。在线提供的癌症信息应考虑到根据肿瘤部位所需信息的异同,满足这些常见的信息需求。