Wu Kevin A, Kim Joshua K, Bulleit Clark H, Anastasio Albert T, Adams Samuel B
Duke University School of Medicine, Durham, NC, USA.
Duke University Department of Orthopaedic Surgery, Durham, NC, USA.
Work. 2025 Aug;81(4):3294-3300. doi: 10.1177/10519815251330512. Epub 2025 Apr 28.
BackgroundThe COVID-19 pandemic, marked by significant lifestyle changes and healthcare-seeking behavior shifts, prompted the implementation of widespread Work from Home (WFH) policies.ObjectiveThis study aimed to explore the impact of the COVID-19 pandemic and WFH policies on public interest in foot surgery by using Google Trends searches as a proxy for public interest in the United States.MethodsA comprehensive dataset of foot-related orthopaedic terms was compiled using Google Trends data from March 2018 to March 2022 and captured weekly, representing over 200 observations. The dataset was separated into pre-pandemic and post-pandemic periods. Shaprio-Wilk testing demonstrated nonparametric data, so Mann-Whitney U tests with Cohen's d for effect size were calculated between the two subgroups.ResultsAn analysis of 26 terms showed declines in five and increased interest in four. The largest decrease was noted in "bunion," "foot pain," and "foot fracture." Terms that were newly coined during the pandemic, including "COVID toe" and "COVID feet" were significantly increased. The remaining 17 terms showed nonsignificant fluctuations in search interest.ConclusionThe decline in search interest for foot-related orthopaedic terms during the COVID-19 pandemic may represent the reduced prioritization of nonurgent conditions in the United States. Healthcare professionals should address this through targeted public health initiatives. In a post-pandemic era, healthcare providers should adapt to shifting patient sentiments, public policies, and patient needs.
背景
以生活方式的显著改变和就医行为的转变为特征的新冠疫情,促使广泛实施了居家办公(WFH)政策。
目的
本研究旨在通过使用谷歌趋势搜索作为美国公众兴趣的代理指标,探讨新冠疫情和居家办公政策对公众足部手术兴趣的影响。
方法
利用2018年3月至2022年3月的谷歌趋势数据编制了一个与足部相关的骨科术语综合数据集,每周收集数据,共有200多个观测值。该数据集被分为疫情前和疫情后两个时期。夏皮罗-威尔克检验显示数据为非参数数据,因此在两个亚组之间计算了曼-惠特尼U检验和用于效应量的科恩d值。
结果
对26个术语的分析显示,5个术语的搜索量下降,4个术语的搜索量增加。下降幅度最大的是“拇囊炎”“足部疼痛”和“足部骨折”。疫情期间新出现的术语,包括“新冠脚趾”和“新冠足部”,搜索量显著增加。其余17个术语的搜索兴趣显示无显著波动。
结论
新冠疫情期间与足部相关的骨科术语搜索兴趣下降,可能代表美国非紧急情况的优先级降低。医疗保健专业人员应通过有针对性的公共卫生举措来解决这一问题。在疫情后时代,医疗服务提供者应适应患者情绪、公共政策和患者需求的变化。