Austin Chiang|Ryan Flanagan|Walter W. Chan
S3245 Google Trends Interest in Colonoscopy Is Inversely Correlated With 10-Year Colorectal Cancer Mortality in the United States
Thomas Jefferson University Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital
introduction colorectal cancer crc accounts approximately 50000 deaths 14 per 100000 people yearly united states despite availability effective screening colonoscopy 67 us population date colon cancer screening google trends novel internet search tool broad applications assessing interest common search terms time aim assess whether interest search term colonoscopy related crc mortality methods collected data google trends interest measured relative search volume search term colonoscopy fifty united states district columbia calculated pearson correlation colonoscopy interest 2007 google trends ageadjusted crc mortality rates decade later 2017 obtained official federal statistics produced cdc national cancer institute linear regression performed assess relationship colonoscopy interest crc mortality controlling health insurance status percentage african american individuals state 2017 obtained united states census bureau median household income state 2017 obtained kaiser family foundation results five states highest google trends search volume colonoscopy tennessee montana maine massachusetts delaware five lowest search volume alaska mississippi nevada hawaii west virginia inverse correlation google trends interest colonoscopy 2007 crc mortality 2017 pearson correlation 023 p009 adjusting percentage uninsured people state median household income african american race remained statistically significant inverse correlation interest colonoscopy crc mortality 003 p 003 conclusion found google trends interest colonoscopy inversely correlated crc mortality may indicate higher health literacy interest preventive health could protective mortality crc controlling percentage uninsured individuals median household income african american race state significantly alter relationship conclusion knowledge population level interest via google trends recommended screening modalities like colonoscopy may better inform targeted crc education prevention strategiesfigure 1 map united states according ageadjusted colorectal cancer crc mortality rate 2017 b map united states according relative search volume search term colonoscopy 2007 c table states highest lowest ageadjusted colorectal cancer crc mortality rate 2017 table states highest lowest relative search volume search term colonoscopy 2007