[What is the value of the internet as a source of information for patients with inguinal hernias? First results of an observational study].
BACKGROUND
The increasing use of the internet has led to a variety of medical web pages and an increasing amount of information about hospitals. Little is known about the extent to which this new medium is already used by patients as a source of information. For patients with inguinal hernia, for example, a frequent surgical symptom with large method variety, the value of the internet as a source of information should be examined.


METHODS
One hundred patients facing an elective inguinal hernia repair at the Surgical Department Charité Berlin took part in a prospective observation study (a questionnaire with 10 questions) between July 1999 and March 2001. The questions referred to the possibility of PC/internet access, other sources of information (e.g., general practitioner, friends, internet) as well as the criteria by which the clinic was chosen. Patients were asked to answer basic questions about the development and treatment of inguinal hernia and to give a self-assessment of their knowledge of inguinal hernia (0 = no knowledge; 10 = maximum knowledge).


RESULTS
The questionnaire revealed that 39% of the patients (average age 47 +/- 16 years) had a PC in their homes, 24% of those with internet access; 11% had internet access at other places. It also showed that 53% of the patients sought medical information from their general practitioner, 29% from friends, and 18% from the internet. Young patients (median age 29 years), employees and patients with private internet access use the internet with significantly more frequency. Their medical knowledge as well as their self-assessment of medical knowledge was significantly higher (median 19 versus 7 points and median 8.6 versus 5.7, respectively) and they chose the clinic because of the information from their research on the internet.


CONCLUSIONS
At present, the internet still plays a subordinate role as a source of information for patients with an inguinal hernia. The increasing presence of this medium as well as the higher internet acceptance of future patients indicates that it has a promising future as a source of medical information.
Zieren
J
J
Klinik für Allgemein-, Visceral-, Gefäss- and Thoraxchirurgie, Charité, Campus Mitte, Humboldt Universität Berlin, Schumannstrasse 20/21, 10117 Berlin. juergen.zieren@charite.de
Neuss
H
H
Maecker
F
F
Müller
J M
JM
D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany / Q000453:epidemiology; D006552:Hernia, Inguinal / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D008838:Microcomputers / Q000706:statistics & numerical data; D008875:Middle Aged; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011795:Surveys and Questionnaires