title: Internet-mediated physician-patient interaction focusing on extracranial hemangiomas and vascular malformations.
abstract: BACKGROUND
  Internet-mediated communication in health care is becoming increasingly important. The purpose of this study was to analyze internet-mediated physician-patient interaction in an angioma center.
  
  
  METHODS
  Patient-related e-mails received between January 2002 and June 2009 were retrospectively analyzed regarding the diagnosis of hemangiomas or vascular malformations. Additionally, the visitors' statistics of the corresponding website ''www.angiome.de" was evaluated.
  
  
  RESULTS
  Five hundred forty-eight e-mails matched the criteria of the study. From 2002 to 2008, the number of messages registered annually increased by a factor of 20 and the average number of e-mails per patient tripled. The number of new patients contacting the center via e-mail increased from 12 to 72 per year. The website ''www.angiome.de" was visited 8490 times in 2008 and 13,291 times in 2009.
  
  
  CONCLUSIONS
  The presence of the internet is relevant to get in touch with new patients and to provide information for nonprofessionals and experts especially in diseases with low incidence.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, University Hospital Giessen & Marburg, Marburg, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Wiegand
authors.forename: Johannes
authors.initials: J
authors.lastname: Marggraf
authors.forename: Thomas
authors.initials: T
authors.lastname: Wilhelm
authors.forename: Behfar
authors.initials: B
authors.lastname: Eivazi
authors.forename: Jochen A
authors.initials: JA
authors.lastname: Werner
mesh_terms: D000328:Adult; D003880:Dermatology; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006391:Hemangioma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D020407:Internet; D008297:Male; D010036:Otolaryngology; D010817:Physician-Patient Relations; D011320:Primary Health Care; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000628:therapy; D013997:Time Factors; D054079:Vascular Malformations / Q000175:diagnosis* / Q000628:therapy
keywords: e-mail; hemangioma; internet; vascular malformation; website