The Impact of COVID-19 on Urological Cancer: An internet Search Volume Analysis

Keywords: Urology, Prostate Cancer, Cancer, Telemedicine, ehealth, Bladder Cancer, Kidney Cancer, Testicular Cancer, Public Health


Objectives: Health services have been disrupted due to Coronavirus disease 2019 (COVID-19). With patients, unable to access face to face healthcare, many turn to sources such as the Internet for health-related information. Other patients ignore all other health related issues and focus on the threat posed by a pandemic. This study sought to analyse the Internet health-seeking behaviour related to urological cancer of patients in the United Kingdom (UK) during the COVID-19 Pandemic. Methods: Internet search volumes over a 3-month period, during the UK pandemic, were analysed using Google TrendsTM to obtain a search volume index (SVI) and compared to an equivalent pre COVID-19 period. The SVI measures relative search volume and was obtained for “Prostate Cancer”, “Kidney Cancer”, “Bladder Cancer” and Testicular Cancer” searches. Results: The average SVI for Prostate Cancer before the COVID-19 pandemic was 49.3, compared to 42.6 during the pandemic (p=0.001). Kidney cancer had an average SVI of 45.5 before the pandemic compared to 35.4 during the pandemic (p <0.001). Similar results were obtained for Bladder and Testicular Cancer. There was a 23% decrease in SVI for urological cancer searches during the pandemic compared to before the pandemic (p <0.001). Conclusions: The decline in searches for urological cancer during the pandemic may have implications. Patients maybe ignoring new cancer related symptoms which could result in late diagnoses, public health campaigns are required. Patients with cancer may not be utilising online resources available to them and healthcare professionals should reach out to patients at a time when face-face interaction is limited.


Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus Disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. J Am Med Assoc 2020;323(13):1239-1242. DOI:10.1001/jama.2020.2648

UK Statistics Authority. (2020). Coronavirus (COVID-19) in the UK. Available at: accessed 16 May 2020.

NHS England. (2020). Important and Urgent- Next steps on NHS response to COVID-19. Available at: accessed 16 May 2020

UK Government (Gov UK). (2020). Prime Minister’s Office 10 Downing Street. PM address to the nation on coronavirus: 23 March 2020. Available at: accessed 16 May 2020.

British Association of Urological Surgeons. (2020). COVID19: Members’ Information. Available at: accessed 16 May 2020.

Indini A, Aschele C, Cavanna L, et al. Current perspective reorganisation of medical oncology departments during the novel coronavirus disease-19 pandemic: a nationwide Italian survey. Eur J Cancer 2020;132:17-23. DOI:10.1016/j.ejca.2020.03.024

Macmillan Cancer Support. (2020). Cancer in numbers. Available at: accessed 16 May 2020.

Cancer Research UK. (2020). Prostate cancer statistics. Available at: accessed 16 May 2020.

Wong C, Harrison C, Britt H, Henderson J. Patient use of the internet for health information. Aust Fam Physician 2014;43(12):875-877. PMID: 25705739.

Nelissen S, van den Bulck J, Beullens K. Cancer-Diagnosed individuals’ use of television and the internet as a source for peer stories and associated emotional responses. J Cancer Educ 2018;33(1):193-200. DOI:10.1007/s13187-016-1128-9

Eysenbach G. Infodemiology and infoveillance: framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the Internet. J Med Internet Res 2009;11(1). DOI:10.2196/jmir.1157

Berry S. WebFx. (2019). Search Market Share: 5 Hard Truths About Today’s Market. Available at: accessed 16 May 2020

Arora VS, McKee M, Stuckler D. Google Trends: Opportunities and limitations in health and health policy research. Health Policy 2019;123(3):338-341. DOI:10.1016/j.healthpol.2019.01.001

Scharkow M, Vogelgesang J. Measuring the public agenda using search engine queries. Int J Public Opin Res 2011;23(1):104-113. DOI:10.1093/IJPOR/EDQ048

Office for National Statistics (ONS). (2019). Internet access – households and individuals, Great Britain 2019. Available at: accessed 16 May 2020.

Fox S, Duggan M. Pew Research Center. (2013). Health Online 2013. Available at: accessed 16 May 2020.

Potts HWW, Wyatt JC. Survey of doctors’ experience of patients using the Internet. J Med Internet Res2002;4(1):42-53. DOI:10.2196/jmir.4.1.e5

Chen X, Siu LL. Impact of the media and the Internet on oncology: Survey of cancer patients and oncologists in Canada. J Clin Oncol 2001;19(23):4291-4297. DOI:10.1200/JCO.2001.19.23.4291

Murray E, Lo B, Pollack L, et al. The impact of health information on the Internet on the physician-patient relationship: Patient perceptions. Arch Intern Med 2003;163(14):1727-1734. DOI:10.1001/archinte.163.14.1727

Jacobs W, Amuta AO, Jeon KC. Health information seeking in the digital age: An analysis of health information seeking behavior among US adults. Cogent Soc Sci 2017;3:1302785. DOI:10.1080/23311886.2017.1302785

Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020;21(3):335-337. DOI:10.1016/S1470-2045(20)30096-6

ECancer. (2020). Failure to fully integrate NHS and private hospitals during the COVID-19 pandemic will increase cancer death rates. Available at: accessed 16 May 2020.

Pulse. (2020). NHS England’s 19 March update to GP practices on Covid-19. Available at: accessed 16 May 2020.

Agochukwu NQ, Skolarus TA, Wittmann D. Telemedicine and prostate cancer survivorship: a narrative review. mHealth. 2018;4:45. DOI:10.21037/mhealth.2018.09.08

Chou E, Hsieh Y-L, Wolfshohl J, Green F, Bhakta T. Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED. Emerg Med J 2020;37(6):335-337. DOI:10.1136/emermed-2020-209645

Cancer Research UK. (2020). How coronavirus is impacting cancer services in the UK. Available at: accessed 16 May 2020.

UK Government (Gov UK). (2020). Emergency department: weekly bulletins for 2020. Available at: accessed 16 May 2020.

National Cancer Registration and Analysis Service (NCRAS). (2020). Cancer outcome metrics. Available at: accessed 16 May 2020

Husnayain A, Fuad A, Lazuardi L. Correlation between Google Trends on dengue fever and national surveillance report in Indonesia. Glob Health Action 2019;12(1):1552652. DOI:10.1080/16549716.2018.1552652

Gunn JF, Lester D. Using google searches on the internet to monitor suicidal behavior. J Affect Disord 2013;148(2-3):411-412. DOI:10.1016/j.jad.2012.11.004

How to Cite
Nyanhongo, D. (2020). The Impact of COVID-19 on Urological Cancer: An internet Search Volume Analysis. Journal of the International Society for Telemedicine and EHealth, 8, e12 (1-6).
Original Research