Abstract
Some researches with different designs investigated the seasonal pattern of psoriasis; however, the seasonal variation in public interest in psoriasis has not yet been examined. The monitoring of internet search activity has increasingly been used to gain insights into public interest in health-related topics. The aim of the investigation is to employ the Google Trends datasets to evaluate whether a seasonal trend exists in the internet searches of psoriasis by the general public. In the observational investigation, the Google Trends was queried for the [psoriasis] in the United States, the United Kingdom, Canada, Ireland, Australia, and New Zealand between January 2004 and December 2018. The cosinor analysis demonstrated a statistically significant seasonal pattern of searches for [psoriasis] in the United Kingdom (p < 0.001), Canada (p = 0.002), Ireland (p < 0.001), Australia (p < 0.001), and New Zealand (p < 0.001), and a trend towards a seasonal variation in searches in the United States (p = 0.079), with the zenith in late winter/early spring and through in late summer/early fall. A zenith in late winter/early spring and valley in late summer/early fall presented an approximately 6-month difference between hemispheres. Public interest in seeking psoriasis information through internet searches displayed a seasonal pattern, with the highest interest in the late winter/early spring. If a more comprehensive study validated the association of psoriasis flares with patterns in online searches, beyond investigating only seasonality in public interest, the internet data could be used to guide public health interventions and to manage the care of patients with psoriasis.
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References
Armstrong AW, Harskamp CT, Armstrong EJ (2012) The association between psoriasis and obesity: a systematic review and meta-analysis of observational studies. Nutr Diabetes 2:e54
Armstrong AW, Harskamp CT, Dhillon JS, Armstrong EJ (2014) Psoriasis and smoking: a systematic review and meta-analysis. Br J Dermatol 170:304–314
Ayers JW, Althouse BM, Allem JP, Rosenquist JN, Ford DE (2013) Seasonality in seeking mental health information on Google. Am J Prev Med 44:520–525
Balato N, Di Costanzo L, Patruno C, Patrì A, Ayala F (2013) Effect of weather and environmental factors on the clinical course of psoriasis. Occup Environ Med 70:600
Barnett AG, Baker P, Dobson AJ (2012) Analysing seasonal data. R J 4:5–10
Barnett AG, Baker P (2012) Season: seasonal analysis of health data. R package version 0.3-5. https://cran.r-project.org/package=season/. Accessed 14 Jan 2019
Barrea L, Savanelli MC, Di Somma C, Napolitano M, Megna M, Colao A, Savastano S (2017) Vitamin D and its role in psoriasis: an overview of the dermatologist and nutritionist. Rev Endocr Metab Disord 18:195–205
Kang MG, Song WJ, Choi S, Kim H, Ha H, Kim SH, Cho SH, Min KU, Yoon S, Chang YS (2015) Google unveils a glimpse of allergic rhinitis in the real world. Allergy 70:124–128
Brownstein JS, Freifeld CC, Madoff LC (2009) Digital disease detection–harnessing the Web for public health surveillance. N Engl J Med 360(2153–5):2157
Cervellin G, Comelli I, Lippi G (2017) Is Google Trends a reliable tool for digital epidemiology? Insights from different clinical settings. J Epidemiol Glob Health 7:185–189
Chandran V, Raychaudhuri SP (2010) Geoepidemiology and environmental factors of psoriasis and psoriatic arthritis. J Autoimmun 34:J314–J321
Danchin MH, Rogers S, Kelpie L, Selvaraj G, Curtis N, Carlin JB, Nolan TM, Carapetis JR (2007) Burden of acute sore throat and group A streptococcal pharyngitis in school-aged children and their families in Australia. Pediatrics 120:950–957
Ergun T, Seckin Gencosmanoglu D, Karakoc-Aydiner E, Salman A, Tekin B, Bulbul-Baskan E, Alpsoy E, Cakıroglu A, Onsun N (2017) Prevalence of obesity in paediatric psoriasis and its impact on disease severity and progression. Aust J Dermatol 58:e182–e187
Fleming P, Bai JW, Pratt M, Sibbald C, Lynde C, Gulliver WP (2017) The prevalence of anxiety in patients with psoriasis: a systematic review of observational studies and clinical trials. J Eur Acad Dermatol Venereol 31:798–807
Florek AG, Wang CJ, Armstrong AW (2018) Treatment preferences and treatment satisfaction among psoriasis patients: a systematic review. Arch Dermatol Res 310:271–319
Fox S (2005) Health information online. Pew Internet & American Life Project, Washington
Garrison SR, Dormuth CR, Morrow RL, Carney GA, Khan KM (2015) Seasonal effects on the occurrence of nocturnal leg cramps: a prospective cohort study. CMAJ 187:248–253
Google Privacy & Terms. https://policies.google.com/. Accessed 14 Jan 2019
Google Trends help center. https://support.google.com/trends/. Accessed 14 Jan 2019
Google Trends. https://trends.google.com/trends/. Accessed 14 Jan 2019
Gudjonsson JE, Thorarinsson AM, Sigurgeirsson B, Kristinsson KG, Valdimarsson H (2003) Streptococcal throat infections and exacerbation of chronic plaque psoriasis: a prospective study. Br J Dermatol 149:530–534
Hancox JG, Sheridan SC, Feldman SR, Fleischer AB Jr (2004) Seasonal variation of dermatologic disease in the USA: a study of office visits from 1990 to 1998. Int J Dermatol 43:6–11
Ingram DG, Matthews CK, Plante DT (2015) Seasonal trends in sleep-disordered breathing: evidence from Internet search engine query data. Sleep Breath 19:79–84
Ingram DG, Plante DT (2013) Seasonal trends in restless legs symptomatology: evidence from Internet search query data. Sleep Med 14:1364–1368
Internet Live Stats. Google search statistics. http://www.internetlivestats.com/google-search-statistics/. Accessed 14 Jan 2019
Kardeş S (2019) Seasonal variation in the internet searches for gout: an ecological study. Clin Rheumatol 38:769–775
Kardeş S, Kardeş E (2019) Seasonality of bruxism: evidence from Google Trends. Sleep Breath. https://doi.org/10.1007/s11325-019-01787-6
Ku JC, Alotaibi NM, Wang J, Ibrahim GM, Schweizer TA, Macdonald RL (2017) Internet search volumes in brain aneurysms and subarachnoid hemorrhage: is there evidence of seasonality? Clin Neurol Neurosurg 158:1–4
Kwan Z, Bong YB, Tan LL, Lim SX, Yong ASW, Ch’ng CC, Tan MP, Ismail R (2018) Determinants of quality of life and psychological status in adults with psoriasis. Arch Dermatol Res 310:443–451
Liu F, Allan GM, Korownyk C, Kolber M, Flook N, Sternberg H, Garrison S (2016) Seasonality of ankle swelling: population symptom reporting using Google Trends. Ann Fam Med 14:356–358
Mattozzi C, Paolino G, Richetta AG, Calvieri S (2016) Psoriasis, vitamin D and the importance of the cutaneous barrier’s integrity: an update. J Dermatol 43:507–514
Mavragani A, Ochoa G, Tsagarakis KP (2018) Assessing the methods, tools, and statistical approaches in Google Trends research: systematic review. J Med Internet Res 6(20):e270
Michalek IM, Loring B, John SM (2017) A systematic review of worldwide epidemiology of psoriasis. J Eur Acad Dermatol Venereol 31:205–212
Moccia M, Palladino R, Falco A, Saccà F, Lanzillo R, Brescia Morra V (2016) Google Trends: new evidence for seasonality of multiple sclerosis. J Neurol Neurosurg Psychiatry 87:1028–1029
Moon RJ, Curtis EM, Davies JH, Cooper C, Harvey NC (2017) Seasonal variation in internet searches for vitamin D. Arch Osteoporos 12:28
Nestle FO, Kaplan DH, Barker J (2009) Psoriasis. N Engl J Med 361:496–509
Nuti SV, Wayda B, Ranasinghe I, Wang S, Dreyer RP, Chen SI, Murugiah K (2014) The use of google trends in health care research: a systematic review. PLoS One 9:e109583
O’Keeffe ST (2017) Summertime blues? A re-examination of the seasonality of web searches for restless legs and leg cramps. Sleep Med 37:119–123
Oyane NM, Bjelland I, Pallesen S, Holsten F, Bjorvatn B (2008) Seasonality is associated with anxiety and depression: the Hordaland health study. J Affect Disord 105:147–155
Pascoe VL, Kimball AB (2015) Seasonal variation of acne and psoriasis: a 3-year study using the Physician Global Assessment severity scale. J Am Acad Dermatol 73:523–525
Phillips K, Bentley MC (2001) Seasonal assessment of environmental tobacco smoke and respirable suspended particle exposures for nonsmokers in Bremen using personal monitoring. Environ Int 27:69–85
Plante DT, Ingram DG (2015) Seasonal trends in tinnitus symptomatology: evidence from Internet search engine query data. Eur Arch Otorhinolaryngol 272:2807–2813
Prinz JC (2001) Psoriasis vulgaris–a sterile antibacterial skin reaction mediated by cross-reactive T cells? An immunological view of the pathophysiology of psoriasis. Clin Exp Dermatol 26:326–332
R Core Team (2018) R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/. Accessed 14 Jan 2019
Radin M, Sciascia S (2017) Infodemiology of systemic lupus erythematous using Google Trends. Lupus 26:886–889
Richer V, Roubille C, Fleming P, Starnino T, McCourt C, McFarlane A, Siu S, Kraft J, Lynde C, Pope JE, Keeling S, Dutz J, Bessette L, Gulliver WP, Haraoui B, Bissonnette R (2016) Psoriasis and smoking: a systematic literature review and meta-analysis with qualitative analysis of effect of smoking on psoriasis severity. J Cutan Med Surg 20:221–227
Senecal C, Widmer RJ, Lerman LO, Lerman A (2018) Association of search engine queries for chest pain with coronary heart disease epidemiology. JAMA Cardiol 3:1218–1221
Soleymani T, Hung T, Soung J (2015) The role of vitamin D in psoriasis: a review. Int J Dermatol 54:383–392
Telfer S, Woodburn J (2015) Let me Google that for you: a time series analysis of seasonality in internet search trends for terms related to foot and ankle pain. J Foot Ankle Res 8:27
Toosi B, Kalia S (2016) Seasonal and geographic patterns in tanning using real-time data from Google Trends. JAMA Dermatol 152:215–217
Winthorst WH, Roest AM, Bos EH, Meesters Y, Penninx BW, Nolen WA, de Jonge P (2014) Self-attributed seasonality of mood and behavior: a report from the Netherlands study of depression and anxiety. Depress Anxiety 31:517–523
Wong T, Hsu L, Liao W (2013) Phototherapy in psoriasis: a review of mechanisms of action. J Cutan Med Surg 17:6–12
Yang AC, Huang NE, Peng CK, Tsai SJ (2010) Do seasons have an influence on the incidence of depression? The use of an internet search engine query data as a proxy of human affect. PLoS One 5:e13728
Zeng J, Luo S, Huang Y, Lu Q (2017) Critical role of environmental factors in the pathogenesis of psoriasis. J Dermatol 44:863–872
Zhang X, Dang S, Ji F, Shi J, Li Y, Li M, Jia X, Wan Y, Bao X, Wang W (2018) Seasonality of cellulitis: evidence from Google Trends. Infect Drug Resist 11:689–693
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The author thanks Kadriye Gümüş, medical writer, from Publication Support Unit, Istanbul Faculty of Medicine, for English editing of the manuscript.
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Kardeş, S. Seasonal variation in the internet searches for psoriasis. Arch Dermatol Res 311, 461–467 (2019). https://doi.org/10.1007/s00403-019-01921-0
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DOI: https://doi.org/10.1007/s00403-019-01921-0