{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:00:50Z","timestamp":1787166050631,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T00:00:00Z","timestamp":1705190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assess the relationship between public interest in ankyloglossia as determined by internet search volume and real\u2010world medical claims data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective Cohort Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This retrospective cohort study was conducted using claims data from the Merative\u2122 Marketscan\u00ae Research Databases. The internet search data was collected from Google Trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Annual Google Trends data were compiled using search terms associated with \u201cankyloglossia\u201d and \u201cfrenotomy\u201d for the years 2011 to 2021. We obtained incidence of ankyloglossia diagnoses and frenotomy procedures in children under 12 months from Marketscan relative to all infants enrolled. We compared associations between search and incidence data among US states and over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Google search correlated with ankyloglossia incidence (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.4104,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0031) and with frenotomy incidence (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.4062,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0034) per state. Ankyloglossia diagnoses increased with Google search index (coefficient\u2009=\u20090.336, 95% confidence interval [CI] 0.284, 0.388) and year (coefficient\u2009=\u20090.028, 95% CI 0.025, 0.031). Similarly, frenotomy procedures increased with Google search index (coefficient\u2009=\u20090.371, 95% CI 0.313, 0.429) and year (coefficient\u2009=\u20090.027, 95% CI 0.024, 0.030).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Associations between online ankyloglossia search trends and both diagnosis and treatment rates, persist across US regions and timeframes. Internet search trends are pivotal in shaping pediatric health care decisions, driving clinical consensus, and disseminating evidence\u2010based information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.643","type":"journal-article","created":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T18:43:45Z","timestamp":1705257825000},"page":"1442-1448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Is Public Interest Associated with Real\u2010World Management of Ankyloglossia?"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1247-6140","authenticated-orcid":false,"given":"Danial F.","family":"Naseem","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amar H.","family":"Sheth","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan G.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z. Jason","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.129731"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2010.07.010"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S2179-64912012000400020"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.11.006"},{"issue":"79","key":"e_1_2_8_6_1","first-page":"127","article-title":"Tongue\u2010tie repair: Z\u2010Plasty vs simple release","volume":"27","author":"Yousefi J","year":"2015","journal-title":"Iran J Otorhinolaryngol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473974X19826943"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613211064045"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00359-1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817690135"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110386"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820925415"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12802"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2017.0044"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418776343"},{"key":"e_1_2_8_16_1","unstructured":"Stanford Center for Population Health Sciences. 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