Abstract：
Despite advances in the surgical management of peripheral nerve pathologies over the past several decades, it is unknown how public awareness of these procedures has changed. We hypothesize that Google searches for peripheral nerve surgery have increased over time.
Google Trends was queried for search volumes of a list of 40 keywords related to the following topics in peripheral nerve surgery: spasticity, nerve injury, prosthetics, and nerve pain. Monthly relative search volume over the first 5 years of the study period (2010-2014) was compared with that of the last 5 years (2018-2022) of the study period.
Search volumes for keywords \"nerve injury,\" \"nerve laceration,\" \"peripheral nerve injury,\" \"nerve repair,\" \"nerve transfer\", \"neuroma,\" \"neuroma pain,\" \"nerve pain,\" \"nerve pain surgery,\" and \"neuroma pain surgery\" all increased more than 10% points in relative search volume over the study period (P < 0.0001 for each keyword). In contrast, searches for \"rhizotomy,\" \"spasticity surgery,\" \"targeted muscle reinnervation,\" \"bionic arm,\" and \"myoelectric prosthesis\" either decreased or remained stable. Technical terms such as \"selective neurectomy,\" \"hyperselective neurectomy,\" \"regenerative peripheral nerve interface,\" and \"regenerative peripheral nerve interface surgery\" did not have adequate search volume to be reported by Google Trends.
The increase in Google searches related to nerve injury and pain between 2010 and 2022 may reflect increasing public recognition of these clinical entities and surgical techniques addressing them. Technical terms relating to nerve pain are infrequently searched, surgeons should use plain English terms for online discovery. Interest in spasticity and myoelectric prosthetics remains stable, indicating an opportunity for better public outreach.
Google Trends was queried for search volumes of a list of 40 keywords related to the following topics in peripheral nerve surgery: spasticity, nerve injury, prosthetics, and nerve pain. Monthly relative search volume over the first 5 years of the study period (2010-2014) was compared with that of the last 5 years (2018-2022) of the study period.
Search volumes for keywords \"nerve injury,\" \"nerve laceration,\" \"peripheral nerve injury,\" \"nerve repair,\" \"nerve transfer\", \"neuroma,\" \"neuroma pain,\" \"nerve pain,\" \"nerve pain surgery,\" and \"neuroma pain surgery\" all increased more than 10% points in relative search volume over the study period (P < 0.0001 for each keyword). In contrast, searches for \"rhizotomy,\" \"spasticity surgery,\" \"targeted muscle reinnervation,\" \"bionic arm,\" and \"myoelectric prosthesis\" either decreased or remained stable. Technical terms such as \"selective neurectomy,\" \"hyperselective neurectomy,\" \"regenerative peripheral nerve interface,\" and \"regenerative peripheral nerve interface surgery\" did not have adequate search volume to be reported by Google Trends.
The increase in Google searches related to nerve injury and pain between 2010 and 2022 may reflect increasing public recognition of these clinical entities and surgical techniques addressing them. Technical terms relating to nerve pain are infrequently searched, surgeons should use plain English terms for online discovery. Interest in spasticity and myoelectric prosthetics remains stable, indicating an opportunity for better public outreach.
摘要：
背景：尽管在过去的几十年中，周围神经病变的外科治疗取得了进展，目前尚不清楚公众对这些程序的认识如何改变。我们假设谷歌对周围神经手术的搜索随着时间的推移而增加。
方法：Google趋势被查询为与周围神经手术中以下主题相关的38个关键字列表的搜索量：痉挛，神经损伤,假肢,和神经疼痛。将研究期前5年（2010-2014年）的每月相对搜索量（RSV）与研究期最后5年（2018-2022年）的每月相对搜索量（RSV）进行比较。
结果：搜索关键词“神经损伤，“神经撕裂”,“\”周围神经损伤，“\”神经修复，\"\"神经转移\",“神经瘤，“神经瘤疼痛，“神经疼痛，“神经疼痛手术，在研究期间，“”和“神经瘤疼痛手术”的RSV均增加了10个百分点以上（每个关键词的p<0.0001）。相比之下,搜索“根际切断术”，\"\"痉挛手术,“靶向性肌肉神经支配，\"\"仿生手臂,“和”肌电假体“要么减少，要么保持稳定。诸如“选择性神经切除术”之类的技术术语，超选择性神经切除术，\"\"再生周围神经界面,“”和“RPNI手术”没有足够的搜索量，无法由Google趋势报告。
结论：2010-2022年间，与神经损伤和疼痛相关的Google搜索的增加可能反映了公众对这些临床实体和外科技术的认可。与神经痛相关的专业术语很少被搜索，外科医生应该使用简单的英语术语进行在线发现。对痉挛和肌电假肢的兴趣保持稳定，这表明了更好的公众宣传的机会。
方法：Google趋势被查询为与周围神经手术中以下主题相关的38个关键字列表的搜索量：痉挛，神经损伤,假肢,和神经疼痛。将研究期前5年（2010-2014年）的每月相对搜索量（RSV）与研究期最后5年（2018-2022年）的每月相对搜索量（RSV）进行比较。
结果：搜索关键词“神经损伤，“神经撕裂”,“\”周围神经损伤，“\”神经修复，\"\"神经转移\",“神经瘤，“神经瘤疼痛，“神经疼痛，“神经疼痛手术，在研究期间，“”和“神经瘤疼痛手术”的RSV均增加了10个百分点以上（每个关键词的p<0.0001）。相比之下,搜索“根际切断术”，\"\"痉挛手术,“靶向性肌肉神经支配，\"\"仿生手臂,“和”肌电假体“要么减少，要么保持稳定。诸如“选择性神经切除术”之类的技术术语，超选择性神经切除术，\"\"再生周围神经界面,“”和“RPNI手术”没有足够的搜索量，无法由Google趋势报告。
结论：2010-2022年间，与神经损伤和疼痛相关的Google搜索的增加可能反映了公众对这些临床实体和外科技术的认可。与神经痛相关的专业术语很少被搜索，外科医生应该使用简单的英语术语进行在线发现。对痉挛和肌电假肢的兴趣保持稳定，这表明了更好的公众宣传的机会。
