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A Global Survey on the Impact of COVID-19 on Urological Services

BACKGROUND: The World Health Organization (WHO) declared coronavirus disease-19 (COVID-19) as a pandemic on March 11, 2020. The impact of COVID-19 on urological services in different geographical areas is unknown. OBJECTIVE: To investigate the global impact of COVID-19 on urological providers and th...

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Autores principales: Teoh, Jeremy Yuen-Chun, Ong, William Lay Keat, Gonzalez-Padilla, Daniel, Castellani, Daniele, Dubin, Justin M., Esperto, Francesco, Campi, Riccardo, Gudaru, Kalyan, Talwar, Ruchika, Okhunov, Zhamshid, Ng, Chi-Fai, Jain, Nitesh, Gauhar, Vineet, Wong, Martin Chi-Sang, Wroclawski, Marcelo Langer, Tanidir, Yiloren, Rivas, Juan Gomez, Tiong, Ho-Yee, Loeb, Stacy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Association of Urology. Published by Elsevier B.V. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248000/
https://www.ncbi.nlm.nih.gov/pubmed/32507625
http://dx.doi.org/10.1016/j.eururo.2020.05.025
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author Teoh, Jeremy Yuen-Chun
Ong, William Lay Keat
Gonzalez-Padilla, Daniel
Castellani, Daniele
Dubin, Justin M.
Esperto, Francesco
Campi, Riccardo
Gudaru, Kalyan
Talwar, Ruchika
Okhunov, Zhamshid
Ng, Chi-Fai
Jain, Nitesh
Gauhar, Vineet
Wong, Martin Chi-Sang
Wroclawski, Marcelo Langer
Tanidir, Yiloren
Rivas, Juan Gomez
Tiong, Ho-Yee
Loeb, Stacy
author_facet Teoh, Jeremy Yuen-Chun
Ong, William Lay Keat
Gonzalez-Padilla, Daniel
Castellani, Daniele
Dubin, Justin M.
Esperto, Francesco
Campi, Riccardo
Gudaru, Kalyan
Talwar, Ruchika
Okhunov, Zhamshid
Ng, Chi-Fai
Jain, Nitesh
Gauhar, Vineet
Wong, Martin Chi-Sang
Wroclawski, Marcelo Langer
Tanidir, Yiloren
Rivas, Juan Gomez
Tiong, Ho-Yee
Loeb, Stacy
author_sort Teoh, Jeremy Yuen-Chun
collection PubMed
description BACKGROUND: The World Health Organization (WHO) declared coronavirus disease-19 (COVID-19) as a pandemic on March 11, 2020. The impact of COVID-19 on urological services in different geographical areas is unknown. OBJECTIVE: To investigate the global impact of COVID-19 on urological providers and the provision of urological patient care. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional, web-based survey was conducted from March 30, 2020 to April 7, 2020. A 55-item questionnaire was developed to investigate the impact of COVID-19 on various aspects of urological services. Target respondents were practising urologists, urology trainees, and urology nurses/advanced practice providers. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The primary outcome was the degree of reduction in urological services, which was further stratified by the geographical location, degree of outbreak, and nature and urgency of urological conditions. The secondary outcome was the duration of delay in urological services. RESULTS AND LIMITATIONS: A total of 1004 participants responded to our survey, and they were mostly based in Asia, Europe, North America, and South America. Worldwide, 41% of the respondents reported that their hospital staff members had been diagnosed with COVID-19 infection, 27% reported personnel shortage, and 26% had to be deployed to take care of COVID-19 patients. Globally, only 33% of the respondents felt that they were given adequate personal protective equipment, and many providers expressed fear of going to work (47%). It was of concerning that 13% of the respondents were advised not to wear a surgical face mask for the fear of scaring their patients, and 21% of the respondents were advised not to discuss COVID-19 issues or concerns on media. COVID-19 had a global impact on the cut-down of urological services, including outpatient clinic appointments, outpatient investigations and procedures, and urological surgeries. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak. On average, 28% of outpatient clinics, 30% of outpatient investigations and procedures, and 31% of urological surgeries had a delay of >8 wk. Urological services for benign conditions were more affected than those for malignant conditions. Finally, 47% of the respondents believed that the accumulated workload could be dealt with in a timely manner after the COVID-19 outbreak, but 50% thought the postponement of urological services would affect the treatment and survival outcomes of their patients. One of the limitations of this study is that Africa, Australia, and New Zealand were under-represented. CONCLUSIONS: COVID-19 had a profound global impact on urological care and urology providers. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak and was greater for benign than for malignant conditions. One-fourth of urological providers were deployed to assist with COVID-19 care. Many providers reported insufficient personal protective equipment and support from hospital administration. PATIENT SUMMARY: Coronavirus disease-19 (COVID-19) has led to significant delay in outpatient care and surgery in urology, particularly in regions with the most COVID-19 cases. A considerable proportion of urology health care professionals have been deployed to assist in COVID-19 care, despite the perception of insufficient training and protective equipment.
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spelling pubmed-72480002020-05-26 A Global Survey on the Impact of COVID-19 on Urological Services Teoh, Jeremy Yuen-Chun Ong, William Lay Keat Gonzalez-Padilla, Daniel Castellani, Daniele Dubin, Justin M. Esperto, Francesco Campi, Riccardo Gudaru, Kalyan Talwar, Ruchika Okhunov, Zhamshid Ng, Chi-Fai Jain, Nitesh Gauhar, Vineet Wong, Martin Chi-Sang Wroclawski, Marcelo Langer Tanidir, Yiloren Rivas, Juan Gomez Tiong, Ho-Yee Loeb, Stacy Eur Urol Infections BACKGROUND: The World Health Organization (WHO) declared coronavirus disease-19 (COVID-19) as a pandemic on March 11, 2020. The impact of COVID-19 on urological services in different geographical areas is unknown. OBJECTIVE: To investigate the global impact of COVID-19 on urological providers and the provision of urological patient care. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional, web-based survey was conducted from March 30, 2020 to April 7, 2020. A 55-item questionnaire was developed to investigate the impact of COVID-19 on various aspects of urological services. Target respondents were practising urologists, urology trainees, and urology nurses/advanced practice providers. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The primary outcome was the degree of reduction in urological services, which was further stratified by the geographical location, degree of outbreak, and nature and urgency of urological conditions. The secondary outcome was the duration of delay in urological services. RESULTS AND LIMITATIONS: A total of 1004 participants responded to our survey, and they were mostly based in Asia, Europe, North America, and South America. Worldwide, 41% of the respondents reported that their hospital staff members had been diagnosed with COVID-19 infection, 27% reported personnel shortage, and 26% had to be deployed to take care of COVID-19 patients. Globally, only 33% of the respondents felt that they were given adequate personal protective equipment, and many providers expressed fear of going to work (47%). It was of concerning that 13% of the respondents were advised not to wear a surgical face mask for the fear of scaring their patients, and 21% of the respondents were advised not to discuss COVID-19 issues or concerns on media. COVID-19 had a global impact on the cut-down of urological services, including outpatient clinic appointments, outpatient investigations and procedures, and urological surgeries. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak. On average, 28% of outpatient clinics, 30% of outpatient investigations and procedures, and 31% of urological surgeries had a delay of >8 wk. Urological services for benign conditions were more affected than those for malignant conditions. Finally, 47% of the respondents believed that the accumulated workload could be dealt with in a timely manner after the COVID-19 outbreak, but 50% thought the postponement of urological services would affect the treatment and survival outcomes of their patients. One of the limitations of this study is that Africa, Australia, and New Zealand were under-represented. CONCLUSIONS: COVID-19 had a profound global impact on urological care and urology providers. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak and was greater for benign than for malignant conditions. One-fourth of urological providers were deployed to assist with COVID-19 care. Many providers reported insufficient personal protective equipment and support from hospital administration. PATIENT SUMMARY: Coronavirus disease-19 (COVID-19) has led to significant delay in outpatient care and surgery in urology, particularly in regions with the most COVID-19 cases. A considerable proportion of urology health care professionals have been deployed to assist in COVID-19 care, despite the perception of insufficient training and protective equipment. European Association of Urology. Published by Elsevier B.V. 2020-08 2020-05-26 /pmc/articles/PMC7248000/ /pubmed/32507625 http://dx.doi.org/10.1016/j.eururo.2020.05.025 Text en © 2020 European Association of Urology. Published by Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Infections
Teoh, Jeremy Yuen-Chun
Ong, William Lay Keat
Gonzalez-Padilla, Daniel
Castellani, Daniele
Dubin, Justin M.
Esperto, Francesco
Campi, Riccardo
Gudaru, Kalyan
Talwar, Ruchika
Okhunov, Zhamshid
Ng, Chi-Fai
Jain, Nitesh
Gauhar, Vineet
Wong, Martin Chi-Sang
Wroclawski, Marcelo Langer
Tanidir, Yiloren
Rivas, Juan Gomez
Tiong, Ho-Yee
Loeb, Stacy
A Global Survey on the Impact of COVID-19 on Urological Services
title A Global Survey on the Impact of COVID-19 on Urological Services
title_full A Global Survey on the Impact of COVID-19 on Urological Services
title_fullStr A Global Survey on the Impact of COVID-19 on Urological Services
title_full_unstemmed A Global Survey on the Impact of COVID-19 on Urological Services
title_short A Global Survey on the Impact of COVID-19 on Urological Services
title_sort global survey on the impact of covid-19 on urological services
topic Infections
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248000/
https://www.ncbi.nlm.nih.gov/pubmed/32507625
http://dx.doi.org/10.1016/j.eururo.2020.05.025
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