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Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature

INTRODUCTION AND HYPOTHESIS: The coronavirus (COVID-19) pandemic has impacted health systems worldwide. There is a continuing need for clinicians to adapt practice to facilitate timely provision of medical care, whilst minimising horizontal transmission. Guidance and recommendations are increasingly...

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Autores principales: Loganathan, Jemina, Doumouchtsis, Stergios K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856854/
https://www.ncbi.nlm.nih.gov/pubmed/33533991
http://dx.doi.org/10.1007/s00192-021-04704-2
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author Loganathan, Jemina
Doumouchtsis, Stergios K.
author_facet Loganathan, Jemina
Doumouchtsis, Stergios K.
author_sort Loganathan, Jemina
collection PubMed
description INTRODUCTION AND HYPOTHESIS: The coronavirus (COVID-19) pandemic has impacted health systems worldwide. There is a continuing need for clinicians to adapt practice to facilitate timely provision of medical care, whilst minimising horizontal transmission. Guidance and recommendations are increasingly available, and this rapid review aimed to provide a timely evidence synthesis on the current recommendations surrounding urogynaecological care. METHODS: We performed a literature review using PubMed/Medline, Embase and Cochrane and a manual search of national and international societies for management recommendations for urogynaecological patients during the COVID-19 pandemic. RESULTS: Nine guidance documents and 17 articles, including 10 reviews, were included. Virtual clinics are recommended for new and follow-up patients, to assess and initiate treatment, as well as triage patients who require face-to-face appointments. Outpatient investigations such as urodynamics and cystoscopy for benign indications can be deferred. Prolapse and continence surgery should be suspended, except in specific circumstances such as procidentia with upper tract complications and failed pessaries. There is no evidence to support a particular route of surgery, but recommendations are made to minimise COVID-19 transmission. CONCLUSIONS: Urogynaecological patients face particular challenges owing to inherent vulnerabilities of these populations. Behavioural and medical therapies should be recommended as first line options and initiated via virtual or remote clinics, which are integral to management during the COVID-19 pandemic. Expanding the availability and accessibility of technology will be increasingly required. The majority of outpatient and inpatient procedures can be deferred, but the longer-term effects of such practices are unclear. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00192-021-04704-2
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spelling pubmed-78568542021-02-03 Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature Loganathan, Jemina Doumouchtsis, Stergios K. Int Urogynecol J Review Article INTRODUCTION AND HYPOTHESIS: The coronavirus (COVID-19) pandemic has impacted health systems worldwide. There is a continuing need for clinicians to adapt practice to facilitate timely provision of medical care, whilst minimising horizontal transmission. Guidance and recommendations are increasingly available, and this rapid review aimed to provide a timely evidence synthesis on the current recommendations surrounding urogynaecological care. METHODS: We performed a literature review using PubMed/Medline, Embase and Cochrane and a manual search of national and international societies for management recommendations for urogynaecological patients during the COVID-19 pandemic. RESULTS: Nine guidance documents and 17 articles, including 10 reviews, were included. Virtual clinics are recommended for new and follow-up patients, to assess and initiate treatment, as well as triage patients who require face-to-face appointments. Outpatient investigations such as urodynamics and cystoscopy for benign indications can be deferred. Prolapse and continence surgery should be suspended, except in specific circumstances such as procidentia with upper tract complications and failed pessaries. There is no evidence to support a particular route of surgery, but recommendations are made to minimise COVID-19 transmission. CONCLUSIONS: Urogynaecological patients face particular challenges owing to inherent vulnerabilities of these populations. Behavioural and medical therapies should be recommended as first line options and initiated via virtual or remote clinics, which are integral to management during the COVID-19 pandemic. Expanding the availability and accessibility of technology will be increasingly required. The majority of outpatient and inpatient procedures can be deferred, but the longer-term effects of such practices are unclear. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00192-021-04704-2 Springer International Publishing 2021-02-03 2021 /pmc/articles/PMC7856854/ /pubmed/33533991 http://dx.doi.org/10.1007/s00192-021-04704-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Loganathan, Jemina
Doumouchtsis, Stergios K.
Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title_full Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title_fullStr Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title_full_unstemmed Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title_short Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
title_sort impact of covid-19 on management of urogynaecology patients: a rapid review of the literature
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856854/
https://www.ncbi.nlm.nih.gov/pubmed/33533991
http://dx.doi.org/10.1007/s00192-021-04704-2
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