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Title: Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines.
Austin Authors: Gravas, Stavros;Fournier, Georges;Oya, Mototsugu;Summerton, Duncan;Scarpa, Roberto Mario;Chlosta, Piotr;Gkialas, Ioannis;Xie, Li-Ping;Rasyid, Nur;Bolton, Damien M ;Gomez, Reynaldo;Klotz, Laurence;Kulkarni, Sanjay;Tanguay, Simon;de la Rosette, Jean
Affiliation: Department of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
Department of Urology, Austin Health, Heidelberg, Victoria, Australia
Department of Urology, Hopital de la Cavale Blanche, University of Brest, Brest, France
Department of Urology, Keio University School of Medicine, Tokyo, Japan
Department of Urology, University Hospitals of Leicester NHS Trust, Leicester, UK
Department of Urology, Università Campus Biomedico, Rome, Italy
Department of Urology, Jagiellonian University-Medical College, Krakow, Poland
Department of Urology, Anticancer Hospital of Athens "Agios Savvas", Athens, Greece
Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
Universidad Andres Bello, Hospital del Trabajador, Santiago, Chile
Division of Urology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Kulkarni Reconstructive Urology Center, Pune, India
Department of Surgery, Division of Urology, McGill University, Montreal, QC, Canada
Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
Issue Date: 15-Sep-2020
Date: 2020-06-15
Publication information: European urology focus 2020; 6(5): 1104-1110
Abstract: Determining whether members follow guidelines, including guidelines prepared to help direct practice management during the coronavirus disease 2019 (COVID-19) pandemic, is an important goal for medical associations. To determine whether practice of urologists is in line with guidelines for the management of common urological conditions during the COVID-19 pandemic produced by leading (inter)national urological associations. Self-selected urologists completed a voluntary survey available online from March 27 to April 11, 2020 and distributed globally by the Société Internationale d'Urologie. Responses to two survey questions on the (1) management of 14 common urological procedures and (2) priority scoring of 10 common urological procedures were evaluated by practice setting and geographical region using chi-square and one-way analysis of variance analyses, respectively. There were 2494 respondents from 76 countries. Oncological conditions were prioritised over benign conditions, and benign conditions were deferred when feasible and safe. Oncological conditions with the greatest malignant potential were prioritised over less aggressive cancers. Respondents from Europe were least likely to postpone and most likely to prioritise conditions identified by guidelines as being of the highest priority. Respondents' priority scoring of urological procedures closely matched the priorities assigned by guidelines. The main limitation of this study is that respondents were self-selected, and access to the survey was limited by language and technology barriers. Prioritisation and management of urological procedures during the COVID-19 pandemic are in line with current guidelines. The greatest agreement was reported in Europe. Observed differences may be related to limited resources in some settings. When deciding how best to treat patients during the coronavirus disease 2019 (COVID-19) pandemic, urologists are taking into account both expert recommendations and the availability of important local resources.
DOI: 10.1016/j.euf.2020.06.006
ORCID: 0000-0002-5145-6783
Journal: European urology focus
PubMed URL: 32571743
Type: Journal Article
Subjects: COVID-19
Practice management
Severe acute respiratory syndrome coronavirus 2
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