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Effect of SARS and COVID-19 outbreaks on urology practice and training.
Yee, C H; Wong, H F; Tam, M H M; Yuen, S K K; Chan, H C; Cheung, M H; Yu, A T O; Chiu, Y; Chan, N H; Leung, L H; Ng, A T L; Law, D M C; Ng, T L; Teoh, J Y C; Chiu, P K F; Ng, C F.
  • Yee CH; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
  • Wong HF; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
  • Tam MHM; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
  • Yuen SKK; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
  • Chan HC; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
  • Cheung MH; Department of Surgery, Alice Ho Miu Ling Nethersole Hospital, Hong Kong.
  • Yu ATO; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
  • Chiu Y; Department of Surgery, North District Hospital, Hong Kong.
  • Chan NH; Department of Surgery, United Christian Hospital, Hong Kong.
  • Leung LH; Department of Surgery, Tseung Kwan O Hospital, Hong Kong.
  • Ng ATL; Department of Surgery, Tuen Mun Hospital, Hong Kong.
  • Law DMC; Department of Surgery, Pok Oi Hospital, Hong Kong.
  • Ng TL; Department of Surgery, Princess Margaret Hospital, Hong Kong.
  • Teoh JYC; Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
  • Chiu PKF; Department of Surgery, Kwong Wah Hospital, Hong Kong.
  • Ng CF; Department of Surgery, Queen Mary Hospital, Hong Kong.
Hong Kong Med J ; 27(4): 258-265, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1106524
ABSTRACT

INTRODUCTION:

The objective was to investigate the changes in urology practice during coronavirus disease 2019 (COVID-19) pandemic with a perspective from our experience with severe acute respiratory syndrome (SARS) in 2003.

METHODS:

Institutional data from all urology centres in the Hong Kong public sector during the COVID-19 pandemic (1 Feb 2020-31 Mar 2020) and a non-COVID-19 control period (1 Feb 2019-31 Mar 2019) were acquired. An online anonymous questionnaire was used to gauge the impact of COVID-19 on resident training. The clinical output of tertiary centres was compared with data from the SARS period.

RESULTS:

The numbers of operating sessions, clinic attendance, cystoscopy sessions, prostate biopsy, and shockwave lithotripsy sessions were reduced by 40.5%, 28.5%, 49.6%, 44.8%, and 38.5%, respectively, across all the centres reviewed. The mean numbers of operating sessions before and during the COVID-19 pandemic were 85.1±30.3 and 50.6±25.7, respectively (P=0.005). All centres gave priority to cancer-related surgeries. Benign prostatic hyperplasia-related surgery (39.1%) and ureteric stone surgery (25.5%) were the most commonly delayed surgeries. The degree of reduction in urology services was less than that during SARS (47.2%, 55.3%, and 70.5% for operating sessions, cystoscopy, and biopsy, respectively). The mean numbers of operations performed by residents before and during the COVID-19 pandemic were 75.4±48.0 and 34.9±17.2, respectively (P=0.002).

CONCLUSION:

A comprehensive review of urology practice during the COVID-19 pandemic revealed changes in every aspect of practice.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Urologic Surgical Procedures / Urology / Practice Patterns, Physicians' / Communicable Disease Control / Severe Acute Respiratory Syndrome / COVID-19 / Internship and Residency Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Hong Kong Med J Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: Hkmj208822

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Urologic Surgical Procedures / Urology / Practice Patterns, Physicians' / Communicable Disease Control / Severe Acute Respiratory Syndrome / COVID-19 / Internship and Residency Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Hong Kong Med J Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: Hkmj208822