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Changes in the ambulatory care of prostate cancer patients during the SARS-CoV-2 pandemic. Literature review and contribution of our group in telematic care.
García Rodríguez, J; González Ruiz de León, C; Sacristán González, R; Méndez Ramírez, S; Modrego Ulecia, L; Fernández-Gómez, J M.
  • García Rodríguez J; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain. Electronic address: jgrmed@hotmail.com.
  • González Ruiz de León C; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
  • Sacristán González R; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
  • Méndez Ramírez S; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
  • Modrego Ulecia L; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
  • Fernández-Gómez JM; Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Actas Urol Esp (Engl Ed) ; 45(8): 530-536, 2021 10.
Article in English, Spanish | MEDLINE | ID: covidwho-1415156
ABSTRACT
INTRODUCTION AND

OBJECTIVE:

The COVID-19 pandemic has brought about changes in the management of urology patients, especially those with prostate cancer. The aim of this work is to show the changes in the ambulatory care practices by individualized telematic care for each patient profile. MATERIALS AND

METHODS:

Articles published from March 2020 to January 2021 were reviewed. We selected those that provided the highest levels of evidence regarding risk in different aspects screening, diagnosis, treatment and follow-up of prostate cancer.

RESULTS:

We developed a classification system based on priorities, at different stages of the disease (screening, diagnosis, treatment and follow-up) to which the type of care given, in-person or telephone visits, was adapted. We established 4 options, as follows in priority A or low, care will be given by telephone in all cases; in priority B or intermediate, if patients are considered subsidiary of an in-person visit after telephone consultation, they will be scheduled within 3 months; in priority C or high, patients will be seen in person within a margin from 1 to 3 months and in priority D or very high, patients must always be seen in person within a margin of up to 48 h and considered very preferential.

CONCLUSIONS:

Telematic care in prostate cancer offers an opportunity to develop new performance and follow-up protocols, which should be thoroughly analyzed in future studies, in order to create a safe environment and guarantee oncologic outcomes for patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prostatic Neoplasms / Telemedicine / Delivery of Health Care / Pandemics / Ambulatory Care / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Reviews Limits: Humans / Male Language: English / Spanish Journal: Actas Urol Esp (Engl Ed) Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prostatic Neoplasms / Telemedicine / Delivery of Health Care / Pandemics / Ambulatory Care / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Reviews Limits: Humans / Male Language: English / Spanish Journal: Actas Urol Esp (Engl Ed) Year: 2021 Document Type: Article