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.
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 ANDMETHODS:
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 48â¯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.Keywords
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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