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Functional urology during COVID-19: Recommendations during de-escalation. / La urologia funcional en la era COVID-19. Consejos para la desescalada
Non-conventional in Spanish | WHO COVID | ID: covidwho-601893
ABSTRACT

OBJECTIVES:

Due to the COVID-19 Pandemic, all surgical activity that was not life threatening was cancelled , as well as most face-to-face consultations. Currently the beginning of the de-escalation phases that will led us to a new normal, forces us to establish some degree of priority in the interventions as well as in the medical consultations. Our objective is to establish some recommendation on Functional Urology office visits and surgical interventions that serve as a tool to facilitate decision-making.MATERIAL AND

METHODS:

Experts in Functional Urology from different autonomous communities of Spain were contacted to design a strategy to reorganize the activity of both, diagnosis and treatment. A modified nominal group technique has been used due to the extraordinary restrictions of assembly and mobility during the COVID pandemic. The first signer (EMC) made the first draft with the measures adopted and the strategy to be followed during the evolution of the COVID-19 pandemic. The proposal was sent to the rest of the authors, in order to unify criteria and experiences to reach a quick consensus on the relative priority of the different activities, problems and solutions. A final version was approved by all authors May 27, 2020.

RESULTS:

Tables of recommendation have been prepared for outpatient consultation, surgical and technical interventions, according to de-escalation phases proposed by the Spanish Associations of Surgeons.

CONCLUSIONS:

The change that COVID-19 Pandemich as involved in our clinical practice force us to seek alternative methods to treat our patients, some of which may already be established. Mean while, a consensusin decision making is necessary. Documents such as the current one, are intended to guide the management of patients with urological functional pathology in exceptional situations. Logically, it should be adapted to material and human availability, and to the idiosyncrasy of each Urology service.

OBJETIVOS:

Debido a la Pandemia COVID-19 se suspendio toda actividad quirurgica que no fuera una urgencia vital, asi como la mayoria de consultas presenciales. Actualmente el inicio de las fases dedesescalada que nos llevaran a una nueva normalidad nos obliga a establecer unos grados de prioridad en las intervenciones asi como en las consultas medicas. Nuestro objetivo es establecer una serie de recomendaciones sobre las consultas de Urologia Funcional y las intervenciones quirurgicas que sirva como herramientade ayuda en la toma de decisiones.MATERIAL Y

METODOS:

Expertos en Urologia Funcionalde distintas comunidades autonomas de Espana fueron contactados para disenar una estrategia parareorganizar la actividad tanto de diagnostico como de tratamiento. Se ha utilizado una tecnica de grupo nominal modificada debido a las restricciones extraordinarias de reunion y movilidad durante la pandemia COVID. El primer firmante (EMC) realizo el primer borrado rcon las medidas adoptadas y la estrategia a seguir durante la evolucion de la pandemia COVID19. Se remitio la propuesta al resto de autores, con el fin de unificar criterios y experiencias para llegar a un rapido consenso sobre la importancia relativa de las distintas actividades, problemas y soluciones. Se realizo una version definitiva, aprobada por todos los autores, el dia 27 de mayo de 2020.

RESULTADOS:

Se han elaborado tablas de recomendaciones tanto para consultas externas, como para intervenciones quirurgicas y tecnicas, de acuerdo con las fases de desescalada propuestas por la Asociacion Espanola de Cirujanos (AEC).

CONCLUSIONES:

El cambio que ha supuesto la Pandemia COVID-19 en nuestra practica clinica nos obliga a buscar metodos alternativos para seguir y tratar a nuestros pacientes, algunos de los cuales pueden ya quedar instaurados. Mientras, es necesario un consenso en la toma de decisiones. Documentos como el actual, pretenden orientar en el manejo de los pacientes con patologia funcional urologica en situaciones excepcionales. Logicamente, debera adaptarse alas disponibilidades materiales y humanas, y a la idiosincrasia de cada ser icio de Urologia.
Full text: Available Collection: Databases of international organizations Database: WHO COVID Type of study: Prognostic study / Qualitative research Language: Spanish Document Type: Non-conventional

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Full text: Available Collection: Databases of international organizations Database: WHO COVID Type of study: Prognostic study / Qualitative research Language: Spanish Document Type: Non-conventional