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Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey.
Autrán-Gómez, Ana María; Tobia, Ignacio; Molina, Ricardo Castillejos; Covarrubias, Francisco Rodríguez; Benzing, Frank; Maruccia, Serena; Reis, Leonardo de O; Lay, Ramón Rodríguez; De la Reza, Marcelo Torrico; Torres, Felix Santaella; Porras, Andrés Hernández; Rodríguez, Alejandro.
  • Autrán-Gómez AM; Department of Urology, University Hospital Fundación Jiménez Díaz, Madrid, Spain.
  • Tobia I; Department of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
  • Molina RC; Department of Urology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Covarrubias FR; Department of Urology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Benzing F; Department of Urology, Brandenburg Medical School University Hospital Brandenburg der Havel, Germany.
  • Maruccia S; Department of Urology, Institute Zucchi, Monza, Italy.
  • Reis LO; Departamento de Urologia, UroScience, Universidade Estadual de Campinas - Unicamp, Campinas, SP, Brasil.
  • Lay RR; Clinic Urology Service, Complejo Hospitalario Metropolitano, Caja de Seguro Social Dr. Arnulfo Arias Madrid, Panama.
  • De la Reza MT; Clinic Urology Service, Los Olivos, San Simón Higher University Cochabamba, Bolivia.
  • Torres FS; Department of Urology, Centro Médico Nacional, La Raza, Hospital de Especialidades -Instituto Mexicano del Seguro Social Mexico, Mexico-City.
  • Porras AH; Department of Urology, Hospital Angeles Tiujana, Baja California Norte, Mexico.
  • Rodríguez A; Department of Urology, Rochester General Hospital, Rochester New York, US.
Int Braz J Urol ; 46(suppl.1): 156-164, 2020 07.
Article in English | MEDLINE | ID: covidwho-630552
ABSTRACT

PURPOSE:

To explore the current situation faced by Latin American urology departments during the COVID-19 Outbreak in terms of knowledge, actions, prioritization of urology practices, and implementation of internal clinical management protocols for inpatients and outpatients. MATERIAL AND

METHODS:

A non-validated, structured, self-administered, electronic survey with 35 closed multiple choice questions was conducted in Spanish, Portuguese, Italian, and English and Deutsch versions from April 1st to April 30th, 2020. The survey was distributed through social networks and the official American Confederation of Urology (CAU) website. It was anonymous, mainly addressed to Latin American urologists and urology residents. It included 35 questions exploring different aspects 1) Personal Protective Equipment (PPE) and internal management protocols for healthcare providers; 2) Priority surgeries and urological urgencies and 3) Inpatient and outpatient care.

RESULTS:

Of 864 surveys received, 846 had at least 70% valid responses and were included in the statistical analyses. Surveys corresponded to South America in 62% of the cases, Central America and North America in 29.7%. 12.7% were residents. Regarding to PPE and internal management protocols, 88% confirmed the implementation of specific protocols and 45.4% have not received training to perform a safe clinical practice; only 2.3% reported being infected with COVID-19. 60.9% attended urgent surgeries. The following major uro-oncologic surgeries were reported as high priority Radical Nephrectomy (RN) 58.4%, and Radical Cystectomy (RC) 57.3%. When we associate the capacity of hospitalization (urologic beds available) and percentage of high-priority surgery performed, we observed that centers with fewer urological beds (10-20) compared to centers with more urological beds (31-40) performed more frequently major urologic cancer surgeries RN 54.5% vs 60.8% (p=0.0003), RC 53.1% vs 64.9% (p=0.005) respectively.

CONCLUSIONS:

At the time of writing (May 13th 2020) our data represents a snapshot of COVID-19 outbreak in Latin American urological practices. Our findings have practical implications and should be contextualized considering many factors related to patients and urological care The variability of health care scenarios, institutional capacity, heterogeneity and burden of urologic disease, impact of surgical indications and decision making when prioritizing and scheduling surgeries in times of COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Urology / Coronavirus Infections Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Int Braz J Urol Journal subject: Urology Year: 2020 Document Type: Article Affiliation country: S1677-5538.IBJU.2020.S119

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Urology / Coronavirus Infections Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Int Braz J Urol Journal subject: Urology Year: 2020 Document Type: Article Affiliation country: S1677-5538.IBJU.2020.S119