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Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic.
Dotzauer, Robert; Böhm, Katharina; Brandt, Maximilian Peter; Sparwasser, Peter; Haack, Maximilian; Frees, Sebastian Karl; Kamal, Mohamed Mostafa; Mager, René; Jäger, Wolfgang; Höfner, Thomas; Tsaur, Igor; Haferkamp, Axel; Borgmann, Hendrik.
  • Dotzauer R; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany. robert.dotzauer@unimedizin-mainz.de.
  • Böhm K; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Brandt MP; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Sparwasser P; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Haack M; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Frees SK; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Kamal MM; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Mager R; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Jäger W; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Höfner T; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Tsaur I; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Haferkamp A; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
  • Borgmann H; Department of Urology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
World J Urol ; 39(9): 3139-3145, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-630691
ABSTRACT

OBJECTIVES:

While the coronavirus disease 2019 (COVID-19) pandemic captures healthcare resources worldwide, data on the impact of prioritization strategies in urology during pandemic are absent. We aimed to quantitatively assess the global change in surgical and oncological clinical practice in the early COVID-19 pandemic.

METHODS:

In this cross-sectional observational study, we designed a 12-item online survey on the global effects of the COVID-19 pandemic on clinical practice in urology. Demographic survey data, change of clinical practice, current performance of procedures, and current commencement of treatment for 5 conditions in medical urological oncology were evaluated.

RESULTS:

235 urologists from 44 countries responded. Out of them, 93% indicated a change of clinical practice due to COVID-19. In a 4-tiered surgery down-escalation scheme, 44% reported to make first cancellations, 23% secondary cancellations, 20% last cancellations and 13% emergency cases only. Oncological surgeries had low cancellation rates (%) transurethral resection of bladder tumor (27%), radical cystectomy (21-24%), nephroureterectomy (21%), radical nephrectomy (18%), and radical orchiectomy (8%). (Neo)adjuvant/palliative treatment is currently not started by more than half of the urologists. COVID-19 high-risk-countries had higher total cancellation rates for non-oncological procedures (78% vs. 68%, p = 0.01) and were performing oncological treatment for metastatic diseases at a lower rate (35% vs. 48%, p = 0.02).

CONCLUSION:

The COVID-19 pandemic has affected clinical practice of 93% of urologists worldwide. The impact of implementing surgical prioritization protocols with moderate cancellation rates for oncological surgeries and delay or reduction in (neo)adjuvant/palliative treatment will have to be evaluated after the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Urologic Surgical Procedures / Practice Patterns, Physicians' / Triage / Urologic Neoplasms / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: World J Urol Year: 2021 Document Type: Article Affiliation country: S00345-020-03333-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Urologic Surgical Procedures / Practice Patterns, Physicians' / Triage / Urologic Neoplasms / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: World J Urol Year: 2021 Document Type: Article Affiliation country: S00345-020-03333-6