Continuing care for patients affected by urologic chronic pelvic pain in the era of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic.
Neurourol Urodyn
; 40(1): 397-403, 2021 01.
Article
in English
| MEDLINE | ID: covidwho-1023302
ABSTRACT
AIMS:
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic poses a challenge to treatment of patients with urologic chronic pelvic pain (UCPP), who are at risk to be postponed in the priority of care. We investigated pain, catastrophizing, and psychological status in UCPP patients during SARS-CoV-2 by means of Skype telephone calls.METHODS:
A total of 28 UCPP patients underwent Skype video consultations. Pain intensity was assessed with Pain Numerical Rating Scale (PNRS). Pain Catastrophizing Scale (PCS) and Depression Anxiety Stress Scales (DASS-21) were used to assess catastrophizing and psychological status.RESULTS:
During SARS-CoV-2, UCPP patients showed higher intensity of pain than before (mean ± SD PNRS score 7.25 ± 0.9 vs. 5.4 ± 0.7; p < .0001), with pain exacerbation in 75%; they showed higher PCS and DASS-21 scores as compared to before the pandemic (mean ± SD PCS total score 32.4 ± 1.2 vs. 23.7 ± 3.5; mean ± SD DASS-21 total score 42.03 ± 4.5 vs. 34.4 ± 2.2; p < .001 and p < .001, respectively).CONCLUSION:
During SARS-CoV-2 pandemic UCPP patients presented with high intensity of pain, marked catastrophizing thoughts and severe alteration of the psychological status. These observations impose the need not to postpone assessment and treatment of these patients during the pandemic. Remote visits with video telephone calls are a simple way of continuing care in UCPP patients.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Anxiety
/
Telemedicine
/
Pelvic Pain
/
Depression
/
Catastrophization
/
Chronic Pain
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Neurourol Urodyn
Year:
2021
Document Type:
Article
Affiliation country:
Nau.24574
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