Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey

Autrán-Gómez, Ana María; Tobía, Ignacio; Molina, R.; Covarrubias, Francisco Rodríguez; Benzing, F.; Maruccia, Serena; Reis, Leonardo Oliveira; Lay, Ramon Rodriguez; Reza, Marcelo Torrico De la; Torres, Félix Santaella; Porras, Andres Hernandez; Rodríguez, Alejandro

doi:10.1590/s1677-5538.ibju.2020.s119

Cited by 6 publications

(11 citation statements)

References 7 publications

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“…29 Fourteen articles consisted of surveys addressing residents' perception toward their learning during the pandemic, the redistribution of activity (including details on involvement on the care of COVID patients), opportunities for away rotations in surgical fields, subjective feelings, and burnout syndromes during the pandemic. 22,[31][32][33][34][35][36][37][38][39][40][41][42][43] Four papers addressed the general viewpoint of urology residents on web-based education, assessed by means of surveys. Opinions on the usefulness of videos, web-based clinical case discussions/frontal lessons/journal clubs and web faculty interviews were explored.…”

Section: Resultsmentioning

confidence: 99%

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COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

et al. 2021

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Objective: To evaluate the impact of an e-learning online event, created for supporting resident’s training during the slowdown of surgical and clinical activities caused by COVID-19 pandemic. An overview of PubMed literature depicting the state of the art of urology residency in the COVID-19 era was performed as well, to contextualize the issue. Methods: An online learning event for residents was set up at the beginning of the pandemic; the faculty consisted of experts in urology who provided on-line lectures and videos on surgical anatomy, procedures, updates in guidelines, technology, training. The audience was composed of 30–500 attendees from Italy, USA, India and Belgium. A questionnaire to analyze relevance, satisfaction and popularity of the lessons was mailed to 30 local residents. Results and limitations: Almost all residents defined the web environment suitable to achieve the learning outcomes; the method, the number and the competence of the faculty were appropriate/excellent. Most of the younger residents (81.8%) stated their surgical knowledge would improve after the course; 72.7% declared they would take advantage into routine inpatients clinical activity. Nineteen more expert residents agreed that the course would improve their surgical knowledge and enhance their practical skills; almost all stated that the initiative would change their outpatients and inpatients practice. Overall, 44 articles available in PubMed have addressed the concern of urological learning and training during the pandemic from different standpoints; four of them considered residents’ general perception towards web-based learning programs. Conclusions: The paper confirms residents’ satisfaction with e-learning methods and, to our knowledge, is the first one focusing on a specific event promptly settled up at the beginning of the outbreak. Web-based educational experience developed during the pandemic may represent the very basis for the implementation of prospective on-site training and overall scientific update of future urologists.

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Section: Resultsmentioning

confidence: 99%

“…Fourteen articles consisted of surveys addressing residents’ perception toward their learning during the pandemic, the redistribution of activity (including details on involvement on the care of COVID patients), opportunities for away rotations in surgical fields, subjective feelings, and burnout syndromes during the pandemic. 22,31–43…”

Section: Resultsmentioning

confidence: 99%

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

et al. 2021

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“…In contrast, 49.4% state that their outpatient clinic service is closed, and 48.2% carry out their consultations with telemedicine. (15) Worldwide, a delay more significant than eight weeks secondary to the SARS-CoV-2 pandemic has been described for 28% of urological consultations, 30% of urological outpatient diagnostic studies, and 31% of elective surgeries. (16) In Colombia, a 56.45% decrease in kidney transplants performed during the initial phase of the public health emergency declaration due to the SARS-CoV-2 pandemic has been reported.…”

Section: Discussionmentioning

confidence: 99%

Effects of the first–wave COVID-19 pandemic's on emergency urological care in Colombia: A multicenter study

Castañeda-Millán

Piraquive²,

Guachetá-Bomba

et al. 2021

Rev Mex Urol

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Introduction: The COVID-19 pandemics has caused millions of deaths worldwide, has increased the demand for in-hospital beds and has affected in-hospital activities of "non-respiratory patients." There is currently no known effect of the pandemic on the emergency urological care in our region. This study aims to estimate the first – wave COVID-19 pandemics effect on emergency urological care in four tertiary Colombian hospitals. Material and methods: A cross-sectional retrospective multicenter study were made. The emergency urological care activities between April – May 2019 and April – May 2020 were compared. We calculated descriptive statistics and assessed differences during the study periods. We used Stata 13.0. Results: 1570 patients were included. There was a 22.20% decrease in the number of patients who visited the emergency room (ER) for urological disease during the pandemic's initial phase. Urolithiasis and urological infectious were the most common reasons for consulting in the ER. there was a significant decrease in ER visits caused by acute urinary retention (p: 0.001). The surgical index for patients who required emergency urological care had a increase of 10.74% (p: 0.0001). There was a decrease of 0.74 days in hospital stay for patients who required urological emergency care in the initial COVID-19 pandemic period. Conclusions: The COVID-19 pandemic has had a significant impact on emergency and elective urological care worldwide. During the initial phase of this emergency there was a significant decreased in hospital admission due to urological diseases (including acute urinary retention) and average hospital stays due to urological emergencies in Colombia, however, the surgical index for critical urological diseases increased by 10.74%. According to the pandemics dynamics, a greater effect on urological care is expected.

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“…32 Implementation interventions: The implementation of specific PPE protocols and operating procedures as part of a multidimensional HF policy developed with the involvement of HWs was recommended. 19,23,42,51 In a pandemic context a distinct response plan is especially needed. 64 Besides standard universal masking adoption in the whole HF for respiratory diseases like COVID-19, 91 critical policy elements would include (1)robust regular training and qualifications as a requirement to provide care of patients requiring additional transmission-based precautions 39,71,75,77 ; periodic fit testing and appropriate mask sizing 22,44,49,51,57,72,73,75,77,87,91 ; (2)PPE compliance monitoring by checking expiration date, proper stock management, and ensuring the adherence to PPE manufacturer instructions 51,55 ; (3)PPE provision as per the level of risk in 3 different zones (eg, high, medium or low risk) 23,75 ; use of additional PPE like powered air purifying respirators (PAPRs) 75 in all areas allocated for aerosol-generating procedures; (4)donning and doffing area designations and establishment of standard PPE ensemble and illustrations of step-by-step instructions for safe donning and doffing ensuring separation of clean PPE from contaminated items, preferably in negativepressure rooms with mirrors.…”

Section: Supply and Logistics Problemsmentioning

confidence: 99%

“…33 More complex strategies were found to be valuable, such as the implementation of routine evaluation and feedback regarding HF's PPE adherence 52 and establishment of daily routine meetings and instructions, departmental bulletins, and face-to-face briefings. 19,52 Individual characteristics domain…”

Section: Policy and Procedures Communicationsmentioning

confidence: 99%

Personal protective equipment implementation in healthcare: A scoping review

Cordeiro¹,

Gnatta²,

Price³

et al. 2022

American Journal of Infection Control

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Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey

Cited by 6 publications

References 7 publications

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

Effects of the first–wave COVID-19 pandemic's on emergency urological care in Colombia: A multicenter study

Personal protective equipment implementation in healthcare: A scoping review

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