Bolstering the surgical response to COVID‐19: how virtual technology will save lives and safeguard surgical practice

Karim, Jamila S.; Hachach‐Haram, Nadine; Dasgupta, Prokar

doi:10.1111/bju.15080

Cited by 28 publications

(25 citation statements)

References 1 publication

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“…Protective measures have dramatically changed the way we practice clinical medicine and the expectations of our patients. Health care must adapt quickly and recommendations have been published to aid triage the priority of urological surgeries [1][2][3][4][5][6]. Many centers are rapidly converting their on-site care activity to telemedicine, which has rapidly become a reality in many new settings [7].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine and Smart Working: Recommendations of the European Association of Urology

Socarrás¹,

Loeb

Teoh

et al. 2020

European Urology

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Context: Telemedicine provides remote clinical support using technological tools. It may facilitate health care delivery while reducing unnecessary visits to the clinic. The coronavirus disease 2019 (COVID-19) outbreak has caused an abrupt change in our daily urological practice, converting many of us to be reliant on telehealth. Objective: To provide practical recommendations for effective use of technological tools in telemedicine. Evidence acquisition: A Medline-based and gray literature search was conducted through April 2020. We selected the most relevant articles related to "telemedicine" and "smart working" that could provide important information. Evidence synthesis: Telemedicine refers to the use of electronic information and telecommunications tools to provide remote clinical health care support. Smart working is a model of work that uses new or existing technologies to improve performance. Telemedicine is becoming a useful invaluable tool during and even beyond the COVID-19 pandemic. It is time for us to formalize the place of telemedicine in routine urological practice, and it is our responsibility to adapt and learn about all the tools and possible strategies for their optimal implementation during the pandemic to ensure that the quality of care received by patients and the outcomes of patients and their families are of the highest standard. Conclusions: Telemedicine facilitates specialized urological clinical support at a distance, solves problems of limitations in mobility, reduces unnecessary visits to clinics, and is useful for reducing the risk of viral transmission in the current COVID-19 outbreak. Furthermore, both personal and societal considerations may favor continued use of telemedicine, even beyond the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Telemedicine and Smart Working: Recommendations of the European Association of Urology

Socarrás¹,

Loeb

Teoh

et al. 2020

European Urology

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“…However, these results may be influenced by case selection [46]. AR telementoring and telestration technology has evolved, systems such as Proxime TM [43,47] are now commercially available and allows viewing of live and recorded intraoperative video, telestration and supporting digital data and interactions with other individuals or teams. This could be utilised by trainees and trainers, an integrated surgical command centre or experts in the field, and data could be securely stored for developing technical skill and team performance metrics [47].…”

Section: Telementoringmentioning

confidence: 99%

Supporting laparoscopic general surgery training with digital technology: The United Kingdom and Ireland paradigm

et al. 2021

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Surgical training in the UK and Ireland has faced challenges following the implementation of the European Working Time Directive and postgraduate training reform. The health services are undergoing a digital transformation; digital technology is remodelling the delivery of surgical care and surgical training. This review aims to critically evaluate key issues in laparoscopic general surgical training and the digital technology such as virtual and augmented reality, telementoring and automated workflow analysis and surgical skills assessment. We include pre-clinical, proof of concept research and commercial systems that are being developed to provide solutions. Digital surgical technology is evolving through interdisciplinary collaboration to provide widespread access to high-quality laparoscopic general surgery training and assessment. In the future this could lead to integrated, context-aware systems that support surgical teams in providing safer surgical care.

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“…Diese Technologien können natürlich auch zur medizinischer Versorgung unserer urologischen Patienten eingesetzt werden [25][26][27]. Allerdings spielt die Telemedizin derzeit in der Urologie nur eine untergeordnete Rolle.…”

Section: Auswirkungen Von Covid-19 Auf Die Wissenschaftliche Aktivitäunclassified

COVID-19 in der europäischen Urologie

Rassweiler

Pini

Liatsikos

et al. 2021

Urologe

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Das Coronavirus hat weltweit die Medizin vor große Herausforderungen gestellt. Dabei unterscheiden sich die beiden COVID-19-Wellen („coronavirus disease 2019“) im Frühjahr und Herbst 2020 grundsätzlich. Während die erste Welle Europa sehr unvorbereitet traf und sich das Virus durch eine hohe Virulenz auszeichnete, ist die zweite Welle im Herbst von einer hohen Kontagiosität des Virus mit sehr hohen Inzidenzen geprägt. Dabei findet sich aber eine deutlich abgeschwächte Virulenz, was sich in der niedrigeren inzidenzbezogenen Mortalitätsrate widerspiegelt. Andererseits stellt die insgesamt hohe Anzahl betroffener Patienten erneut hohe Anforderungen an die medizinische Versorgung. Im Vergleich schneiden Frankreich und Spanien bei der Bewältigung der zweiten Welle deutlich besser ab als Deutschland und Italien. So liegt die absolute Mortalität pro Woche in Deutschland trotz vergleichbar geringerer Inzidenz über den Werten der ersten Welle. Allerdings waren die Urologischen Kliniken in diesen Ländern auch von dem schärferen zweiten Lockdown mehr betroffen als dies in Deutschland aktuell der Fall ist, wo eine Bettreduktion zwischen 75 und 90 % besteht und immer noch alle Level operiert werden. Entscheidend für Deutschland ist aber das jetzt beobachtete mehrwöchige Plateau auf hohem Niveau, wohl bedingt durch den nur beschränkten Lockdown light. Die wieder steigenden Zahlen führten zum totalen Lockdown Mitte Dezember. Damit kommen auch in Deutschland Kliniken an ihre Grenzen, was auch entsprechende Auswirkungen auf die Situation in den Urologischen Kliniken hat mit ebenfalls 50%iger Reduktion der Operationskapazität und Reduktion auf nur Level-III- bis -IV-Eingriffe. Dennoch ist das Management urologischer Patienten inzwischen europaweit von hoher Qualität und Umsicht, so dass langfristige Sekundärschäden für unsere Kranken eher selten zu erwarten sind.

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Bolstering the surgical response to COVID‐19: how virtual technology will save lives and safeguard surgical practice

Cited by 28 publications

References 1 publication

Telemedicine and Smart Working: Recommendations of the European Association of Urology

Telemedicine and Smart Working: Recommendations of the European Association of Urology

Supporting laparoscopic general surgery training with digital technology: The United Kingdom and Ireland paradigm

COVID-19 in der europäischen Urologie

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