COVID-19 pandemic: Impact and rapid reaction of urology

Hevia, Vital; Lorca, Javier; Hevia, M Fernández; Domínguez, A.; López-Plaza, J.; Artiles, A.; Álvarez, Sara; Sánchez, Á.; Fraile, A.; López-Fando, Luis; Sanz, Enrique; Hernández, Mercedes Ruíz; Alcaraz, Elizabeth; Burgos, Francisco

doi:10.1016/j.acuroe.2020.04.004

Cited by 5 publications

(6 citation statements)

References 20 publications

(26 reference statements)

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“…Forty-four articles finally matched the search. Twenty-one were comments/editorials/reviews broadly describing changes in residency programs during the pandemic, mostly published during the very initial phase of the outbreak 6–26 ; some of them focused also on perspectives toward digital education and e-learning opportunities. 7–11,20,24 Four articles highlighted the viewpoint of medical students and urology applicants, 27–30 impaired by the reduced opportunity for rotations.…”

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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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%

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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“…During the Covid‐19 pandemic, non‐priority areas such as post‐graduate training, were significantly affected. In one extreme example from Europe, the urological residency training program virtually collapsed under the burden of Covid‐19 in Madrid, Spain 2 . With such heterogeneity in Covid‐19 impact worldwide, this observational study was performed to illustrate how urology residents in Asia have been affected.…”

Section: Discussionmentioning

confidence: 99%

COVID‐19 pandemic impact on urology residencies in Asia ‐ An observational study

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Fadzli

Amponin³

et al. 2021

Surgical Practice

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Objective The Coronavirus Disease 2019 (Covid‐19) pandemic affected surgical training in many ways. This observational study was carried out to evaluate the impact of Covid‐19 on urological residencies across Asia. Methodology An open‐ended survey questionnaire examining key areas in a urology training program was distributed to several urologists in Asia. The survey evaluated seven areas including the burden of Covid‐19 disease, the need for re‐deployment of residents, the impact on clinical work, the effect on research work for residents, the delivery of teaching to the residents, the impact on training and assessments, the effects on mental, personal health and social welfare of residents. Results Reports from 11 Asian countries were analysed. There is stark variability in Covid‐19 disease burden across Asia. Re‐deployment occurred in selected Asian countries. Affected residents reported challenges obtaining personal protective equipment and training. Clinical workload and research were generally reduced except for countries reporting low volume Covid‐19 cases. Residents teaching evolved from in‐person to online platforms. Almost all residency program postponed their examinations. Mental health disturbance was more pronounced than personal health. Conclusions The Covid‐19 pandemic presented multiple obstacles to Asian urology residencies. The understanding of these challenges will assist program directors in developing mitigating measures.

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“…19 To recover the urology departments from an extraordinary level of suspended activity, urologists were obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. 20 The new condition with the COVID-19 pandemic obliges urologists to conform to the guidelines that appear on a daily basis formulated by multidisciplinary surgical groups to manage urological emergencies. We must adapt to the resources available, implementing all biosecurity measures to protect patients and all health personnel who are in charge of patient management.…”

Section: Triage Of Urological Surgeries During Covid-19 Pandemicmentioning

confidence: 99%

Section: Triage Of Urological Surgeries During Covid-19 Pandemicmentioning

confidence: 99%

The Impact of COVID-19 Disease on Urology Practice

et al. 2021

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The diagnosis and timely treatment of cancer patients should not be compromised during an infectious disease pandemic. The pandemic of coronavirus disease 2019 (COVID-19) has serious implications on urology practice and raises particular questions for urologists about the management of different conditions. It was recommended to cancel most of the elective urological surgeries. Urological cancers surgeries that should be prioritized are radical cystectomy for selective tumors, orchiectomy for suspected testicular tumors, nephrectomy for c T3 + , nephroureterectomy for high-grade disease, and radical adrenalectomy for tumors >6 cm or adrenal carcinoma. Most prostatectomies can be delayed without compromising the survival rate of patients. Urological emergencies should be treated adequately even during this pandemic. There is a potential risk of coronavirus diffusion during minimally invasive procedures performed. It is crucial to use specific precautions when urologists performed those type of surgeries. It was also recommended to suspend the kidney transplantation program during the COVID-19 pandemic except for specific cases. In this review, we discussed the triage of urological surgeries, the risk of minimally invasive urological procedure, the kidney transplantation challenges, the systemic therapies, intravesical instillation of Bacillus Calmette-Guérin (BCG), endourology, teleconferencing, and telemedicine application in urology during the COVID-19 pandemic.

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COVID-19 pandemic: Impact and rapid reaction of urology

Cited by 5 publications

References 20 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

COVID‐19 pandemic impact on urology residencies in Asia ‐ An observational study

The Impact of COVID-19 Disease on Urology Practice

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