Urolithiasis Practice Patterns Following the COVID-19 Pandemic: Overview from the EULIS Collaborative Research Working Group

Tefik, Tzevat; Güven, Selçuk; Villa, Luca; Gökçe, Mehmet İlker; Kallidonis, Panagiotis; Petkova, Kremena; Kiremit, Murat Can; Sönmez, Mehmet Giray; Lorenzis, E. De; Eryıldırım, Bilal; Sarıca, Kemal

doi:10.1016/j.eururo.2020.04.057

Cited by 36 publications

(41 citation statements)

References 3 publications

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“…This trend also emerges in a recent online survey from the EULIS (European Association Urology Section of Urolithiasis) collaborative research working group involving urologists from all Europe. 11 The majority stated that they changed the routine approach to elective surgery for renal stones; the paper also outlined how the management of patients in the emergency department have changed during the pandemic period. The urologists treated more patients with complicated urolithiasis such as patients with acute renal failure and pyelonephritis and only 6.4% of the respondents referred that the approach to stone patients in ED was the same as before.…”

Section: Discussionmentioning

confidence: 99%

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The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis

Antonucci

Recupero

Marzio

et al. 2020

Actas Urológicas Españolas (English Edition)

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Introduction and objectives We aimed to evaluate how the corona virus disease of 2019 (COVID-19) outbreak influenced emergency department (ED) admissions for urolithiasis, hospitalizations and clinical management of the hospitalized Patients. Patients and methods We conducted a multicentric retrospective analysis of ED admissions in three high volume urology departments (one directly involved in COVID-19 patients management and two not involved) in Rome - Italy between March and April 2020 and in the same period of 2019. Statistical analysis was conducted on the number of admissions for urolithiasis, rate of complications, hospitalization and the type of treatment received. Results 304 patients were included in the analysis. A significant reduction in the global number of patients admitted to ED for urolithiasis between 2019 and 2020 (48.8%) was noted. Moreover, regarding the choice of treatment of hospitalized patients, a statistically significant increase of stone removal procedures versus urinary drainage was reported in 2020 ( P = .015). Conclusions During the COVID-19 pandemic in Rome there has been a significant reduction of emergency admissions for urolithiasis. Patients admitted to ED had more complications, more frequently need hospitalization and regarding clinical management early stone removal was preferred over urinary drainage only. All the urologists should be aware that in the next months they could face an increased number of admissions for urolithiasis and manage more complicated cases.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand in the EULIS survey 11 89.4% of the experts involved stated that they changed their treatment strategy for emergency patients, favoring drainage of the collecting system and postponing elective intervention for stones and 17% did not perform surgery at all during the period.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis

Antonucci

Recupero

Marzio

et al. 2020

Actas Urológicas Españolas (English Edition)

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“…Still, they faced patients with more severe conditions, such as acute renal failure and pyelonephritis. 3 Our case clearly showed a delayed presentation of bilateral upper urinary tract obstruction with a life-threatening condition of severe renal failure enhanced by three factors: suspension of elective surgery for benign conditions, postponement of face-to-face consultations with lacking of telemedicine, and unwillingness to seek medical attention because of the fear of being infected by hospital admission.…”

Section: Discussion and Literature Reviewmentioning

confidence: 72%

Patient's Fear of Being Infected, Another Complication of COVID-19 Outbreak: A Lesson Learned from a Case of Life-Threatening Urolithiasis

Romantini

Saldutto

Maselli

et al. 2020

Journal of Endourology Case Reports

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Background: Because of the fear of being infected with coronavirus disease 2019 (COVID-19), patients with nephrolithiasis, who choose to stay home, may suffer serious complications such as obstructive uropathy, deterioration of renal function, sepsis, and death. We present such a case that led to renal failure and necessitated emergent urologic intervention. Case Presentation: A 60-year-old Caucasian man presented with right flank pain, dizziness, and dyspnea at the emergency room. History was significant for a previous diagnosis of right renal pelvic stone that was scheduled for retrograde intrarenal surgery before the pandemic lockdown. Upon evaluation, he was found to have an elevated creatinine of 40.2 mg/dL, bilateral hydronephrosis, pericardial and pleural effusion. The patient underwent emergency hemodialysis, followed by preliminary bilateral percutaneous nephrostomy, and subsequently by ureteral stenting. He was discharged stable with the future plan for endoscopic stone management. Conclusions: In the midst of the COVID-19 pandemic, urologists should follow up all known kidney stone patients, regularly assess their condition, and prioritize those who need urgent care. Patient education and telemedicine are useful tools for this purpose and may help minimize the risk of complications during a community lockdown.

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“…A cross-sectional survey assessed practice changes in stone management from expert European endourologists [47]. The survey achieved a 61% response rate from primary authors of the EAU section of urolithiasis working groups.…”

Section: Urolithiasismentioning

confidence: 99%

Scoping review: hotspots for COVID-19 urological research: what is being published and from where?

Perera

Lawrentschuk

et al. 2020

World J Urol

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Purpose Contemporary, original research should be utilised to inform guidelines in urology relating to the COVID-19 pandemic. This comprehensive review aimed to: identify all up-to-date original publications relating to urology and COVID-19, characterise where publications were from, and outline what topics were investigated. Methods This review utilised a search strategy that assessed five electronic databases, additional grey literature, and global trial registries. All current published, in-press, and pre-print manuscripts were included. Eligible studies were required to be original research articles of any study design, reporting on COVID-19 or urology, in any of study population, intervention, comparison, or outcomes. Included studies were reported in a narrative synthesis format. Data were summarised according to primary reported outcome topic. A world heatmap was generated to represent where included studies originated from. Results Of the 6617 search results, 48 studies met final inclusion criteria, including 8 pre-prints and 7 ongoing studies from online registries. These studies originated from ten countries according to first author affiliation. Most studies originated from China (n = 13), followed by Italy (n = 12) and USA (n = 11). Topics of the study included pathophysiological, administrative, and clinical fields: translational (n = 14), COVID-19-related outcomes (n = 5), urology training (n = 4), telemedicine (n = 7), equipment and safety (n = 2), urology in general (n = 4), uro-oncology (n = 3), urolithiasis (n = 1), and kidney transplantation (n = 8). Conclusion This review has outlined available original research relevant to COVID-19 and urology from the international community. This summary may serve as a guide for future research priorities in this area.

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Urolithiasis Practice Patterns Following the COVID-19 Pandemic: Overview from the EULIS Collaborative Research Working Group

Cited by 36 publications

References 3 publications

The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis

The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis

Patient's Fear of Being Infected, Another Complication of COVID-19 Outbreak: A Lesson Learned from a Case of Life-Threatening Urolithiasis

Scoping review: hotspots for COVID-19 urological research: what is being published and from where?

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