Pandemia COVID-19: impacto y reacción rápida de la Urología

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

doi:10.1016/j.acuro.2020.04.006

Cited by 15 publications

(10 citation statements)

References 21 publications

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“…Semiurgent and elective surgery, as well as endoscopy, were discontinued in many centres after relevant recommendations from professional bodies 6–12 . Educational courses 13 , 14 , examinations, conferences, and training rotations were cancelled 15 .…”

Section: Introductionmentioning

confidence: 99%

Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery

et al. 2021

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Background The SARS-CoV-2 pandemic had a profound impact on surgical services, potentially having a detrimental impact on training opportunities. The aim of this global survey was to assess the impact of the COVID-19 crisis on surgical training and to develop a framework for recovery. Methods A cross-sectional, web-based survey was conducted. This was designed by a steering committee of medical educationalists and validated by a group of trainees before dissemination. Results A total of 608 responses were obtained from 34 countries and 15 specialties. The results demonstrated major disruption in all aspects of training. The impact was greatest for conferences (525 of 608) and hands-on courses (517 of 608), but less for inpatient care-related training (268 of 608). European trainees were significantly more likely to experience direct training disruption than trainees in Asia (odds ratio 0.15) or Australia (OR 0.10) (χ2 = 87.162, P < 0.001). Alternative training resources (webinars, 359 of 608; educational videos, 234 of 608) have emerged, although trainees expressed some dissatisfaction with them. The collective responses generated a four-pillar framework for training recovery that involved: guidance from training stakeholders with the involvement of trainees; prioritization of training, especially the roles of senior surgeons/trainers; provision of access to alternative/new teaching methods; and measures to address trainee anxiety. Conclusion Training has been greatly affected by the COVID-19 pandemic. The introduction of new teaching methods and a focus on training after the pandemic are imperative.

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Section: Introductionmentioning

confidence: 99%

Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery

et al. 2021

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“…Twelve percent of residents were involved in the treatment of COVID-19 patients. In contrast, results from Hospital Universitario Ramón y Cajal in Madrid show that 50% of urology residents were recruited to COVID-19 specific units [ 10 ], while in Italy, the same happened to 8% [ 11 ]. A national inquiry in the United States placed this number at 26% [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

How the COVID-19 pandemic changed urology residency – a nationwide survey from the Portuguese resident\'s perspective

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et al. 2021

Cent european J Urol

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Introduction The aim of this article was to evaluate the impact of the COVID-19 pandemic on urology residency. Material and methods A 30 question online survey was sent to all urology residents in Portugal between the 25 th of April and the 25 th of May 2020. Reduction in different areas of clinical activity during the COVID-19 period were evaluated and their perceived impact on their residency program was quantified. Results Forty-three (54.4%) Portuguese urology residents responded to our inquiry. Eighty-one percent report having supressed their activity by more than 75% in the outpatient clinic; 48.8% in diagnostic procedures; 29.3% in endoscopic surgery; 67.5% in laparoscopic/robotic surgery and 17.5% in major open surgery. There were no differences in clinical activity reduction across residency years. Considering the impact of COVID-19 on urology training programs, 32.6% plan on prolonging residency. During the COVID-19 period, a larger number of residents report having spent more time developing research projects or on continuing medical education, as compared with the pre-COVID-19 period (p = 0.012). Conclusions COVID-19 had a major impact on Urology residency in Portugal, with major short- and long-term consequences. A large proportion of residents are considering prolonging their residency as a result.

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“…Our hospital was quickly crowed by COVID-19 patients, having to increase its inpatient capacity, especially in ICUs. It reached 120% [2] of its occupancy (more than 1000 beds with 950 of them occupied by COVID-19 patients). From March 13th to April 19th, 2020, 3024 Covid-19-confirmed patients were admitted, 272 of them hospitalized at the ICUs.…”

Section: Discharge Criteriamentioning

confidence: 99%

“…The alarming number of confirmed cases overcrowded hospitals, increasing their occupancy to 120% [2]. It was necessary to reallocate human and technical resources [3].…”

Section: Introductionmentioning

confidence: 99%

What Should Be Known by a Urologist About the Medical Management of COVID-19’s Patients?

et al. 2020

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Purpose of Review The alarming number of confirmed COVID-19 cases put a strain on the healthcare systems, which had to reallocate human and technical resources to respond to the emergency. Many urologists became integrated into multidisciplinary teams, dealing with this respiratory illness and its unknown management. It aims to summarize the epidemiological, clinical, diagnostical, and therapeutical characteristics of COVID-19, from a practical perspective, to ease COVID-19 management to non-physician staff. Recent Findings We performed a narrative review of the literature regarding COVID-19, updated to May 8th, 2020, at PubMed and COVID resource platforms of the main scientific editorials. COVID-19, characterized by fever, myalgias, dyspnea, and dry cough, varies widely from asymptomatic infection to death. Arrhythmias and thrombotic events are prevalent. Lymphopenia and inflammatory reactant elevation on laboratory, as well as bilateral and peripheral ground-glass opacities or consolidations on X-Ray, are usually found in its assessment. Little is known about SARS-CoV-2 immunology. To date, no therapy has demonstrated efficacy in COVID-19. Of-level or compassionate-use therapies are prescribed in the context of clinical trials. We should become familiar with specific adverse events and pharmacological interactions. Summary The COVID-19 pandemic has paralyzed the urological activity, and its long-term consequences are unpredictable. Despite not being used to deal with respiratory diseases, the urologists become easily qualified to manage COVID-19 by following protocols and being integrated into multidisciplinary teams, helping to overcome the pandemic.

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Pandemia COVID-19: impacto y reacción rápida de la Urología

Cited by 15 publications

References 21 publications

Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery

Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery

How the COVID-19 pandemic changed urology residency – a nationwide survey from the Portuguese resident\'s perspective

What Should Be Known by a Urologist About the Medical Management of COVID-19’s Patients?

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