About: Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic

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About: Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic
Creator	Borgmann, Hendrik Brandt, Maximilian Dotzauer, Robert Haferkamp, Axel Mohamed, · Tsaur, Igor Böhm, Katharina Jäger, Wolfgang Mager, René Frees, Sebastian Haack, · Kamal, Mostafa Sparwasser, · Thomas Höfner, ·
Source	Medline; PMC
abstract	OBJECTIVES: While the coronavirus disease 2019 (COVID-19) pandemic captures healthcare resources worldwide, data on the impact of prioritization strategies in urology during pandemic are absent. We aimed to quantitatively assess the global change in surgical and oncological clinical practice in the early COVID-19 pandemic. METHODS: In this cross-sectional observational study, we designed a 12-item online survey on the global effects of the COVID-19 pandemic on clinical practice in urology. Demographic survey data, change of clinical practice, current performance of procedures, and current commencement of treatment for 5 conditions in medical urological oncology were evaluated. RESULTS: 235 urologists from 44 countries responded. Out of them, 93% indicated a change of clinical practice due to COVID-19. In a 4-tiered surgery down-escalation scheme, 44% reported to make first cancellations, 23% secondary cancellations, 20% last cancellations and 13% emergency cases only. Oncological surgeries had low cancellation rates (%): transurethral resection of bladder tumor (27%), radical cystectomy (21–24%), nephroureterectomy (21%), radical nephrectomy (18%), and radical orchiectomy (8%). (Neo)adjuvant/palliative treatment is currently not started by more than half of the urologists. COVID-19 high-risk-countries had higher total cancellation rates for non-oncological procedures (78% vs. 68%, p = 0.01) and were performing oncological treatment for metastatic diseases at a lower rate (35% vs. 48%, p = 0.02). CONCLUSION: The COVID-19 pandemic has affected clinical practice of 93% of urologists worldwide. The impact of implementing surgical prioritization protocols with moderate cancellation rates for oncological surgeries and delay or reduction in (neo)adjuvant/palliative treatment will have to be evaluated after the pandemic. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00345-020-03333-6) contains supplementary material, which is available to authorized users.
has issue date	2020-07-04(xsd:dateTime)
bibo:doi	10.1007/s00345-020-03333-6
bibo:pmid	32623500
has license	cc-by
sha1sum (hex)	d134339d956b29e179aa051605f29f003c40fafa
schema:url	https://doi.org/10.1007/s00345-020-03333-6
resource representing a document's title	Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic
has PubMed Central identifier	PMC7335229
has PubMed identifier	32623500
schema:publication	World J Urol
resource representing a document's body	covid:d134339d956b29e179aa051605f29f003c40fafa#body_text
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