A survey and panel discussion of the effects of the COVID-19 pandemic on paediatric urological productivity, guideline adherence and provider stress.
Identifieur interne : 000317 ( Main/Exploration ); précédent : 000316; suivant : 000318A survey and panel discussion of the effects of the COVID-19 pandemic on paediatric urological productivity, guideline adherence and provider stress.
Auteurs : Fardod O'Kelly [Canada] ; Scott Sparks [États-Unis] ; Casey Seideman [États-Unis] ; Patricio Gargollo [États-Unis] ; Candace Granberg [États-Unis] ; Joan Ko [États-Unis] ; Neha Malhotra [États-Unis] ; Sarah Hecht [États-Unis] ; Kelly Swords [États-Unis] ; Courtney Rowe [États-Unis] ; Ben Whittam [États-Unis] ; Anne-Francoise Spinoit [Belgique] ; Anne Dudley [États-Unis] ; Jonathan Ellison [États-Unis] ; David Chu [États-Unis] ; Jonathan Routh [États-Unis] ; Glenn Cannon [États-Unis] ; Paul Kokorowski [États-Unis] ; Martin Koyle [Canada] ; Mesrur Selcuk Silay [Turquie]Source :
- Journal of pediatric urology [ 1873-4898 ] ; 2020.
Descripteurs français
- KwdFr :
- Adaptation psychologique (physiologie), Adhésion aux directives (statistiques et données numériques), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Enfant (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Stress psychologique (psychologie), Stress psychologique (épidémiologie), Urologues (psychologie), Études transversales (MeSH).
- MESH :
- physiologie : Adaptation psychologique.
- psychologie : Stress psychologique, Urologues.
- statistiques et données numériques : Adhésion aux directives.
- épidémiologie : Infections à coronavirus, Pneumopathie virale, Stress psychologique.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Enfant, Enquêtes et questionnaires, Femelle, Humains, Mâle, Pandémies, Études transversales.
English descriptors
- KwdEn :
- Adaptation, Psychological (physiology), Adult (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Child (MeSH), Coronavirus Infections (epidemiology), Cross-Sectional Studies (MeSH), Female (MeSH), Guideline Adherence (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), SARS-CoV-2 (MeSH), Stress, Psychological (epidemiology), Stress, Psychological (psychology), Surveys and Questionnaires (MeSH), Urologists (psychology).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral, Stress, Psychological.
- physiology : Adaptation, Psychological.
- psychology : Stress, Psychological, Urologists.
- statistics & numerical data : Guideline Adherence.
- Adult, Betacoronavirus, COVID-19, Child, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Pandemics, SARS-CoV-2, Surveys and Questionnaires.
Abstract
INTRODUCTION
The COVID-19 pandemic has led to an unprecedented need to re-organise and re-align priorities for all surgical specialties. Despite the current declining numbers globally, the direct effects of the pandemic on institutional practices and on personal stress and coping mechanisms remains unknown. The aims of this study were to assess the effect of the pandemic on daily scheduling and work balances, its effects on stress, and to determine compliance with guidelines and to assess whether quarantining has led to other areas of increased productivity.
METHODS
A trans-Atlantic convenience sample of paediatric urologists was created in which panellists (Zoom) discussed the direct effects of the COVID-19 pandemic on individual units, as well as creating a questionnaire using a mini-Delphi method to provide current semi-quantitative data regarding practice, and adherence levels to recently published risk stratification guidelines. They also filled out a Perceived Stress Scale (PSS) questionnaire to assess contemporary pandemic stress levels.
RESULTS
There was an 86% response rate from paediatric urologists. The majority of respondents reported near complete disruption to planned operations (70%), and trainee education (70%). They were also worried about the effects of altered home-lives on productivity (≤90%), as well as a lack of personal protective equipment (57%). The baseline stress rate was measured at a very high level (PSS) during the pandemic. Adherence to recent operative guidelines for urgent cases was 100%.
CONCLUSION
This study represents a panel discussion of a number of practical implications for paediatric urologists, and is one of the few papers to assess more pragmatic effects and combines opinions from both sides of the Atlantic. The impact of the pandemic has been very significant for paediatric urologists and includes a decrease in the number of patients seen and operated on, decreased salary, increased self-reported stress levels, substantially increased telemedicine usage, increased free time for various activities, and good compliance with guidelines and hospital management decisions.
DOI: 10.1016/j.jpurol.2020.06.024
PubMed: 32680626
PubMed Central: PMC7334656
Affiliations:
- Belgique, Canada, Turquie, États-Unis
- Californie, Caroline du Nord, Illinois, Indiana, Minnesota, Ontario, Oregon, Pennsylvanie
- Toronto
Links toward previous steps (curation, corpus...)
Le document en format XML
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Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Paediatric Urology, The Hospital for Sick Children, Toronto</wicri:regionArea><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Silay, Mesrur Selcuk" sort="Silay, Mesrur Selcuk" uniqKey="Silay M" first="Mesrur Selcuk" last="Silay">Mesrur Selcuk Silay</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Biruni University, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Division of Pediatric Urology, Biruni University, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32680626</idno><idno type="pmid">32680626</idno><idno 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Electronic address: fokelly@rcsi.ie.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Paediatric Urology, The Hospital for Sick Children, Toronto</wicri:regionArea><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Sparks, Scott" sort="Sparks, Scott" uniqKey="Sparks S" first="Scott" last="Sparks">Scott Sparks</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Seideman, Casey" sort="Seideman, Casey" uniqKey="Seideman C" first="Casey" last="Seideman">Casey Seideman</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, OHSU Doernbecher Children's Hospital, Portland, OR, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, OHSU Doernbecher Children's Hospital, Portland, OR</wicri:regionArea><placeName><region type="state">Oregon</region></placeName></affiliation></author><author><name sortKey="Gargollo, Patricio" sort="Gargollo, Patricio" uniqKey="Gargollo P" first="Patricio" last="Gargollo">Patricio Gargollo</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Mayo Clinic, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Mayo Clinic, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Granberg, Candace" sort="Granberg, Candace" uniqKey="Granberg C" first="Candace" last="Granberg">Candace Granberg</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Mayo Clinic, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Mayo Clinic, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Ko, Joan" sort="Ko, Joan" uniqKey="Ko J" first="Joan" last="Ko">Joan Ko</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Malhotra, Neha" sort="Malhotra, Neha" uniqKey="Malhotra N" first="Neha" last="Malhotra">Neha Malhotra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Utah, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Utah</wicri:regionArea><wicri:noRegion>University of Utah</wicri:noRegion></affiliation></author><author><name sortKey="Hecht, Sarah" sort="Hecht, Sarah" uniqKey="Hecht S" first="Sarah" last="Hecht">Sarah Hecht</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Children's Hospital Colorado, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Children's Hospital Colorado</wicri:regionArea><wicri:noRegion>Children's Hospital Colorado</wicri:noRegion></affiliation></author><author><name sortKey="Swords, Kelly" sort="Swords, Kelly" uniqKey="Swords K" first="Kelly" last="Swords">Kelly Swords</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Rady Children's Hospital, San Diego, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Rady Children's Hospital, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Rowe, Courtney" sort="Rowe, Courtney" uniqKey="Rowe C" first="Courtney" last="Rowe">Courtney Rowe</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Connecticut Children's Hospital, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Connecticut Children's Hospital</wicri:regionArea><wicri:noRegion>Connecticut Children's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Whittam, Ben" sort="Whittam, Ben" uniqKey="Whittam B" first="Ben" last="Whittam">Ben Whittam</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Riley Children's, Indianapolis, IN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Riley Children's, Indianapolis, IN</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation></author><author><name sortKey="Spinoit, Anne Francoise" sort="Spinoit, Anne Francoise" uniqKey="Spinoit A" first="Anne-Francoise" last="Spinoit">Anne-Francoise Spinoit</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University Hospital Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Urology, University Hospital Ghent</wicri:regionArea><wicri:noRegion>University Hospital Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Dudley, Anne" sort="Dudley, Anne" uniqKey="Dudley A" first="Anne" last="Dudley">Anne Dudley</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Connecticut Children's Hospital, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Connecticut Children's Hospital</wicri:regionArea><wicri:noRegion>Connecticut Children's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Ellison, Jonathan" sort="Ellison, Jonathan" uniqKey="Ellison J" first="Jonathan" last="Ellison">Jonathan Ellison</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Children's Wisconsin, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Children's Wisconsin</wicri:regionArea><wicri:noRegion>Children's Wisconsin</wicri:noRegion></affiliation></author><author><name sortKey="Chu, David" sort="Chu, David" uniqKey="Chu D" first="David" last="Chu">David Chu</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Lurie Children's Chicago, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Lurie Children's Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Routh, Jonathan" sort="Routh, Jonathan" uniqKey="Routh J" first="Jonathan" last="Routh">Jonathan Routh</name><affiliation wicri:level="2"><nlm:affiliation>Division of Urologic Surgery, Duke University Medical Centre, NC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Urologic Surgery, Duke University Medical Centre, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Cannon, Glenn" sort="Cannon, Glenn" uniqKey="Cannon G" first="Glenn" last="Cannon">Glenn Cannon</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, University of Pittsburgh Medical Centre, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, University of Pittsburgh Medical Centre, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Kokorowski, Paul" sort="Kokorowski, Paul" uniqKey="Kokorowski P" first="Paul" last="Kokorowski">Paul Kokorowski</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Koyle, Martin" sort="Koyle, Martin" uniqKey="Koyle M" first="Martin" last="Koyle">Martin Koyle</name><affiliation wicri:level="3"><nlm:affiliation>Division of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Paediatric Urology, The Hospital for Sick Children, Toronto</wicri:regionArea><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Silay, Mesrur Selcuk" sort="Silay, Mesrur Selcuk" uniqKey="Silay M" first="Mesrur Selcuk" last="Silay">Mesrur Selcuk Silay</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatric Urology, Biruni University, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Division of Pediatric Urology, Biruni University, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of pediatric urology</title><idno type="eISSN">1873-4898</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (physiology)</term><term>Adult (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Child (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Guideline Adherence (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>SARS-CoV-2 (MeSH)</term><term>Stress, Psychological (epidemiology)</term><term>Stress, Psychological (psychology)</term><term>Surveys and Questionnaires (MeSH)</term><term>Urologists (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique (physiologie)</term><term>Adhésion aux directives (statistiques et données numériques)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Enfant (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (épidémiologie)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (épidémiologie)</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (épidémiologie)</term><term>Urologues (psychologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Adaptation psychologique</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Adaptation, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Stress psychologique</term><term>Urologues</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Stress, Psychological</term><term>Urologists</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Guideline Adherence</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Adhésion aux directives</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Betacoronavirus</term><term>COVID-19</term><term>Child</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>SARS-CoV-2</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>The COVID-19 pandemic has led to an unprecedented need to re-organise and re-align priorities for all surgical specialties. Despite the current declining numbers globally, the direct effects of the pandemic on institutional practices and on personal stress and coping mechanisms remains unknown. The aims of this study were to assess the effect of the pandemic on daily scheduling and work balances, its effects on stress, and to determine compliance with guidelines and to assess whether quarantining has led to other areas of increased productivity.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A trans-Atlantic convenience sample of paediatric urologists was created in which panellists (Zoom) discussed the direct effects of the COVID-19 pandemic on individual units, as well as creating a questionnaire using a mini-Delphi method to provide current semi-quantitative data regarding practice, and adherence levels to recently published risk stratification guidelines. They also filled out a Perceived Stress Scale (PSS) questionnaire to assess contemporary pandemic stress levels.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There was an 86% response rate from paediatric urologists. The majority of respondents reported near complete disruption to planned operations (70%), and trainee education (70%). They were also worried about the effects of altered home-lives on productivity (≤90%), as well as a lack of personal protective equipment (57%). The baseline stress rate was measured at a very high level (PSS) during the pandemic. Adherence to recent operative guidelines for urgent cases was 100%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This study represents a panel discussion of a number of practical implications for paediatric urologists, and is one of the few papers to assess more pragmatic effects and combines opinions from both sides of the Atlantic. The impact of the pandemic has been very significant for paediatric urologists and includes a decrease in the number of patients seen and operated on, decreased salary, increased self-reported stress levels, substantially increased telemedicine usage, increased free time for various activities, and good compliance with guidelines and hospital management decisions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32680626</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>09</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4898</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>08</Month></PubDate></JournalIssue><Title>Journal of pediatric urology</Title><ISOAbbreviation>J Pediatr Urol</ISOAbbreviation></Journal><ArticleTitle>A survey and panel discussion of the effects of the COVID-19 pandemic on paediatric urological productivity, guideline adherence and provider stress.</ArticleTitle><Pagination><MedlinePgn>492.e1-492.e9</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1477-5131(20)30401-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpurol.2020.06.024</ELocationID><Abstract><AbstractText Label="INTRODUCTION">The COVID-19 pandemic has led to an unprecedented need to re-organise and re-align priorities for all surgical specialties. Despite the current declining numbers globally, the direct effects of the pandemic on institutional practices and on personal stress and coping mechanisms remains unknown. The aims of this study were to assess the effect of the pandemic on daily scheduling and work balances, its effects on stress, and to determine compliance with guidelines and to assess whether quarantining has led to other areas of increased productivity.</AbstractText><AbstractText Label="METHODS">A trans-Atlantic convenience sample of paediatric urologists was created in which panellists (Zoom) discussed the direct effects of the COVID-19 pandemic on individual units, as well as creating a questionnaire using a mini-Delphi method to provide current semi-quantitative data regarding practice, and adherence levels to recently published risk stratification guidelines. They also filled out a Perceived Stress Scale (PSS) questionnaire to assess contemporary pandemic stress levels.</AbstractText><AbstractText Label="RESULTS">There was an 86% response rate from paediatric urologists. The majority of respondents reported near complete disruption to planned operations (70%), and trainee education (70%). They were also worried about the effects of altered home-lives on productivity (≤90%), as well as a lack of personal protective equipment (57%). The baseline stress rate was measured at a very high level (PSS) during the pandemic. Adherence to recent operative guidelines for urgent cases was 100%.</AbstractText><AbstractText Label="CONCLUSION">This study represents a panel discussion of a number of practical implications for paediatric urologists, and is one of the few papers to assess more pragmatic effects and combines opinions from both sides of the Atlantic. The impact of the pandemic has been very significant for paediatric urologists and includes a decrease in the number of patients seen and operated on, decreased salary, increased self-reported stress levels, substantially increased telemedicine usage, increased free time for various activities, and good compliance with guidelines and hospital management decisions.</AbstractText><CopyrightInformation>Copyright © 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>O'Kelly</LastName><ForeName>Fardod</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Division of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada. Electronic address: fokelly@rcsi.ie.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sparks</LastName><ForeName>Scott</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seideman</LastName><ForeName>Casey</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, OHSU Doernbecher Children's Hospital, Portland, OR, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gargollo</LastName><ForeName>Patricio</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Mayo Clinic, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Granberg</LastName><ForeName>Candace</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Mayo Clinic, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ko</LastName><ForeName>Joan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malhotra</LastName><ForeName>Neha</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Utah, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hecht</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Children's Hospital Colorado, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Swords</LastName><ForeName>Kelly</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Rady Children's Hospital, San Diego, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rowe</LastName><ForeName>Courtney</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Connecticut Children's Hospital, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Whittam</LastName><ForeName>Ben</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Riley Children's, Indianapolis, IN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spinoit</LastName><ForeName>Anne-Francoise</ForeName><Initials>AF</Initials><AffiliationInfo><Affiliation>Department of Urology, University Hospital Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dudley</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Connecticut Children's Hospital, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ellison</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Children's Wisconsin, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chu</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Lurie Children's Chicago, IL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Routh</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Urologic Surgery, Duke University Medical Centre, NC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cannon</LastName><ForeName>Glenn</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, University of Pittsburgh Medical Centre, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kokorowski</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koyle</LastName><ForeName>Martin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Silay</LastName><ForeName>Mesrur Selcuk</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Division of Pediatric Urology, Biruni University, Istanbul, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>APAUC (Academic Paediatric and Adolescent Urology Collaborative) and the YAU (Young Academic Urologists) Group</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Pediatr Urol</MedlineTA><NlmUniqueID>101233150</NlmUniqueID><ISSNLinking>1477-5131</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="N">Guideline Adherence</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="Y">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072178" MajorTopicYN="N">Urologists</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">PSS (Perceived stress scale)</Keyword><Keyword MajorTopicYN="Y">Pandemic</Keyword><Keyword MajorTopicYN="Y">SARS-CoV-2</Keyword><Keyword MajorTopicYN="Y">Telemedicine</Keyword><Keyword MajorTopicYN="Y">Training</Keyword></KeywordList><CoiStatement>Conflicts of interest None Declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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IdType="pubmed">32327290</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li><li>Canada</li><li>Turquie</li><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li><li>Illinois</li><li>Indiana</li><li>Minnesota</li><li>Ontario</li><li>Oregon</li><li>Pennsylvanie</li></region><settlement><li>Toronto</li></settlement></list><tree><country name="Canada"><region name="Ontario"><name sortKey="O Kelly, Fardod" sort="O Kelly, Fardod" uniqKey="O Kelly F" first="Fardod" last="O'Kelly">Fardod O'Kelly</name></region><name sortKey="Koyle, Martin" sort="Koyle, Martin" uniqKey="Koyle M" first="Martin" last="Koyle">Martin Koyle</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Sparks, Scott" sort="Sparks, Scott" uniqKey="Sparks S" first="Scott" last="Sparks">Scott Sparks</name></region><name sortKey="Cannon, Glenn" sort="Cannon, Glenn" uniqKey="Cannon G" first="Glenn" last="Cannon">Glenn Cannon</name><name sortKey="Chu, David" sort="Chu, David" uniqKey="Chu D" first="David" last="Chu">David Chu</name><name sortKey="Dudley, Anne" sort="Dudley, Anne" uniqKey="Dudley A" first="Anne" last="Dudley">Anne Dudley</name><name sortKey="Ellison, Jonathan" sort="Ellison, Jonathan" uniqKey="Ellison J" first="Jonathan" last="Ellison">Jonathan Ellison</name><name sortKey="Gargollo, Patricio" sort="Gargollo, Patricio" uniqKey="Gargollo P" first="Patricio" last="Gargollo">Patricio Gargollo</name><name sortKey="Granberg, Candace" sort="Granberg, Candace" uniqKey="Granberg C" first="Candace" last="Granberg">Candace Granberg</name><name sortKey="Hecht, Sarah" sort="Hecht, Sarah" uniqKey="Hecht S" first="Sarah" last="Hecht">Sarah Hecht</name><name sortKey="Ko, Joan" sort="Ko, Joan" uniqKey="Ko J" first="Joan" last="Ko">Joan Ko</name><name sortKey="Kokorowski, Paul" sort="Kokorowski, Paul" uniqKey="Kokorowski P" first="Paul" last="Kokorowski">Paul Kokorowski</name><name sortKey="Malhotra, Neha" sort="Malhotra, Neha" uniqKey="Malhotra N" first="Neha" last="Malhotra">Neha Malhotra</name><name sortKey="Routh, Jonathan" sort="Routh, Jonathan" uniqKey="Routh J" first="Jonathan" last="Routh">Jonathan Routh</name><name sortKey="Rowe, Courtney" sort="Rowe, Courtney" uniqKey="Rowe C" first="Courtney" last="Rowe">Courtney Rowe</name><name sortKey="Seideman, Casey" sort="Seideman, Casey" uniqKey="Seideman C" first="Casey" last="Seideman">Casey Seideman</name><name sortKey="Swords, Kelly" sort="Swords, Kelly" uniqKey="Swords K" first="Kelly" last="Swords">Kelly Swords</name><name sortKey="Whittam, Ben" sort="Whittam, Ben" uniqKey="Whittam B" first="Ben" last="Whittam">Ben Whittam</name></country><country name="Belgique"><noRegion><name sortKey="Spinoit, Anne Francoise" sort="Spinoit, Anne Francoise" uniqKey="Spinoit A" first="Anne-Francoise" last="Spinoit">Anne-Francoise Spinoit</name></noRegion></country><country name="Turquie"><noRegion><name sortKey="Silay, Mesrur Selcuk" sort="Silay, Mesrur Selcuk" uniqKey="Silay M" first="Mesrur Selcuk" last="Silay">Mesrur Selcuk Silay</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32680626" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a AutomedicationFrancoV1
| This area was generated with Dilib version V0.6.38. |  |