Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines.
Identifieur interne : 000873 ( Main/Exploration ); précédent : 000872; suivant : 000874Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines.
Auteurs : Stavros Gravas [Grèce] ; Georges Fournier [France] ; Mototsugu Oya [Japon] ; Duncan Summerton [Royaume-Uni] ; Roberto Mario Scarpa [Italie] ; Piotr Chlosta [Pologne] ; Ioannis Gkialas [Grèce] ; Li-Ping Xie [République populaire de Chine] ; Nur Rasyid [Indonésie] ; Damien Bolton [Australie] ; Reynaldo Gomez [Chili] ; Laurence Klotz [Canada] ; Sanjay Kulkarni [Inde] ; Simon Tanguay [Canada] ; Jean De La Rosette [Turquie]Source :
- European urology focus [ 2405-4569 ] ; 2020.
Descripteurs français
- KwdFr :
- Adhésion aux directives (statistiques et données numériques), Betacoronavirus (MeSH), Enquêtes et questionnaires (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Maladies urologiques (chirurgie), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Procédures de chirurgie urologique (méthodes), Sociétés médicales (MeSH), Triage (MeSH), Tumeurs de l'appareil urogénital (anatomopathologie), Tumeurs de l'appareil urogénital (chirurgie), Types de pratiques des médecins (MeSH), Urologues (MeSH).
- MESH :
- anatomopathologie : Tumeurs de l'appareil urogénital.
- chirurgie : Maladies urologiques, Tumeurs de l'appareil urogénital.
- méthodes : Procédures de chirurgie urologique.
- statistiques et données numériques : Adhésion aux directives.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Betacoronavirus, Enquêtes et questionnaires, Guides de bonnes pratiques cliniques comme sujet, Humains, Pandémies, Sociétés médicales, Triage, Types de pratiques des médecins, Urologues.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), Coronavirus Infections (epidemiology), Guideline Adherence (statistics & numerical data), Humans (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Practice Guidelines as Topic (MeSH), Practice Patterns, Physicians' (MeSH), Societies, Medical (MeSH), Surveys and Questionnaires (MeSH), Triage (MeSH), Urogenital Neoplasms (pathology), Urogenital Neoplasms (surgery), Urologic Diseases (surgery), Urologic Surgical Procedures (methods), Urologists (MeSH).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Urologic Surgical Procedures.
- pathology : Urogenital Neoplasms.
- statistics & numerical data : Guideline Adherence.
- surgery : Urogenital Neoplasms, Urologic Diseases.
- Betacoronavirus, Humans, Pandemics, Practice Guidelines as Topic, Practice Patterns, Physicians', Societies, Medical, Surveys and Questionnaires, Triage, Urologists.
Abstract
BACKGROUND
Determining whether members follow guidelines, including guidelines prepared to help direct practice management during the coronavirus disease 2019 (COVID-19) pandemic, is an important goal for medical associations.
OBJECTIVE
To determine whether practice of urologists is in line with guidelines for the management of common urological conditions during the COVID-19 pandemic produced by leading (inter)national urological associations.
DESIGN, SETTING, AND PARTICIPANTS
Self-selected urologists completed a voluntary survey available online from March 27 to April 11, 2020 and distributed globally by the Société Internationale d'Urologie.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS
Responses to two survey questions on the (1) management of 14 common urological procedures and (2) priority scoring of 10 common urological procedures were evaluated by practice setting and geographical region using chi-square and one-way analysis of variance analyses, respectively.
RESULTS AND LIMITATIONS
There were 2494 respondents from 76 countries. Oncological conditions were prioritised over benign conditions, and benign conditions were deferred when feasible and safe. Oncological conditions with the greatest malignant potential were prioritised over less aggressive cancers. Respondents from Europe were least likely to postpone and most likely to prioritise conditions identified by guidelines as being of the highest priority. Respondents' priority scoring of urological procedures closely matched the priorities assigned by guidelines. The main limitation of this study is that respondents were self-selected, and access to the survey was limited by language and technology barriers.
CONCLUSIONS
Prioritisation and management of urological procedures during the COVID-19 pandemic are in line with current guidelines. The greatest agreement was reported in Europe. Observed differences may be related to limited resources in some settings.
PATIENT SUMMARY
When deciding how best to treat patients during the coronavirus disease 2019 (COVID-19) pandemic, urologists are taking into account both expert recommendations and the availability of important local resources.
DOI: 10.1016/j.euf.2020.06.006
PubMed: 32571743
PubMed Central: PMC7294295
Affiliations:
- Australie, Canada, Chili, France, Grèce, Inde, Indonésie, Italie, Japon, Pologne, Royaume-Uni, République populaire de Chine, Turquie
- Attique (région), Latium, Québec, Région Bretagne, Région de Kantō, Zhejiang
- Athènes, Brest, Hangzhou, Montréal, Rome, Tokyo
- Université McGill
Links toward previous steps (curation, corpus...)
Le document en format XML
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de Chine</country><wicri:regionArea>Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Rasyid, Nur" sort="Rasyid, Nur" uniqKey="Rasyid N" first="Nur" last="Rasyid">Nur Rasyid</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.</nlm:affiliation><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation></author><author><name sortKey="Bolton, Damien" sort="Bolton, Damien" uniqKey="Bolton D" first="Damien" last="Bolton">Damien Bolton</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Austin Health, Heidelberg, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Urology, Austin Health, Heidelberg, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Gomez, Reynaldo" sort="Gomez, Reynaldo" uniqKey="Gomez R" first="Reynaldo" last="Gomez">Reynaldo Gomez</name><affiliation wicri:level="1"><nlm:affiliation>Universidad Andres Bello, Hospital del Trabajador, Santiago, Chile.</nlm:affiliation><country xml:lang="fr">Chili</country><wicri:regionArea>Universidad Andres Bello, Hospital del Trabajador, Santiago</wicri:regionArea><wicri:noRegion>Santiago</wicri:noRegion></affiliation></author><author><name sortKey="Klotz, Laurence" sort="Klotz, Laurence" uniqKey="Klotz L" first="Laurence" last="Klotz">Laurence Klotz</name><affiliation wicri:level="1"><nlm:affiliation>Division of Urology, Sunnybrook Health Sciences 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Electronic address: sgravas2002@yahoo.com.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa</wicri:regionArea><wicri:noRegion>Larissa</wicri:noRegion></affiliation></author><author><name sortKey="Fournier, Georges" sort="Fournier, Georges" uniqKey="Fournier G" first="Georges" last="Fournier">Georges Fournier</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Hopital de la Cavale Blanche, University of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Urology, Hopital de la Cavale Blanche, University of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Oya, Mototsugu" sort="Oya, Mototsugu" uniqKey="Oya M" first="Mototsugu" last="Oya">Mototsugu Oya</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Keio University School of Medicine, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Urology, Keio University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Summerton, Duncan" sort="Summerton, Duncan" uniqKey="Summerton D" first="Duncan" last="Summerton">Duncan Summerton</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University Hospitals of Leicester NHS Trust, Leicester, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, University Hospitals of Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Scarpa, Roberto Mario" sort="Scarpa, Roberto Mario" uniqKey="Scarpa R" first="Roberto Mario" last="Scarpa">Roberto Mario Scarpa</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Università Campus Biomedico, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Urology, Università Campus Biomedico, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Chlosta, Piotr" sort="Chlosta, Piotr" uniqKey="Chlosta P" first="Piotr" last="Chlosta">Piotr Chlosta</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Jagiellonian University-Medical College, Krakow, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Urology, Jagiellonian University-Medical College, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Gkialas, Ioannis" sort="Gkialas, Ioannis" uniqKey="Gkialas I" first="Ioannis" last="Gkialas">Ioannis Gkialas</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Anticancer Hospital of Athens "Agios Savvas", Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Urology, Anticancer Hospital of Athens "Agios Savvas", Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Xie, Li Ping" sort="Xie, Li Ping" uniqKey="Xie L" first="Li-Ping" last="Xie">Li-Ping Xie</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Rasyid, Nur" sort="Rasyid, Nur" uniqKey="Rasyid N" first="Nur" last="Rasyid">Nur Rasyid</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.</nlm:affiliation><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation></author><author><name sortKey="Bolton, Damien" sort="Bolton, Damien" uniqKey="Bolton D" first="Damien" last="Bolton">Damien Bolton</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Austin Health, Heidelberg, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Urology, Austin Health, Heidelberg, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Gomez, Reynaldo" sort="Gomez, Reynaldo" uniqKey="Gomez R" first="Reynaldo" last="Gomez">Reynaldo Gomez</name><affiliation wicri:level="1"><nlm:affiliation>Universidad Andres Bello, Hospital del Trabajador, Santiago, Chile.</nlm:affiliation><country xml:lang="fr">Chili</country><wicri:regionArea>Universidad Andres Bello, Hospital del Trabajador, Santiago</wicri:regionArea><wicri:noRegion>Santiago</wicri:noRegion></affiliation></author><author><name sortKey="Klotz, Laurence" sort="Klotz, Laurence" uniqKey="Klotz L" first="Laurence" last="Klotz">Laurence Klotz</name><affiliation wicri:level="1"><nlm:affiliation>Division of Urology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Urology, Sunnybrook Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Kulkarni, Sanjay" sort="Kulkarni, Sanjay" uniqKey="Kulkarni S" first="Sanjay" last="Kulkarni">Sanjay Kulkarni</name><affiliation wicri:level="1"><nlm:affiliation>Kulkarni Reconstructive Urology Center, Pune, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Kulkarni Reconstructive Urology Center, Pune</wicri:regionArea><wicri:noRegion>Pune</wicri:noRegion></affiliation></author><author><name sortKey="Tanguay, Simon" sort="Tanguay, Simon" uniqKey="Tanguay S" first="Simon" last="Tanguay">Simon Tanguay</name><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery, Division of Urology, McGill University, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Surgery, Division of Urology, McGill University, Montreal, QC</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="De La Rosette, Jean" sort="De La Rosette, Jean" uniqKey="De La Rosette J" first="Jean" last="De La Rosette">Jean De La Rosette</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author></analytic><series><title level="j">European urology focus</title><idno type="eISSN">2405-4569</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Guideline Adherence (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Practice Patterns, Physicians' (MeSH)</term><term>Societies, Medical (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Triage (MeSH)</term><term>Urogenital Neoplasms (pathology)</term><term>Urogenital Neoplasms (surgery)</term><term>Urologic Diseases (surgery)</term><term>Urologic Surgical Procedures (methods)</term><term>Urologists (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives (statistiques et données numériques)</term><term>Betacoronavirus (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maladies urologiques (chirurgie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (épidémiologie)</term><term>Procédures de chirurgie urologique (méthodes)</term><term>Sociétés médicales (MeSH)</term><term>Triage (MeSH)</term><term>Tumeurs de l'appareil urogénital (anatomopathologie)</term><term>Tumeurs de l'appareil urogénital (chirurgie)</term><term>Types de pratiques des médecins (MeSH)</term><term>Urologues (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'appareil urogénital</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Maladies urologiques</term><term>Tumeurs de l'appareil urogénital</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Urologic Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Procédures de chirurgie urologique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Urogenital Neoplasms</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="surgery" xml:lang="en"><term>Urogenital Neoplasms</term><term>Urologic Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>Humans</term><term>Pandemics</term><term>Practice Guidelines as Topic</term><term>Practice Patterns, Physicians'</term><term>Societies, Medical</term><term>Surveys and Questionnaires</term><term>Triage</term><term>Urologists</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Betacoronavirus</term><term>Enquêtes et questionnaires</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Pandémies</term><term>Sociétés médicales</term><term>Triage</term><term>Types de pratiques des médecins</term><term>Urologues</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Determining whether members follow guidelines, including guidelines prepared to help direct practice management during the coronavirus disease 2019 (COVID-19) pandemic, is an important goal for medical associations.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine whether practice of urologists is in line with guidelines for the management of common urological conditions during the COVID-19 pandemic produced by leading (inter)national urological associations.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN, SETTING, AND PARTICIPANTS</b></p><p>Self-selected urologists completed a voluntary survey available online from March 27 to April 11, 2020 and distributed globally by the Société Internationale d'Urologie.</p></div><div type="abstract" xml:lang="en"><p><b>OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS</b></p><p>Responses to two survey questions on the (1) management of 14 common urological procedures and (2) priority scoring of 10 common urological procedures were evaluated by practice setting and geographical region using chi-square and one-way analysis of variance analyses, respectively.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS AND LIMITATIONS</b></p><p>There were 2494 respondents from 76 countries. Oncological conditions were prioritised over benign conditions, and benign conditions were deferred when feasible and safe. Oncological conditions with the greatest malignant potential were prioritised over less aggressive cancers. Respondents from Europe were least likely to postpone and most likely to prioritise conditions identified by guidelines as being of the highest priority. Respondents' priority scoring of urological procedures closely matched the priorities assigned by guidelines. The main limitation of this study is that respondents were self-selected, and access to the survey was limited by language and technology barriers.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Prioritisation and management of urological procedures during the COVID-19 pandemic are in line with current guidelines. The greatest agreement was reported in Europe. Observed differences may be related to limited resources in some settings.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENT SUMMARY</b></p><p>When deciding how best to treat patients during the coronavirus disease 2019 (COVID-19) pandemic, urologists are taking into account both expert recommendations and the availability of important local resources.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32571743</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2405-4569</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>Sep</Month><Day>15</Day></PubDate></JournalIssue><Title>European urology focus</Title><ISOAbbreviation>Eur Urol Focus</ISOAbbreviation></Journal><ArticleTitle>Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines.</ArticleTitle><Pagination><MedlinePgn>1104-1110</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S2405-4569(20)30164-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.euf.2020.06.006</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Determining whether members follow guidelines, including guidelines prepared to help direct practice management during the coronavirus disease 2019 (COVID-19) pandemic, is an important goal for medical associations.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine whether practice of urologists is in line with guidelines for the management of common urological conditions during the COVID-19 pandemic produced by leading (inter)national urological associations.</AbstractText><AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">Self-selected urologists completed a voluntary survey available online from March 27 to April 11, 2020 and distributed globally by the Société Internationale d'Urologie.</AbstractText><AbstractText Label="OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS" NlmCategory="UNASSIGNED">Responses to two survey questions on the (1) management of 14 common urological procedures and (2) priority scoring of 10 common urological procedures were evaluated by practice setting and geographical region using chi-square and one-way analysis of variance analyses, respectively.</AbstractText><AbstractText Label="RESULTS AND LIMITATIONS" NlmCategory="CONCLUSIONS">There were 2494 respondents from 76 countries. Oncological conditions were prioritised over benign conditions, and benign conditions were deferred when feasible and safe. Oncological conditions with the greatest malignant potential were prioritised over less aggressive cancers. Respondents from Europe were least likely to postpone and most likely to prioritise conditions identified by guidelines as being of the highest priority. Respondents' priority scoring of urological procedures closely matched the priorities assigned by guidelines. The main limitation of this study is that respondents were self-selected, and access to the survey was limited by language and technology barriers.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Prioritisation and management of urological procedures during the COVID-19 pandemic are in line with current guidelines. The greatest agreement was reported in Europe. Observed differences may be related to limited resources in some settings.</AbstractText><AbstractText Label="PATIENT SUMMARY" NlmCategory="UNASSIGNED">When deciding how best to treat patients during the coronavirus disease 2019 (COVID-19) pandemic, urologists are taking into account both expert recommendations and the availability of important local resources.</AbstractText><CopyrightInformation>Copyright © 2020 European Association of Urology. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gravas</LastName><ForeName>Stavros</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece. Electronic address: sgravas2002@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fournier</LastName><ForeName>Georges</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Urology, Hopital de la Cavale Blanche, University of Brest, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oya</LastName><ForeName>Mototsugu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Urology, Keio University School of Medicine, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Summerton</LastName><ForeName>Duncan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Urology, University Hospitals of Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scarpa</LastName><ForeName>Roberto Mario</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Department of Urology, Università Campus Biomedico, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chlosta</LastName><ForeName>Piotr</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Urology, Jagiellonian University-Medical College, Krakow, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gkialas</LastName><ForeName>Ioannis</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Urology, Anticancer Hospital of Athens "Agios Savvas", Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xie</LastName><ForeName>Li-Ping</ForeName><Initials>LP</Initials><AffiliationInfo><Affiliation>Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rasyid</LastName><ForeName>Nur</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolton</LastName><ForeName>Damien</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Urology, Austin Health, Heidelberg, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gomez</LastName><ForeName>Reynaldo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Universidad Andres Bello, Hospital del Trabajador, Santiago, Chile.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klotz</LastName><ForeName>Laurence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Urology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kulkarni</LastName><ForeName>Sanjay</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Kulkarni Reconstructive Urology Center, Pune, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tanguay</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Urology, McGill University, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de la Rosette</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>SIU Board of Directors</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Eur Urol Focus</MedlineTA><NlmUniqueID>101665661</NlmUniqueID><ISSNLinking>2405-4569</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></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="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="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012955" MajorTopicYN="N">Societies, Medical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014565" MajorTopicYN="N">Urogenital Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014570" MajorTopicYN="N">Urologic Diseases</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013520" MajorTopicYN="N">Urologic Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000072178" MajorTopicYN="Y">Urologists</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Guidelines</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword><Keyword MajorTopicYN="N">Practice management</Keyword><Keyword MajorTopicYN="N">Severe acute respiratory syndrome coronavirus 2</Keyword><Keyword MajorTopicYN="N">Urology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32571743</ArticleId><ArticleId IdType="pii">S2405-4569(20)30164-4</ArticleId><ArticleId IdType="doi">10.1016/j.euf.2020.06.006</ArticleId><ArticleId 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name="Zhejiang"><name sortKey="Xie, Li Ping" sort="Xie, Li Ping" uniqKey="Xie L" first="Li-Ping" last="Xie">Li-Ping Xie</name></region></country><country name="Indonésie"><noRegion><name sortKey="Rasyid, Nur" sort="Rasyid, Nur" uniqKey="Rasyid N" first="Nur" last="Rasyid">Nur Rasyid</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Bolton, Damien" sort="Bolton, Damien" uniqKey="Bolton D" first="Damien" last="Bolton">Damien Bolton</name></noRegion></country><country name="Chili"><noRegion><name sortKey="Gomez, Reynaldo" sort="Gomez, Reynaldo" uniqKey="Gomez R" first="Reynaldo" last="Gomez">Reynaldo Gomez</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Klotz, Laurence" sort="Klotz, Laurence" uniqKey="Klotz L" first="Laurence" last="Klotz">Laurence Klotz</name></noRegion><name sortKey="Tanguay, Simon" sort="Tanguay, Simon" uniqKey="Tanguay S" first="Simon" last="Tanguay">Simon Tanguay</name></country><country name="Inde"><noRegion><name sortKey="Kulkarni, Sanjay" sort="Kulkarni, Sanjay" uniqKey="Kulkarni S" first="Sanjay" last="Kulkarni">Sanjay Kulkarni</name></noRegion></country><country name="Turquie"><noRegion><name sortKey="De La Rosette, Jean" sort="De La Rosette, Jean" uniqKey="De La Rosette J" first="Jean" last="De La Rosette">Jean De La Rosette</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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