Urological activity at the time of COVID-19 pandemic: is there any difference between public and private field?
Identifieur interne : 000799 ( Main/Exploration ); précédent : 000798; suivant : 000800Urological activity at the time of COVID-19 pandemic: is there any difference between public and private field?
Auteurs : Skander Zouari [Tunisie] ; Ahmed Saadi [Tunisie] ; Marouene Chakroun [Tunisie] ; Amine Oueslati [Tunisie] ; Maroua Fliss [Tunisie] ; Abderrazek Bouzouita [Tunisie] ; Amine Derouiche [Tunisie] ; Riadh Ben Slama [Tunisie] ; Haroun Ayed [Tunisie] ; Mohamed Chebil [Tunisie]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Enquêtes et questionnaires (MeSH), Humains (MeSH), Hyperplasie de la prostate (chirurgie), Interventions chirurgicales non urgentes (statistiques et données numériques), Maladies urologiques (physiopathologie), Maladies urologiques (thérapie), Mâle (MeSH), Procédures de chirurgie urologique (statistiques et données numériques), Secteur privé (statistiques et données numériques), Secteur public (statistiques et données numériques), Tunisie (MeSH), Télémédecine (statistiques et données numériques), Urologues (statistiques et données numériques).
- MESH :
- chirurgie : Hyperplasie de la prostate.
- physiopathologie : Maladies urologiques.
- statistiques et données numériques : Interventions chirurgicales non urgentes, Procédures de chirurgie urologique, Secteur privé, Secteur public, Télémédecine, Urologues.
- thérapie : Maladies urologiques.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Humains, Mâle, Tunisie.
- Wicri :
- geographic : Tunisie.
English descriptors
- KwdEn :
- Adult (MeSH), COVID-19 (MeSH), Elective Surgical Procedures (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Private Sector (statistics & numerical data), Prostatic Hyperplasia (surgery), Public Sector (statistics & numerical data), Surveys and Questionnaires (MeSH), Telemedicine (statistics & numerical data), Tunisia (MeSH), Urologic Diseases (physiopathology), Urologic Diseases (therapy), Urologic Surgical Procedures (statistics & numerical data), Urologists (statistics & numerical data).
- MESH :
- geographic : Tunisia.
- physiopathology : Urologic Diseases.
- statistics & numerical data : Elective Surgical Procedures, Private Sector, Public Sector, Telemedicine, Urologic Surgical Procedures, Urologists.
- surgery : Prostatic Hyperplasia.
- therapy : Urologic Diseases.
- Adult, COVID-19, Humans, Male, Middle Aged, Surveys and Questionnaires.
Abstract
as COVID-19 pandemic is rapidly evolving, there is a whole reorganization in hospitals to concentrate more resources to face the crisis. The purpose of this study is to evaluate the impact of COVID-19 disease on urological activity in Tunisia. To assess the differences in the management of urological conditions between the private and the public field.
a survey was addressed to all certified urologists working in Tunisia in both the public and private sectors (n=194) using the national database of active urologists available and updated. We either called them or looked them up through email or social media. The form was open from March the 28th to April the 3rd. Results were obtained via spreadsheet and analysed using SPSS 23.0.
one hundred and twenty urologists have filled in the form. Consultations at the outpatient office were restricted to urgent cases in 66% (n=79). Telemedicine was more used by urologists in private than in public fields p=0.03. Urologists in private sector followed more the sterilization protocol of the hospital/clinic and used more disposable materials whenever possible p=0.011. Elective surgical activity has completely stopped in 85% of the responders (n=102). Elective surgery requiring transfusion or intensive care unit was performed in 38% (n=46) and 26% (n=31) if there was a risk of disease progression. Benign Prostate Hyperplasia (BPH) surgery was more performed as usual in private sector than in public sector p=0.012. It was the only condition managed differently between both sectors.
the drop of the urological activity is essential in order to give relevant stakeholders room to act efficiently against the spread of the virus. The context of the pandemic and the hospital´s condition must be taken into consideration without compromising the patient´s outcome.
Url:
DOI: 10.11604/pamj.2020.37.389.25297
PubMed: 33796202
PubMed Central: 7992421
Affiliations:
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Le document en format XML
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at the time of COVID-19 pandemic: is there any difference between public and private field?</title><author><name sortKey="Zouari, Skander" sort="Zouari, Skander" uniqKey="Zouari S" first="Skander" last="Zouari">Skander Zouari</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Saadi, Ahmed" sort="Saadi, Ahmed" uniqKey="Saadi A" first="Ahmed" last="Saadi">Ahmed Saadi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Chakroun, Marouene" sort="Chakroun, Marouene" uniqKey="Chakroun M" first="Marouene" last="Chakroun">Marouene Chakroun</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Oueslati, Amine" sort="Oueslati, Amine" uniqKey="Oueslati A" first="Amine" last="Oueslati">Amine Oueslati</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Fliss, Maroua" sort="Fliss, Maroua" uniqKey="Fliss M" first="Maroua" last="Fliss">Maroua Fliss</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Bouzouita, Abderrazek" sort="Bouzouita, Abderrazek" uniqKey="Bouzouita A" first="Abderrazek" last="Bouzouita">Abderrazek Bouzouita</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Derouiche, Amine" sort="Derouiche, Amine" uniqKey="Derouiche A" first="Amine" last="Derouiche">Amine Derouiche</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Slama, Riadh Ben" sort="Slama, Riadh Ben" uniqKey="Slama R" first="Riadh Ben" last="Slama">Riadh Ben Slama</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Ayed, Haroun" sort="Ayed, Haroun" uniqKey="Ayed H" first="Haroun" last="Ayed">Haroun Ayed</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author><author><name sortKey="Chebil, Mohamed" sort="Chebil, Mohamed" uniqKey="Chebil M" first="Mohamed" last="Chebil">Mohamed Chebil</name><affiliation wicri:level="1"><nlm:aff id="aff1">Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Tunis El Manar University, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>COVID-19 (MeSH)</term><term>Elective Surgical Procedures (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Private Sector (statistics & numerical data)</term><term>Prostatic Hyperplasia (surgery)</term><term>Public Sector (statistics & numerical data)</term><term>Surveys and Questionnaires (MeSH)</term><term>Telemedicine (statistics & numerical data)</term><term>Tunisia (MeSH)</term><term>Urologic Diseases (physiopathology)</term><term>Urologic Diseases (therapy)</term><term>Urologic Surgical Procedures (statistics & numerical data)</term><term>Urologists (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Humains (MeSH)</term><term>Hyperplasie de la prostate (chirurgie)</term><term>Interventions chirurgicales non urgentes (statistiques et données numériques)</term><term>Maladies urologiques (physiopathologie)</term><term>Maladies urologiques (thérapie)</term><term>Mâle (MeSH)</term><term>Procédures de chirurgie urologique (statistiques et données numériques)</term><term>Secteur privé (statistiques et données numériques)</term><term>Secteur public (statistiques et données numériques)</term><term>Tunisie (MeSH)</term><term>Télémédecine (statistiques et données numériques)</term><term>Urologues (statistiques et données numériques)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Tunisia</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Hyperplasie de la prostate</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies urologiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Urologic Diseases</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Elective Surgical Procedures</term><term>Private Sector</term><term>Public Sector</term><term>Telemedicine</term><term>Urologic Surgical Procedures</term><term>Urologists</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Interventions chirurgicales non urgentes</term><term>Procédures de chirurgie urologique</term><term>Secteur privé</term><term>Secteur public</term><term>Télémédecine</term><term>Urologues</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Urologic Diseases</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladies urologiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>COVID-19</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Mâle</term><term>Tunisie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Tunisie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>as COVID-19 pandemic is rapidly evolving, there is a whole reorganization in hospitals to concentrate more resources to face the crisis. The purpose of this study is to evaluate the impact of COVID-19 disease on urological activity in Tunisia. To assess the differences in the management of urological conditions between the private and the public field.</p></sec><sec id="st2"><title>Methods</title><p>a survey was addressed to all certified urologists working in Tunisia in both the public and private sectors (n=194) using the national database of active urologists available and updated. We either called them or looked them up through email or social media. The form was open from March the 28<sup>th</sup> to April the 3<sup>rd</sup>. Results were obtained via spreadsheet and analysed using SPSS 23.0.</p></sec><sec id="st3"><title>Results</title><p>one hundred and twenty urologists have filled in the form. Consultations at the outpatient office were restricted to urgent cases in 66% (n=79). Telemedicine was more used by urologists in private than in public fields p=0.03. Urologists in private sector followed more the sterilization protocol of the hospital/clinic and used more disposable materials whenever possible p=0.011. Elective surgical activity has completely stopped in 85% of the responders (n=102). Elective surgery requiring transfusion or intensive care unit was performed in 38% (n=46) and 26% (n=31) if there was a risk of disease progression. Benign Prostate Hyperplasia (BPH) surgery was more performed as usual in private sector than in public sector p=0.012. It was the only condition managed differently between both sectors.</p></sec><sec id="st4"><title>Conclusion</title><p>the drop of the urological activity is essential in order to give relevant stakeholders room to act efficiently against the spread of the virus. The context of the pandemic and the hospital´s condition must be taken into consideration without compromising the patient´s outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zhu, N" uniqKey="Zhu N">N Zhu</name></author><author><name sortKey="Zhang, D" uniqKey="Zhang D">D Zhang</name></author><author><name sortKey="Wang, W" uniqKey="Wang W">W Wang</name></author><author><name sortKey="Li, X" uniqKey="Li X">X Li</name></author><author><name sortKey="Yang, B" uniqKey="Yang B">B Yang</name></author><author><name sortKey="Song, J" uniqKey="Song J">J Song</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sohrabi, C" uniqKey="Sohrabi C">C Sohrabi</name></author><author><name sortKey="Alsafi, Z" uniqKey="Alsafi Z">Z Alsafi</name></author><author><name sortKey="O Neill, N" uniqKey="O Neill N">N O´Neill</name></author><author><name sortKey="Khan, M" uniqKey="Khan M">M 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sortKey="Haffaf, M" uniqKey="Haffaf M">M Haffaf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gadzinski, Aj" uniqKey="Gadzinski A">AJ Gadzinski</name></author><author><name sortKey="Ellimoottil, C" uniqKey="Ellimoottil C">C Ellimoottil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salem, Nh" uniqKey="Salem N">NH Salem</name></author><author><name sortKey="Ouelha, D" uniqKey="Ouelha D">D Ouelha</name></author><author><name sortKey="Gharbaoui, M" uniqKey="Gharbaoui M">M Gharbaoui</name></author><author><name sortKey="Saadi, S" uniqKey="Saadi S">S Saadi</name></author><author><name sortKey="Khelil, Mb" uniqKey="Khelil M">MB Khelil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ficarra, V" uniqKey="Ficarra V">V Ficarra</name></author><author><name sortKey="Novara, G" uniqKey="Novara G">G Novara</name></author><author><name sortKey="Abrate, A" uniqKey="Abrate A">A Abrate</name></author><author><name sortKey="Bartoletti, R" uniqKey="Bartoletti R">R Bartoletti</name></author><author><name sortKey="Crestani, A" uniqKey="Crestani A">A Crestani</name></author><author><name sortKey="De Nunzio, C" uniqKey="De Nunzio C">C De Nunzio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Puliatti, S" uniqKey="Puliatti S">S Puliatti</name></author><author><name sortKey="Eissa, A" uniqKey="Eissa A">A Eissa</name></author><author><name sortKey="Eissa, R" uniqKey="Eissa R">R Eissa</name></author><author><name sortKey="Amato, M" uniqKey="Amato M">M Amato</name></author><author><name sortKey="Mazzone, E" uniqKey="Mazzone E">E Mazzone</name></author><author><name sortKey="Dell Oglio, P" uniqKey="Dell Oglio P">P Dell´Oglio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nowroozi, A" uniqKey="Nowroozi A">A Nowroozi</name></author><author><name sortKey="Amini, E" uniqKey="Amini E">E Amini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naspro, R" uniqKey="Naspro R">R Naspro</name></author><author><name sortKey="Da Pozzo, Lf" uniqKey="Da Pozzo L">LF Da Pozzo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Tunisie</li></country></list><tree><country name="Tunisie"><noRegion><name sortKey="Zouari, Skander" sort="Zouari, Skander" uniqKey="Zouari S" first="Skander" last="Zouari">Skander Zouari</name></noRegion><name sortKey="Ayed, Haroun" sort="Ayed, Haroun" uniqKey="Ayed H" first="Haroun" last="Ayed">Haroun Ayed</name><name sortKey="Bouzouita, Abderrazek" sort="Bouzouita, Abderrazek" uniqKey="Bouzouita A" first="Abderrazek" last="Bouzouita">Abderrazek Bouzouita</name><name sortKey="Chakroun, Marouene" sort="Chakroun, Marouene" uniqKey="Chakroun M" first="Marouene" last="Chakroun">Marouene Chakroun</name><name sortKey="Chebil, Mohamed" sort="Chebil, Mohamed" uniqKey="Chebil M" first="Mohamed" last="Chebil">Mohamed Chebil</name><name sortKey="Derouiche, Amine" sort="Derouiche, Amine" uniqKey="Derouiche A" first="Amine" last="Derouiche">Amine Derouiche</name><name sortKey="Fliss, Maroua" sort="Fliss, Maroua" uniqKey="Fliss M" first="Maroua" last="Fliss">Maroua Fliss</name><name sortKey="Oueslati, Amine" sort="Oueslati, Amine" uniqKey="Oueslati A" first="Amine" last="Oueslati">Amine Oueslati</name><name sortKey="Saadi, Ahmed" sort="Saadi, Ahmed" uniqKey="Saadi A" first="Ahmed" last="Saadi">Ahmed Saadi</name><name sortKey="Slama, Riadh Ben" sort="Slama, Riadh Ben" uniqKey="Slama R" first="Riadh Ben" last="Slama">Riadh Ben Slama</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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