Effect of SARS and COVID-19 outbreaks on urology practice and training.

Autor:	Yee CH; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong., Wong HF; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong., Tam MHM; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Alice Ho Miu Ling Nethersole Hospital, Hong Kong., Yuen SKK; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, North District Hospital, Hong Kong., Chan HC; Department of Surgery, United Christian Hospital, Hong Kong., Cheung MH; Department of Surgery, Tseung Kwan O Hospital, Hong Kong., Yu ATO; Department of Surgery, Tuen Mun Hospital, Hong Kong.; Department of Surgery, Pok Oi Hospital, Hong Kong., Chiu Y; Department of Surgery, Princess Margaret Hospital, Hong Kong., Chan NH; Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong., Leung LH; Department of Surgery, Kwong Wah Hospital, Hong Kong., Ng ATL; Department of Surgery, Queen Mary Hospital, Hong Kong.; Department of Surgery, Tung Wah Hospital, Hong Kong., Law DMC; Department of Surgery, Caritas Medical Centre, Hong Kong., Ng TL; Department of Surgery, Queen Elizabeth Hospital, Hong Kong., Teoh JYC; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong., Chiu PKF; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong., Ng CF; SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.; Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
Jazyk:	angličtina
Zdroj:	Hong Kong medical journal = Xianggang yi xue za zhi [Hong Kong Med J] 2021 Aug; Vol. 27 (4), pp. 258-265. Date of Electronic Publication: 2021 Feb 26.
DOI:	10.12809/hkmj208822
Abstrakt:	Introduction: The objective was to investigate the changes in urology practice during coronavirus disease 2019 (COVID-19) pandemic with a perspective from our experience with severe acute respiratory syndrome (SARS) in 2003. Methods: Institutional data from all urology centres in the Hong Kong public sector during the COVID-19 pandemic (1 Feb 2020-31 Mar 2020) and a non-COVID-19 control period (1 Feb 2019-31 Mar 2019) were acquired. An online anonymous questionnaire was used to gauge the impact of COVID-19 on resident training. The clinical output of tertiary centres was compared with data from the SARS period. Results: The numbers of operating sessions, clinic attendance, cystoscopy sessions, prostate biopsy, and shockwave lithotripsy sessions were reduced by 40.5%, 28.5%, 49.6%, 44.8%, and 38.5%, respectively, across all the centres reviewed. The mean numbers of operating sessions before and during the COVID-19 pandemic were 85.1±30.3 and 50.6±25.7, respectively (P=0.005). All centres gave priority to cancer-related surgeries. Benign prostatic hyperplasia-related surgery (39.1%) and ureteric stone surgery (25.5%) were the most commonly delayed surgeries. The degree of reduction in urology services was less than that during SARS (47.2%, 55.3%, and 70.5% for operating sessions, cystoscopy, and biopsy, respectively). The mean numbers of operations performed by residents before and during the COVID-19 pandemic were 75.4±48.0 and 34.9±17.2, respectively (P=0.002). Conclusion: A comprehensive review of urology practice during the COVID-19 pandemic revealed changes in every aspect of practice. Competing Interests: As editors of the journal, JYC Teoh and CF Ng were not involved in the peer review process. Other authors have disclosed no conflicts of interest.
Databáze:	MEDLINE
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