University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Curr Opin Urol. 2020 Jul;30(4):610-616. doi: 10.1097/MOU.0000000000000786.
The novel coronavirus-2019 disease (COVID-19) pandemic has had devastating consequences on healthcare systems globally. The effect this has on urologists and the patients they care for is not fully understood and presents the challenge of prioritizing the most urgent cases. We aim to review the impact on urology services and evaluate strategies to minimize disruption.
Various healthcare systems have been forced to postpone treatment for many urological conditions as resources are dedicated to the treatment of COVID-19. Training has been postponed as staff are reallocated to areas of need. Face-to-face contact is largely minimized and innovative, virtual communication methods are used in the outpatient setting and multidisciplinary team meetings. Surgical practice is changing because of the risks posed by COVID-19 and procedures can be prioritized in a nonurgent, low priority, high priority or emergency category.
Although the COVID-19 pandemic will inevitably affect urological services, steps can be taken to mitigate the impact and prioritize the patients most in need of urgent care. Similarly, in future; simulation, e-learning and webinars will allow interaction to share, discuss and debate focused training and education.
新型冠状病毒-2019 疾病(COVID-19)大流行对全球医疗体系造成了毁灭性的影响。这对泌尿科医生及其所照顾的患者的影响尚不完全清楚,这给我们带来了优先处理最紧急病例的挑战。我们旨在回顾对泌尿科服务的影响,并评估尽量减少干扰的策略。
由于资源被专门用于治疗 COVID-19,许多泌尿科疾病的治疗都被各种医疗系统推迟。培训也被推迟,因为工作人员被重新分配到需要的领域。面对面接触在很大程度上被减少,创新的虚拟沟通方式被用于门诊和多学科团队会议。由于 COVID-19 带来的风险,手术实践正在发生变化,并且可以根据非紧急、低优先级、高优先级或紧急情况对手术进行分类。
尽管 COVID-19 大流行不可避免地会影响泌尿科服务,但可以采取措施减轻其影响,并优先考虑最需要紧急护理的患者。同样,在未来,模拟、电子学习和网络研讨会将允许互动,以分享、讨论和辩论重点培训和教育。