Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Urol Oncol. 2020 Jul;38(7):609-614. doi: 10.1016/j.urolonc.2020.05.017. Epub 2020 May 30.
The Coronavirus Disease 2019 pandemic placed urologic surgeons, and especially urologic oncologists, in an unprecedented situation. Providers and healthcare systems were forced to rapidly create triage schemas in order to preserve resources and reduce potential viral transmission while continuing to provide care for patients. We reviewed United States and international triage proposals from professional societies, peer-reviewed publications, and publicly available institutional guidelines to identify common themes and critical differences. To date, there are varying levels of agreement on the optimal triaging of urologic oncology cases. As the need to preserve resources and prevent viral transmission grows, prioritizing only high priority surgical cases is paramount. A similar approach to prioritization will also be needed as nonemergent cases are allowed to proceed in the coming weeks. While these decisions will often be made on a case-by-case basis, more nuanced surgeon-driven consensus guidelines are needed for the near future.
2019 年冠状病毒病大流行使泌尿科医生,尤其是泌尿科肿瘤学家,面临前所未有的局面。为了保存资源和减少潜在的病毒传播,同时继续为患者提供护理,提供者和医疗保健系统被迫迅速制定分诊方案。我们审查了来自专业协会、同行评议出版物和公开可用的机构指南的美国和国际分诊建议,以确定共同主题和关键差异。迄今为止,对于泌尿科肿瘤病例的最佳分诊,意见不一。随着保存资源和预防病毒传播的需求不断增长,优先考虑高优先级的手术病例至关重要。随着允许在未来几周内进行非紧急病例,也需要采用类似的优先级排序方法。虽然这些决策通常将根据具体情况做出,但在不久的将来,需要更细致的、由外科医生驱动的共识指南。