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.
Hong Kong Med J. 2021 Aug;27(4):258-265. doi: 10.12809/hkmj208822. Epub 2021 Feb 26.
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.
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.
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).
A comprehensive review of urology practice during the COVID-19 pandemic revealed changes in every aspect of practice.
本研究旨在从 2003 年严重急性呼吸综合征（SARS）时期的经验出发，探讨 2019 年冠状病毒病（COVID-19）大流行期间泌尿外科实践的变化。
获取了 2020 年 2 月 1 日至 3 月 31 日 COVID-19 大流行期间和 2019 年 2 月 1 日至 3 月 31 日非 COVID-19 对照期间香港公共部门所有泌尿科中心的机构数据。使用在线匿名问卷评估 COVID-19 对住院医师培训的影响。比较了三级中心的临床产出与 SARS 时期的数据。
所有中心审查的手术次数、门诊就诊次数、膀胱镜检查次数、前列腺活检次数和体外冲击波碎石术次数分别减少了 40.5%、28.5%、49.6%、44.8%和 38.5%。COVID-19 大流行前后的平均手术次数分别为 85.1±30.3 和 50.6±25.7（P=0.005）。所有中心都优先考虑癌症相关手术。良性前列腺增生相关手术（39.1%）和输尿管结石手术（25.5%）是最常延迟的手术。泌尿外科服务减少的程度小于 SARS 期间（手术、膀胱镜检查和活检分别为 47.2%、55.3%和 70.5%）。COVID-19 大流行前后住院医师手术次数的平均值分别为 75.4±48.0 和 34.9±17.2（P=0.002）。
对 COVID-19 大流行期间泌尿外科实践的全面回顾显示，实践的各个方面都发生了变化。
