To defer or not to defer? A German longitudinal multicentric assessment of clinical practice in urology during the COVID-19 pandemic

  1. Harke, Nina ORCID logo
  2. Radtke, Jan P.
  3. Hadaschik, Boris A.
  4. Bach, Christian
  5. Berger, Frank P.
  6. Blana, Andreas
  7. Borgmann, Hendrik
  8. Distler, Florian A.
  9. Edeling, Sebastian
  10. Egner, Tobias
  11. Engels, Christina L.
  12. Farzat, Mahmoud
  13. Haese, Alexander
  14. Hein, Rainer
  15. Kuczyk, Markus A.
  16. Manseck, Andreas ORCID logo
  17. Moritz, Rudolf
  18. Musch, Michael
  19. Peters, Inga
  20. Pokupic, Sasa
  21. Rocco, Bernardo
  22. Schneider, Andreas
  23. Schumann, André
  24. Schwentner, Christian
  25. Sighinolfi, Chiara M.
  26. Buse, Stephan
  27. Stolzenburg, Jens-Uwe
  28. Truß, Michael C.
  29. Waldner, Michael
  30. Wülfing, Christian
  31. Zimmermanns, Volker
  32. Witt, Jörn H.
  33. Wagner, Christian

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WeightNameValue
1000 Titel
  • To defer or not to defer? A German longitudinal multicentric assessment of clinical practice in urology during the COVID-19 pandemic
1000 Autor/in
  1. Harke, Nina |
  2. Radtke, Jan P. |
  3. Hadaschik, Boris A. |
  4. Bach, Christian |
  5. Berger, Frank P. |
  6. Blana, Andreas |
  7. Borgmann, Hendrik |
  8. Distler, Florian A. |
  9. Edeling, Sebastian |
  10. Egner, Tobias |
  11. Engels, Christina L. |
  12. Farzat, Mahmoud |
  13. Haese, Alexander |
  14. Hein, Rainer |
  15. Kuczyk, Markus A. |
  16. Manseck, Andreas |
  17. Moritz, Rudolf |
  18. Musch, Michael |
  19. Peters, Inga |
  20. Pokupic, Sasa |
  21. Rocco, Bernardo |
  22. Schneider, Andreas |
  23. Schumann, André |
  24. Schwentner, Christian |
  25. Sighinolfi, Chiara M. |
  26. Buse, Stephan |
  27. Stolzenburg, Jens-Uwe |
  28. Truß, Michael C. |
  29. Waldner, Michael |
  30. Wülfing, Christian |
  31. Zimmermanns, Volker |
  32. Witt, Jörn H. |
  33. Wagner, Christian |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-09-15
1000 Erschienen in
1000 Quellenangabe
  • 15(9):e0239027
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1371/journal.pone.0239027 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491711/ |
1000 Ergänzendes Material
  • https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0239027#sec017 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • INTRODUCTION: After the outbreak of COVID-19 unprecedented changes in the healthcare systems worldwide were necessary resulting in a reduction of urological capacities with postponements of consultations and surgeries. MATERIAL AND METHODS: An email was sent to 66 urological hospitals with focus on robotic surgery (RS) including a link to a questionnaire (e.g. bed/staff capacity, surgical caseload, protection measures during RS) that covered three time points: a representative baseline week prior to COVID-19, the week of March 16th-22nd and April 20th-26th 2020. The results were evaluated using descriptive analyses. RESULTS: 27 out of 66 questionnaires were analyzed (response rate: 41%). We found a decrease of 11% in hospital beds and 25% in OR capacity with equal reductions for endourological, open and robotic procedures. Primary surgical treatment of urolithiasis and benign prostate syndrome (BPS) but also of testicular and penile cancer dropped by at least 50% while the decrease of surgeries for prostate, renal and urothelial cancer (TUR-B and cystectomies) ranged from 15 to 37%. The use of personal protection equipment (PPE), screening of staff and patients and protection during RS was unevenly distributed in the different centers–however, the number of COVID-19 patients and urologists did not reach double digits. CONCLUSION: The German urological landscape has changed since the outbreak of COVID-19 with a significant shift of high priority surgeries but also continuation of elective surgical treatments. While screening and staff protection is employed heterogeneously, the number of infected German urologists stays low.
1000 Sacherschließung
gnd 1206347392 COVID-19
lokal Urology
lokal Surgical and invasive medical procedures
lokal Urologic infections
lokal Surgical oncology
lokal Robotic assisted surgery
lokal Cancer treatment
lokal Prostate cancer
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
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1000 Erstellt am 2021-04-09T11:20:07.079+0200
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