[Functional urology during COVID-19: Recommendations during de-escalation.]
Esther Martínez-Cuenca1, Luis López-Fando2, José María Adot3
1Sección de Urología Reconstructiva y Funcional. Servicio de Urología. Hospital Universitari i Politècnic La Fe. València. España.
Archivos Espanoles De Urologia
|June 16, 2020
Summary
This study provides recommendations for prioritizing functional urology consultations and surgeries during the COVID-19 pandemic
Area of Science:
- Urology
- Public Health
- Surgical Management
Background:
- COVID-19 pandemic necessitated cancellation of non-life-threatening surgical procedures and consultations.
- De-escalation phases require prioritization strategies for healthcare services.
- Functional urology faced significant disruption in patient care delivery.
Purpose of the Study:
- To establish recommendations for functional urology office visits and surgical interventions.
- To provide a decision-making tool for prioritizing urological care.
- To guide the reorganization of diagnostic and treatment activities.
Main Methods:
- A modified nominal group technique was employed by functional urology experts in Spain.
- Experts collaborated remotely to overcome pandemic-related restrictions.
- A consensus was reached on prioritizing various clinical activities and solutions.
Main Results:
- Recommendation tables were developed for outpatient consultations and surgical interventions.
- Prioritization aligned with de-escalation phases outlined by Spanish surgical associations.
- Strategies address the evolving landscape of functional urology care.
Conclusions:
- The COVID-19 pandemic necessitates alternative approaches in clinical practice.
- Consensus-based decision-making is crucial for managing functional urology patients.
- These recommendations serve as a guide for exceptional situations, adaptable to local resources.
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