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Effect of SARS and COVID-19 outbreaks on urology practice and training #MMPMID33632937
Yee CH; Wong HF; Tam MHM; Yuen SKK; Chan HC; Cheung MH; Yu ATO; Chiu Y; Chan NH; Leung LH; Ng ATL; Law DMC; Ng TL; Teoh JYC; Chiu PKF; Ng CF
Hong Kong Med J 2021[Aug]; 27 (4): 258-265 PMID33632937show ga
INTRODUCTION: 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. METHODS: 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. RESULTS: 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). CONCLUSION: A comprehensive review of urology practice during the COVID-19 pandemic revealed changes in every aspect of practice.
|*Internship and Residency/methods/organization & administration[MESH]
Hong+Kong+Med+J 2021 ; 27 (4): 258-265
