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      How has the COVID-19 pandemic impacted Polish urologists? Results from a national survey

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          Abstract

          Introduction

          Poland was initially less affected by the coronavirus disease 2019 (COVID-19) pandemic, however, severe restrictions, and health care restructuration have impacted all areas of medicine, including urology. Therefore, we aimed, via an online survey, to examine the impact of the COVID-19 pandemic on Polish urologists and urology residents.

          Material and methods

          Between May 15 and June 6, 2020, 229 (28.63% response rate) urologists and urology residents responded to a 28-question online survey. The questionnaire analyzed basic demographic and professional characteristics, and the impact of the COVID-19 pandemic on physicians' everyday work, mental status as well as private life. We further compared the differences between the selected subgroups.

          Results

          Nearly all (96.5%) responders claimed that the pandemic had a moderate to high impact on their everyday clinical practice with the majority of the residents (62.0%) believing that the COVID-19 pandemic will harm their training. Most responders (86.9%) reported over 25% declines in outpatient clinic consultations and 55.9% claimed that their income dropped over 25%. Only 38.9% wanted telemedicine to permanently replace some of the consultations after the pandemic, with residents being significantly more positive about this modality (51.4% vs. 33.1%; p = 0.01). Interestingly, 79.9% noticed the negative psychological effect of the pandemic on their colleagues, and 57.6% felt increased anxiety, sadness, or stress.

          Conclusions

          This study revealed the complaints and needs of Polish urologists and urology residents after the first wave of the COVID-19 pandemic. There was a significantly negative impact on their work, mental health, and private life.

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          Most cited references15

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          Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

          Highlights • At least one in five healthcare professionals report symptoms of depression and anxiety. • Almost four in 10 healthcare workers experience sleeping difficulties and/or insomnia. • Rates of anxiety and depression were higher for female healthcare workers and nursing staff. • Milder mood symptoms are common and screening should aim to identify mild and sub-threshold syndromes.
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            European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era ☆

            The coronavirus disease 2019 (COVID-19) pandemic is unlike anything seen before by modern science-based medicine. Health systems across the world are struggling to manage it. Added to this struggle are the effects of social confinement and isolation. This brings into question whether the latest guidelines are relevant in this crisis. We aim to support urologists in this difficult situation by providing tools that can facilitate decision making, and to minimise the impact and risks for both patients and health professionals delivering urological care, whenever possible. We hope that the revised recommendations will assist urologist surgeons across the globe to guide the management of urological conditions during the current COVID-19 pandemic.
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              Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

              Take Home Message We present a suggested list of urologic surgeries that should be prioritized if COVID-19 surges warrant cancellation of elective surgeries to free up health care resources. The recommendations should be tailored to locally available resources and situations and can be used as a framework for other specialties.
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                Author and article information

                Journal
                Cent European J Urol
                Cent European J Urol
                CEJU
                Central European Journal of Urology
                Polish Urological Association
                2080-4806
                2080-4873
                15 September 2020
                2020
                : 73
                : 3
                : 252-259
                Affiliations
                [1 ]Department of Urology, Medical University of Silesia, Zabrze, Poland
                [2 ]Department of Urology, Jagiellonian University Medical College, Cracow, Poland
                [3 ]Department of General, Oncological and Functional Oncology, Medical University of Warsaw, Warsaw, Poland
                [4 ]Chair and Clinical Department of Psychiatry, Medical University of Silesia, Katowice, Poland
                [5 ]Department of Urology and Urological Oncology, Multidisciplinary Hospital in Warsaw-Międzylesie, Warsaw, Poland
                Author notes
                Corresponding author Pawel Rajwa, Department of Urology, Medical University of Silesia, 14-15 3 Maja Street, 41-800 Zabrze, Poland. pawelgrajwa@ 123456gmail.com . phone: +48 323 704 454
                Article
                0252
                10.5173/ceju.2020.0252
                7587496
                33133649
                fcdf1bee-9567-4868-8ae2-7667d23c86e7
                Copyright by Polish Urological Association

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

                History
                : 01 September 2020
                : 02 September 2020
                : 02 September 2020
                Categories
                Original Paper

                covid-19,urology,resident,poland,survey
                covid-19, urology, resident, poland, survey

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