دورية أكاديمية
Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists.
| العنوان: | Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists. |
|---|---|
| المؤلفون: | Gomes CM; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil., Favorito LA; Unidade de Pesquisa Urogenital, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil., Henriques JVT; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil., Canalini AF; Divisão de Urologia, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil., Anzolch KMJ; Departamento de Urologia, Hospital Moinhos de Vento, Porto Alegre, RS, Brasil., de Carvalho Fernandes R; Divisão de Urologia, Santa Casa de São Paulo, São Paulo, SP, Brasil., Bellucci CHS; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil., Silva CS; Departamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil., Wroclawski ML; Departamento de Urologia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.; Departamento de Urologia, Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil., Pompeo ACL; Disciplina de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil., de Bessa J Jr; Departamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil. |
| المصدر: | International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2020 Nov-Dec; Vol. 46 (6), pp. 1042-1071. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Brazilian Society of Urology Country of Publication: Brazil NLM ID: 101158091 Publication Model: Print Cited Medium: Internet ISSN: 1677-6119 (Electronic) Linking ISSN: 16775538 NLM ISO Abbreviation: Int Braz J Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janerio, RJ, Brazil : Brazilian Society of Urology, [2002]- |
| مواضيع طبية MeSH: | Betacoronavirus* , Coronavirus Infections* , Life Style* , Pandemics* , Pneumonia, Viral*/complications , Pneumonia, Viral*/epidemiology , Workload*, Practice Patterns, Physicians'/*statistics & numerical data , Urologic Diseases/*therapy , Urologic Surgical Procedures/*statistics & numerical data , Urologists/*psychology , Urology/*statistics & numerical data, Brazil ; COVID-19 ; Humans ; Practice Patterns, Physicians'/trends ; Quality of Life ; SARS-CoV-2 ; Surveys and Questionnaires ; Telemedicine ; Urologic Diseases/complications ; Urologic Diseases/epidemiology ; Urologists/statistics & numerical data |
| مستخلص: | Objectives: To evaluate the impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists during the month of April 2020. Materials and Methods: A 39-question, web-based survey was sent to all urologist members of the Brazilian Society of Urology. We assessed socio-demographic, professional, health and behavior parameters. The primary goal was to evaluate changes in urologists' clinical practice and income after two months of COVID-19. We also looked at geographical differences based on the incidence rates of COVID-19 in different states. Results: Among 766 urologists who completed the survey, a reduction ≥ 50% of patient visits, elective and emergency surgeries was reported by 83.2%, 89.6% and 54.8%, respectively. An income reduction of ≥ 50% was reported by 54.3%. Measures to reduce costs were implemented by most. Video consultations were performed by 38.7%. Modifications in health and lifestyle included weight gain (32.9%), reduced physical activity (60.0%), increased alcoholic intake (39.9%) and reduced sexual activity (34.9%). Finally, 13.5% of Brazilian urologists were infected with SARS-CoV-2 and about one third required hospitalization. Urologists from the highest COVID-19 incidence states were at a higher risk to have a reduction of patient visits and non-essential surgeries (OR=2.95, 95% CI 1.86 - 4.75; p< 0.0001) and of being infected with SARS-CoV-2 (OR=4.36 95%CI 1.74-10.54, p=0.012). Conclusions: COVID-19 produced massive disturbances in Brazilian urologists' practice, with major reductions in patient visits and surgical procedures. Distressing consequences were also observed on physicians' income, health and personal lives. These findings are probably applicable to other medical specialties. Competing Interests: None declared. (Copyright® by the International Brazilian Journal of Urology.) |
| References: | Curr Med Res Pract. 2020 Mar-Apr;10(2):78-79. (PMID: 32292804) Eur Urol. 2020 Jun;77(6):663-666. (PMID: 32279903) Eur Urol. 2020 Jul;78(1):16-20. (PMID: 32362498) Eur Urol Focus. 2021 May;7(3):659-661. (PMID: 32405544) Lancet Public Health. 2020 May;5(5):e259. (PMID: 32277874) Head Neck. 2020 Jun;42(6):1344-1347. (PMID: 32329925) PLoS One. 2019 Aug 30;14(8):e0221848. (PMID: 31469865) J Cardiothorac Vasc Anesth. 2018 Aug;32(4):1750-1755. (PMID: 29402627) Eur Urol Focus. 2020 Sep 15;6(5):1070-1085. (PMID: 32532703) J Prim Care Community Health. 2019 Jan-Dec;10:2150132719878526. (PMID: 31578913) Ann Vasc Surg. 2020 Jul;66:6-7. (PMID: 32437916) Neurourol Urodyn. 2018 Mar;37(3):1039-1045. (PMID: 28877368) J Allergy Clin Immunol Pract. 2019 Jan;7(1):217-218. (PMID: 30598177) Int Braz J Urol. 2020 Jul-Aug;46(4):501-510. (PMID: 32271512) Psychiatry Res. 2020 Jul;289:113098. (PMID: 32434092) Minerva Urol Nefrol. 2020 Aug;72(4):505-509. (PMID: 32253371) Crisis. 2020 May;41(3):153-155. (PMID: 32299225) BMC Public Health. 2016 Feb 03;16:115. (PMID: 26847554) Nat Rev Urol. 2020 Jul;17(7):363-364. (PMID: 32405032) Nat Rev Urol. 2020 Jul;17(7):365-367. (PMID: 32377015) J Surg Case Rep. 2020 Apr 06;2020(4):rjaa087. (PMID: 32280447) Lancet Oncol. 2020 May;21(5):629-630. (PMID: 32247319) Eur Urol. 2020 Jul;78(1):4-5. (PMID: 32349933) Minerva Urol Nefrol. 2020 Jun;72(3):369-375. (PMID: 32202401) Urol J. 2020 May 16;17(3):326. (PMID: 32207540) PLoS One. 2013 Nov 04;8(11):e79773. (PMID: 24224003) Int Perspect Sex Reprod Health. 2020 Apr 16;46:73-76. (PMID: 32343244) J Oral Maxillofac Surg. 2020 Jul;78(7):1047-1048. (PMID: 32302531) N Engl J Med. 2020 Aug 6;383(6):510-512. (PMID: 32283003) J Pediatr Surg. 2018 Sep;53(9):1843-1848. (PMID: 29241967) Am J Physiol Heart Circ Physiol. 2020 Jun 1;318(6):H1441-H1446. (PMID: 32412779) Obesity (Silver Spring). 2020 Sep;28(9):1576-1577. (PMID: 32428295) Eur Urol. 2020 Jul;78(1):21-28. (PMID: 32376137) |
| فهرسة مساهمة: | Keywords: COVID-19 [Supplementary Concept]; Practice Patterns, Physicians’; Urology |
| تواريخ الأحداث: | Date Created: 20200617 Date Completed: 20200828 Latest Revision: 20231112 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7527096 |
| DOI: | 10.1590/S1677-5538.IBJU.2020.99.15 |
| PMID: | 32539253 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1677-6119 |
|---|---|
| DOI: | 10.1590/S1677-5538.IBJU.2020.99.15 |