Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

doi:10.1016/j.eururo.2020.03.027

Editorial

. 2020 Jun;77(6):663-666.

doi: 10.1016/j.eururo.2020.03.027. Epub 2020 Apr 9.

Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

Kristian D Stensland¹, Todd M Morgan², Alireza Moinzadeh¹, Cheryl T Lee³, Alberto Briganti⁴, James W F Catto⁵, David Canes⁶

Affiliations

¹ Division of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA.
² Department of Urology, University of Michigan, Ann Arbor, MI, USA.
³ The Ohio State University, Columbus, OH, USA.
⁴ Unit of Urology/Division of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
⁵ Academic Urology Unit, The University of Sheffield, Sheffield, UK.
⁶ Division of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA. Electronic address: david.canes@lahey.org.

PMID: 32279903
PMCID: PMC7146681
DOI: 10.1016/j.eururo.2020.03.027

Editorial

Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

Kristian D Stensland et al. Eur Urol. 2020 Jun.

. 2020 Jun;77(6):663-666.

doi: 10.1016/j.eururo.2020.03.027. Epub 2020 Apr 9.

Authors

Kristian D Stensland¹, Todd M Morgan², Alireza Moinzadeh¹, Cheryl T Lee³, Alberto Briganti⁴, James W F Catto⁵, David Canes⁶

Affiliations

¹ Division of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA.
² Department of Urology, University of Michigan, Ann Arbor, MI, USA.
³ The Ohio State University, Columbus, OH, USA.
⁴ Unit of Urology/Division of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
⁵ Academic Urology Unit, The University of Sheffield, Sheffield, UK.
⁶ Division of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA. Electronic address: david.canes@lahey.org.

PMID: 32279903
PMCID: PMC7146681
DOI: 10.1016/j.eururo.2020.03.027

Abstract

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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Comment in

Recommendations for Tiered Stratification of Urological Surgery Urgency in the COVID-19 Era.
Goldman HB, Haber GP. Goldman HB, et al. J Urol. 2020 Jul;204(1):11-13. doi: 10.1097/JU.0000000000001067. Epub 2020 Apr 3. J Urol. 2020. PMID: 32249715 Free PMC article. No abstract available.
Triage of functional, female and neuro-urology patients during and immediately after the Covid-19 outbreak.
Finazzi Agrò E, Farullo G, Balzarro M, Del Popolo G, Giannantoni A, Herms A, Li Marzi V, Musco S, Giammò A, Costantini E. Finazzi Agrò E, et al. Minerva Urol Nefrol. 2020 Aug;72(4):513-515. doi: 10.23736/S0393-2249.20.03909-0. Epub 2020 May 13. Minerva Urol Nefrol. 2020. PMID: 32400146 No abstract available.
Re: Kristian D. Stensland, Todd M. Morgan, Alireza Moinzadeh, et al. Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic. Eur Urol 2020;77:663-6: The Forgotten Urological Patient During the COVID-19 Pandemic: Patient Safety Safeguards.
Tan YQ, Lu J, Chiong E. Tan YQ, et al. Eur Urol. 2020 Sep;78(3):e135-e136. doi: 10.1016/j.eururo.2020.04.072. Epub 2020 May 8. Eur Urol. 2020. PMID: 32416976 Free PMC article. No abstract available.
Challenges in the Practice of Sexual Medicine in the Time of COVID-19 in Brazil.
Miranda EP, Nascimento B, Torres LO, Glina S. Miranda EP, et al. J Sex Med. 2020 Jul;17(7):1222-1224. doi: 10.1016/j.jsxm.2020.05.013. Epub 2020 May 23. J Sex Med. 2020. PMID: 32487463 Free PMC article. No abstract available.

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References

1. American College of Surgeons. COVID-19: recommendations for management of elective surgical procedures 2020. www.facs.org/about-acs/covid-19/information-for-surgeons.
1. Chan MC, Yeo S, Lee Y. Stepping forward: urologists’ efforts during the COVID-19 outbreak in Singapore. Eur Urol. In press. 10.1016/j.eururo.2020.03.004. - DOI - PMC - PubMed
1. Mmeje C.O., Benson C.R., Nogueras-González G.M. Determining the optimal time for radical cystectomy after neoadjuvant chemotherapy. BJU Int. 2018;122:89–98. doi: 10.1111/bju.14211. - DOI - PubMed
1. Boeri L., Soligo M., Frank I. Delaying radical cystectomy after neoadjuvant chemotherapy for muscle-invasive bladder cancer is associated with adverse survival outcomes. Eur Urol Oncol. 2019;2:390–396. - PubMed
1. Gore J.L., Lai J., Setodji C.M., Litwin M.S., Saigal C.S. Urologic Diseases in America Project. Mortality increases when radical cystectomy is delayed more than 12 weeks: results from a Surveillance, Epidemiology, and End Results-Medicare analysis. Cancer. 2009;115:988–996. doi: 10.1002/cncr.24052. - DOI - PMC - PubMed

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[1] American College of Surgeons. COVID-19: recommendations for management of elective surgical procedures 2020. www.facs.org/about-acs/covid-19/information-for-surgeons.

[2] American College of Surgeons. COVID-19: recommendations for management of elective surgical procedures 2020. www.facs.org/about-acs/covid-19/information-for-surgeons.

[3] Chan MC, Yeo S, Lee Y. Stepping forward: urologists’ efforts during the COVID-19 outbreak in Singapore. Eur Urol. In press. 10.1016/j.eururo.2020.03.004. - DOI - PMC - PubMed

[4] Chan MC, Yeo S, Lee Y. Stepping forward: urologists’ efforts during the COVID-19 outbreak in Singapore. Eur Urol. In press. 10.1016/j.eururo.2020.03.004. - DOI - PMC - PubMed

[5] Mmeje C.O., Benson C.R., Nogueras-González G.M. Determining the optimal time for radical cystectomy after neoadjuvant chemotherapy. BJU Int. 2018;122:89–98. doi: 10.1111/bju.14211. - DOI - PubMed

[6] Mmeje C.O., Benson C.R., Nogueras-González G.M. Determining the optimal time for radical cystectomy after neoadjuvant chemotherapy. BJU Int. 2018;122:89–98. doi: 10.1111/bju.14211. - DOI - PubMed

[7] Boeri L., Soligo M., Frank I. Delaying radical cystectomy after neoadjuvant chemotherapy for muscle-invasive bladder cancer is associated with adverse survival outcomes. Eur Urol Oncol. 2019;2:390–396. - PubMed

[8] Boeri L., Soligo M., Frank I. Delaying radical cystectomy after neoadjuvant chemotherapy for muscle-invasive bladder cancer is associated with adverse survival outcomes. Eur Urol Oncol. 2019;2:390–396. - PubMed

[9] Gore J.L., Lai J., Setodji C.M., Litwin M.S., Saigal C.S. Urologic Diseases in America Project. Mortality increases when radical cystectomy is delayed more than 12 weeks: results from a Surveillance, Epidemiology, and End Results-Medicare analysis. Cancer. 2009;115:988–996. doi: 10.1002/cncr.24052. - DOI - PMC - PubMed

[10] Gore J.L., Lai J., Setodji C.M., Litwin M.S., Saigal C.S. Urologic Diseases in America Project. Mortality increases when radical cystectomy is delayed more than 12 weeks: results from a Surveillance, Epidemiology, and End Results-Medicare analysis. Cancer. 2009;115:988–996. doi: 10.1002/cncr.24052. - DOI - PMC - PubMed

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Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

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Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic

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