1
|
Hey HWD, Tay HW, Bosco A, Soh RCC, Oh JYL. Impact of COVID-19 on orthopaedic specialist training: a nationwide survey of orthopaedic residents in Singapore. Singapore Med J 2024; 65:S56-S62. [PMID: 35083908 PMCID: PMC11073654 DOI: 10.11622/smedj.2022013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 04/01/2021] [Indexed: 11/18/2022]
Affiliation(s)
- Hwee Weng Dennis Hey
- Department of Orthopaedic Surgery, National University Hospital, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Hui Wen Tay
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Aju Bosco
- Orthopaedic Spine Surgery Unit, Madras Medical College and Research Institute, Chennai, Tamil Nadu, India
| | | | - Jacob Yoong-Leong Oh
- Division of Spine, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
| |
Collapse
|
2
|
Ghosh P, Kurian AT, Velmurugan D, Tharumaraj M. Impact of COVID-19 pandemic on surgical residency: Residents' perception. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:398. [PMID: 38333163 PMCID: PMC10852176 DOI: 10.4103/jehp.jehp_252_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 04/28/2023] [Indexed: 02/10/2024]
Abstract
BACKGROUND World Health Organization declared COVID-19 outbreak a pandemic, and till the month of March 2023, globally, there have been 761,402,282 confirmed cases of COVID-19, including 6887,000 deaths. In India, almost 44,707,525 cases been recorded till date. Here, almost 30,000,000 cases been recorded after the second wave. The working force fighting this pandemic is majority formed by resident doctors all over the country and globally. MATERIALS AND METHODS This study was conducted among 110 residents pursuing postgraduation in surgery and allied departments in various training institutions in Tamil Nadu for a duration of 6 months (after the second wave). A pretested and validated questionnaire was formulated to assess the effect of COVID-19 pandemic on surgical trainee's residency program from their perspective. The questionnaire contained basic social-demographic details and general information like the details of surgical specialty they are admitted to, the overall details of changes in their surgical residency experience in the times of COVID pandemic and the changes faced by them in their day-to-day clinical, diagnostic, and surgical learning. The questionnaire also investigated the redeployment status of the surgical trainees to COVID treatment units and their perspective on the changes in their clinical research and surgical skills training. RESULTS The study participants, 66%, were aged between 25 and 30 years, followed by 30 and 35 years (25.5%). Almost 80% of the participants belong to the final year of postgraduation; 67.3% of surgical trainees strongly perceives and all 100% of them accept the fact that their surgical residency has been affected by the ongoing pandemic. Fifty percent of the trainees were redeployed to COVID duties for 8 h a day shift and rest attended a minimum of 4 h of COVID duties. More than 75% of the residents had COVID duties of 5-10 h/day and more than 90% of these redeployed trainees involved in COVID duties have expressed that they had been suffering from extra stress and more than 60% were suffering from stress grade between 5 and 10 suggestive of high-stress level. Fifty-nine percent of the postgraduates in the current study mentioned that they require extra-surgical or skill-based training after their postgraduation period. CONCLUSION The influence of COVID-19 on surgical trainees in various institutions of India has been immense due to overburdening of health systems by the large population of the country. Second wave of COVID, especially, has drastically changed the postgraduate surgical trainees' lives. Detrimental effects are not restricted to operative and clinical experience but also the mental health and well-being of them. The observations of the present study make recommendations for the future provision of training through skill-based surgical simulations so that the lost days of their trainings can be compensated and they become the confident surgeons of the future.
Collapse
Affiliation(s)
- Puja Ghosh
- Department of Otorhinolaryngology, Bhaarath Medical College and Hospital, Bharath Institute of Higher Education and Research (BIHER), Chennai, Tamil Nadu, India
| | - Andrew Thomas Kurian
- Department of Otorhinolaryngology, Bhaarath Medical College and Hospital, Bharath Institute of Higher Education and Research (BIHER), Chennai, Tamil Nadu, India
| | - Dinesh Velmurugan
- Department of Otorhinolaryngology, Bhaarath Medical College and Hospital, Bharath Institute of Higher Education and Research (BIHER), Chennai, Tamil Nadu, India
| | - Muthukumar Tharumaraj
- Department of Community Medicine, Bhaarath Medical College and Hospital, Bharath Institute of Higher Education and Research (BIHER), Chennai, Tamil Nadu, India
| |
Collapse
|
3
|
Parija S, Dash N, Patra S, Nayak S. Mental health status of ophthalmology residents during COVID-19 pandemic-A national online survey. Indian J Ophthalmol 2023; 71:2287-2290. [PMID: 37202976 PMCID: PMC10391508 DOI: 10.4103/ijo.ijo_2209_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Affiliation(s)
- Sucheta Parija
- Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Nikita Dash
- Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Suravi Patra
- Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Saurav Nayak
- Department of Biochemistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| |
Collapse
|
4
|
Pyrgidis N, Sokolakis I, Hatzichristodoulou G. COVID‑19‑related postponement of elective sexual or reproductive health operations deteriorates private and sexual life: an ongoing nightmare study. Int J Impot Res 2022; 34:158-163. [PMID: 35169276 PMCID: PMC8853267 DOI: 10.1038/s41443-022-00538-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 01/31/2022] [Accepted: 02/01/2022] [Indexed: 01/01/2023]
Abstract
We aimed to assess the impact of postponing sexual or reproductive health surgeries on patients' psychosocial distress and personal or occupational life during the COVID-19 pandemic. A total of 77 elective sexual or reproductive health surgeries were postponed. Of them, 38 patients are still on the waiting list for an appointment and, despite our efforts, we managed to operate only 39 patients when operation capacity returned to a normal level. At the time of surgery, all patients were requested to complete a 14-item questionnaire, assessing patients' perception of the COVID-19 pandemic. Patients marked the necessity of operation at the time of initial postponement as urgent and as highly urgent at the time of surgery. Due to the postponement of surgery, they reported experiencing severe restrictions in private life and more concerns and worries for their disease. Interestingly, patients who could not perform sexual intercourse due to the underlying disease wanted to receive surgery more urgently (p = 0.001) and displayed more restrictions in private life (p = 0.007). On the contrary, the duration of surgery postponement was not associated with worse outcomes. Overall, postponement of surgery poses a huge psychological burden that leads to further personal restrictions. Patients that cannot perform sexual intercourse should be prioritized for treatment.
Collapse
Affiliation(s)
- Nikolaos Pyrgidis
- Department of Urology, 'Martha-Maria' Hospital Nuremberg, Nuremberg, Germany
| | - Ioannis Sokolakis
- Department of Urology, 'Martha-Maria' Hospital Nuremberg, Nuremberg, Germany
| | | |
Collapse
|
5
|
Alexopoulos P, Roukas D, Efkarpidis A, Konstantopoulou G, Soldatos R, Karaivazoglou K, Kontogianni E, Assimakopoulos K, Iliou T, Εconomou P, Gourzis P, Politis A. Hospital workforce mental reaction to the pandemic in a low COVID-19 burden setting: a cross-sectional clinical study. Eur Arch Psychiatry Clin Neurosci 2022; 272:95-105. [PMID: 33904979 PMCID: PMC8078092 DOI: 10.1007/s00406-021-01262-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 04/20/2021] [Indexed: 11/26/2022]
Abstract
Τhe COVID-19 pandemic has mental health implications for both healthcare workforces and general population, particularly in regions heavily hit by the crisis. Τhe study aimed (i) to investigate anxiety- and depression severity differences between staff of a COVID-19 treatment unit (N = 84) and a hospital without such a unit (N = 55) in comparison to participants of a convenience general population online survey (N = 240) and (ii) to explore relations between such symptoms and hospital staff reaction to COVID-19 in a low COVID-19 burden setting. Anxiety was studied with the Generalized Anxiety Disorder 7-Item in hospital workforces and with the Hospital Anxiety Depression Scale (HADS) in online survey participants. Depression symptoms were assessed with the Patient Health Questionnaire-9 in hospital employees and the HADS in the online survey sample. Symptoms were classified as absent/minimal, borderline abnormal or indicating clinical caseness. Staff reaction to COVID-19 was tapped with a 9-item-questionnaire and the 22-item Impact of Event Scale-revised (IES-R). Proper tests for differences and stepwise ordered logistic regression models were employed. Anxiety- and depression severity was higher in hospital workforces than in online survey participants (P < 0.05). Anxiety was more severe in frontline- compared to backstage employees (P < 0.001) was inversely correlated with age (P = 0.011) and positively with avoidance (P = 0.028). Both anxiety and depression symptoms related to intrusion symptoms (P < 0.001). Regarding the relatively long data collection period, an inverse association between crisis duration and depression symptoms was detected (P = 0.025). These observations point to the urgent need for distress-mitigating interventions for hospital workforces even in low COVID-19 burden settings.
Collapse
Affiliation(s)
- Panagiotis Alexopoulos
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, Patras University General Hospital, University of Patras, Patras, Greece.
- Department of Psychiatry and Psychotherapy, Klinikum Rechts Der Isar, Faculty of Medicine, Technische Universität München, Munich, Germany.
| | - Dimitrios Roukas
- Department of Psychiatry, 417 Army Equity Fund Hospital (NIMTS) Hospital, Athens, Greece
| | - Apostolos Efkarpidis
- Nursing Services Department, General Hospital of Syros "Vardakeio and Proio", Ermoupolis, Greece
| | - Georgia Konstantopoulou
- Special Office for Health Consulting Services and Faculty of Education and Social Work, School of Humanities and Social Sciences, University of Patras, Patras, Greece
| | - Rigas Soldatos
- First Department of Psychiatry, School of Medicine, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Katerina Karaivazoglou
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, Patras University General Hospital, University of Patras, Patras, Greece
| | - Evagellia Kontogianni
- First Department of Psychiatry, School of Medicine, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Konstantinos Assimakopoulos
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, Patras University General Hospital, University of Patras, Patras, Greece
| | - Theodoros Iliou
- Medical Informatics Laboratory, Faculty of Medicine, School of Health Sciences, Democritus University of Thrace, Alexandroupolis, Greece
| | - Polychronis Εconomou
- Department of Civil Engineering (Statistics), University of Patras, Patras, Greece
| | - Philippos Gourzis
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, Patras University General Hospital, University of Patras, Patras, Greece
| | - Antonios Politis
- First Department of Psychiatry, School of Medicine, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece
- Division of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry, Johns Hopkins Medical School, Baltimore, MD, USA
| |
Collapse
|
6
|
Che Rahimi A, Bakar RS, Mohd Yasin MA. Psychological Well-Being of Malaysian University Students during COVID-19 Pandemic: Do Religiosity and Religious Coping Matter? Healthcare (Basel) 2021; 9:1535. [PMID: 34828581 PMCID: PMC8625428 DOI: 10.3390/healthcare9111535] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 10/26/2021] [Accepted: 11/02/2021] [Indexed: 11/16/2022] Open
Abstract
The COVID-19 pandemic and the restrictions imposed that changed the teaching and learning activities may add a psychological impact to the existing academic stress faced by university students. Past studies have associated low levels of psychological disorder with high religiosity and positive religious coping (RC). This study aimed to determine the level of psychological disorder among university students in Malaysia during the COVID-19 pandemic and measure their association with religiosity and religious coping (RC). An online cross-sectional survey was conducted between March and June 2020 involving 450 students. The survey instruments consisted of sociodemographic proforma, Duke University Religious Index (DUREL) for religiosity, Brief RCOPE Scale for RC and General Health Questionnaire-12 (GHQ-12) for psychological disorder; 36% of the participants experienced psychological disorder. Younger age, being a Muslim, living in the Green/Yellow zone and higher negative RC were significantly associated with psychological disorder. Higher positive RC was found to be protective against psychological disorder. However, the level of religiosity had no significant association with psychological disorder. In conclusion, the level of psychological disorder among university students has been high during the pandemic. Measures and interventions focusing on positive RC and reducing negative RC are recommended to improve the psychological well-being.
Collapse
Affiliation(s)
| | | | - Mohd Azhar Mohd Yasin
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia; (A.C.R.); (R.S.B.)
| |
Collapse
|
7
|
Wadoo O, Ouanes S, Al Siaghy A, Hassan MHMO, Zoghbi Y, Alabdulla M. Redeployment of psychiatrist trainees during the COVID-19 pandemic: evaluation of attitude and preparedness. Qatar Med J 2021; 2021:64. [PMID: 34888200 PMCID: PMC8627577 DOI: 10.5339/qmj.2021.64] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Accepted: 09/20/2021] [Indexed: 11/08/2022] Open
Abstract
Background: The coronavirus disease-2019 (COVID-19) pandemic has imposed an unprecedented strain on healthcare systems worldwide. In response, psychiatrist trainees were redeployed from their training sites to help manage patients with COVID-19. This study aimed to examine the attitude of psychiatrist trainees toward redeployment to COVID-19 sites and their perceived preparedness for managing physical health conditions during redeployment. Methods: A cross-sectional researcher-developed online survey was administered among psychiatrist trainees in May 2020 at the Department of Psychiatry, Hamad Medical Corporation, Qatar. Results: Of the 45 psychiatrist trainees, 40 (88.9%) responded to the survey. Most trainees reported being comfortable dealing with chronic medical conditions, but less so with acute life-threatening medical conditions. Half reported feeling anxious about redeployment, and most felt the need for additional training. We found that trainees' perceived redeployment preparedness was significantly associated with their level of postgraduate training and the time since and duration of their last medical or surgical training. Conclusion: Adequate preparation and training of psychiatrist trainees is important before redeployment to COVID-19 sites to ensure that they can effectively and safely manage patients with COVID-19.
Collapse
Affiliation(s)
- Ovais Wadoo
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Sami Ouanes
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Areej Al Siaghy
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | | | - Yuri Zoghbi
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Majid Alabdulla
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| |
Collapse
|
8
|
Budden CR, Rannard F, Mennie J, Bulstrode N. The Impact of COVID-19 on Plastic Surgery Training in the United Kingdom, Canada and Australia-A Cross-Sectional Study. Indian J Plast Surg 2021; 54:327-333. [PMID: 34667519 PMCID: PMC8515307 DOI: 10.1055/s-0041-1734569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background
Surgical trainees worldwide have been thrust into a period of uncertainty, with respect to the implications COVID-19 pandemic will have on their roles, training, and future career prospects. It is currently unclear how plastic surgery trainees are being affected by COVID-19. This study examined the experience of plastic surgery trainees in Canada, the UK, and Australia to determine trainee roles during the early COVID-19 emergency response and how training changed during this time.
Methods
A cross-sectional survey-based study was designed for plastic surgery trainees in the UK, Canada and Australia. In total, 110 trainees responded to the survey. Statistical tests were conducted to determine differences in responses, based on year of training and country of residence.
Results
In total, 9.7% (10/103) of respondents reported being deployed to cover another service. There was a significant difference between redeployment based on country (
p
= 0.001). Within the UK group, 28.9% of respondents were redeployed. For trainees not deployed, 95.5% (85/89) reported that there has been a reduction in operative volume. Ninety-seven (94.1%) respondents reported that there were ongoing teaching activities offered by their program. The majority of trainees (66.4%) were concerned about their training. There was a significant difference between overall concern and country (
p
< 0.05).
Conclusion
In these unprecedented times, training programs in plastic surgery should be aware of the major impact that COVID-19 has had on trainees and will have on their training. The majority of plastic surgery trainees have experienced a reduction in surgical exposure but have maintained some form of regular teaching.
Collapse
Affiliation(s)
- Curtis R Budden
- Department of Surgery, University of Alberta, Edmonton, Canada
| | - Francesca Rannard
- Department of Plastic Surgery, Great Ormond Street Hospital, London, United Kingdom
| | - Joanna Mennie
- Department of Plastic Surgery, Great Ormond Street Hospital, London, United Kingdom
| | - Neil Bulstrode
- Department of Plastic Surgery, Great Ormond Street Hospital, London, United Kingdom
| |
Collapse
|
9
|
COVID19: the response of the urologist. World J Urol 2021; 39:3125. [PMID: 34498109 DOI: 10.1007/s00345-021-03830-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
10
|
Khusid JA, Kashani M, Fink LE, Weinstein CS, Gupta M. The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review. Curr Urol Rep 2021; 22:45. [PMID: 34427779 PMCID: PMC8382932 DOI: 10.1007/s11934-021-01063-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2021] [Indexed: 12/30/2022]
Abstract
PURPOSE OF REVIEW The COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic's impact on urology trainees and their education. RECENT FINDINGS Urology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual "check-ins" and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and simulations were utilized to augment surgical education. Academic governing bodies upheld resident protections and provided dynamic guidance for training requirement throughout the pandemic. Medical students were unable to participate in traditional in-person away rotations and interviews, complicating the residency application process. The COVID-19 pandemic shook the healthcare system and ushered in seismic changes for urology trainees worldwide. Though the longstanding effects of the pandemic remain to be seen, urology residents have demonstrated tremendous resilience and bravery throughout this challenging period, and those qualities will undeniably withstand the test of time.
Collapse
Affiliation(s)
- Johnathan A. Khusid
- Department of Urology, Icahn School of Medicine At Mount Sinai, New York, NY USA
| | - Mahyar Kashani
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Lauren E. Fink
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Corey S. Weinstein
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Mantu Gupta
- Department of Urology, Icahn School of Medicine At Mount Sinai, New York, NY USA
| |
Collapse
|
11
|
Babicki M, Szewczykowska I, Mastalerz-Migas A. The Mental Well-Being of Health Care Workers during the Peak of the COVID-19 Pandemic-A Nationwide Study in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6101. [PMID: 34198833 PMCID: PMC8200963 DOI: 10.3390/ijerph18116101] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 06/03/2021] [Accepted: 06/04/2021] [Indexed: 12/23/2022]
Abstract
INTRODUCTION The current epidemiological situation has quickly led to several changes in the daily functioning of people around the world, especially among medical personnel, who in this difficult period were burdened with new professional duties, which significantly affects their mental health. MATERIALS This study aims to assess the mental health of health professionals at a critical point in their workload, to compare the results with those the general population, and to explore the potential determinants affecting it. The CAWI survey includes a sociodemographic section, work experience and a standardised psychometric tool (GHQ-28). Data were collected during the second wave of the COVID-19 pandemic in Poland (3-29 November 2020), which had the highest mortality rates and SARS-CoV-2 morbidity rates, as well as during the period of a significant increase in deaths, compared to the corresponding pre-pandemic period. RESULTS A total of 2150 surveys were eligible for analysis. Among them, 848 (39.4%) were active health professionals. In the analysis of the scores of the GHQ-28 scale and its sub-scales, evaluating anxiety/insomnia and somatic symptoms, medical workers scored significantly higher scores than non-medical professions (p < 0.001). Frontline medical workers (p < 0.001) and those who were forcibly seconded to work with COVID-19-infected patients (p = 0.011) achieved significantly higher GHQ-28 scores. CONCLUSIONS The COVID-19 pandemic has had a significant impact on mental deterioration among health professionals, especially among those directly working with SARS-CoV-2-infected patients and those who were forcibly seconded to work with such patients. To mitigate the effects of the pandemic, appropriate psychological care for medical personnel needs to be implemented.
Collapse
Affiliation(s)
- Mateusz Babicki
- Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland;
| | - Ilona Szewczykowska
- Intensive Care Unit, Wroclaw Medical University, Borowska Street 213, 50-556 Wroclaw, Poland;
| | | |
Collapse
|
12
|
Chung E, Jiann BP, Nagao K, Hakim L, Huang W, Lee J, Lin H, Mai DBT, Nguyen Q, Park HJ, Sato Y, Tantiwongse K, Yuan Y, Park K. COVID Pandemic Impact on Healthcare Provision and Patient Psychosocial Distress: A Multi-National Cross-Sectional Survey among Asia-Pacific Countries. World J Mens Health 2021; 39:797-803. [PMID: 34169677 PMCID: PMC8444000 DOI: 10.5534/wjmh.210033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/28/2021] [Accepted: 04/29/2021] [Indexed: 11/15/2022] Open
Abstract
Purpose COVID pandemic significantly affected the delivery and maintenance of healthcare system, resulting in greater utilization of digital health interventions. Materials and Methods This multi-national cross-sectional survey was administered to clinicians working in major Asia-Pacific cities during the mandatory social lockdown period in June 2020. Clinical demographics and professional data, delivery of Andrology-related healthcare services, and patient distress based on validated questionnaires such as Depression and Anxiety Stress Scales (DASS) and Decisional Engagement Scale (DES) were collected. Results Telehealth medicine was instituted in all the centres with the majority of centres (92.9%) reported a 50% or more reduction in out-patient related services. The numbers of phone calls, emails correspondence and educational webinars have significantly increased. Despite the provision of reasons for changes in healthcare service and delay in surgery, more than half of the patients (57.1%) rated 2 on the DASS score for the item on patients over-react to situations, while a third of the patients (35.7%) scored a 2 for DASS item on patients being more demanding or unreasonable. The DES scores were more positive with most patients reported a score above 7 out of 10 in terms of items on accepting current arrangement (85.7%), confident in clinician decision-making about treatment (92.9%) and comfortable that the decision is consistent with their preferences (71.4%). Most patients (85.7%) indicated their preferences for more detailed information on healthcare provision. Conclusions Our study showed telehealth services were integrated early and successfully during the COVID pandemic and patients were generally receptive with minimal psychosocial distress.
Collapse
Affiliation(s)
- Eric Chung
- AndroUrology Centre, University of Queensland, Brisbane, QLD, Australia.,AndroUrology Centre, Macquarie University Hospital, Sydney, NSW, Australia.
| | - Bang Ping Jiann
- Department of Urology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Koichi Nagao
- Department of Urology, Toho University, Tokyo, Japan
| | - Lukman Hakim
- Department of Urology, Airlangga University, Dr Soetomo Hospital, Surabaya, Indonesia
| | - William Huang
- Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Joe Lee
- Department of Urology, National University Hospital, Singapore
| | - Haocheng Lin
- Department of Urology and Andrology, Peking University Third Hospital, Beijing, China
| | - Dung Ba Tien Mai
- Department of Urology, Binh Dan Hospital, Ho Chi Minh City, Vietnam
| | - Quang Nguyen
- Centre of Andrology, Department of Urology, Viet Duc University Hospital, Hanoi, Vietnam
| | - Hyun Jun Park
- Department of Urology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
| | - Yoshikazu Sato
- Department of Urology, Sanjukai Hospital, Sapporo, Japan
| | | | - Yiming Yuan
- Andrology Centre, Peking University First Hospital, Peking University, Beijing, China
| | - Kwangsung Park
- Department of Urology, Chonnam National University Medical School, Gwangju, Korea
| |
Collapse
|
13
|
Aljehani YM, Othman SA, Telmesani NK, Alghamdi RA, AlBuainain HM, Alghamdi ZM, Zakaria HM, Alreshaid FT, Busbait SA, Alqarzaie AA, Alharbi TM, Alnajim RK. Stress and psychological resilience among general surgery residents during COVID-19 pandemic. Saudi Med J 2020; 41:1344-1349. [PMID: 33294893 PMCID: PMC7841594 DOI: 10.15537/smj.2020.12.25577] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives: To evaluate the impact of coronavirus-19 (COVID-19) pandemic and its consequences on general surgery residents. Methods: Cross-sectional, survey based study including surgical residents in Kingdom of Saudi Arabia and Kingdom of Bahrain. Results: Surgical trainees who participated in our survey (n=234) were young (mean age 28), single (53.8%), and males (65.8%). Approximately half (50.4%) have been deployed to cover the staff shortage in intensive care units (ICUs) or emergency departments (EDs). Half of our trainees (117) scored positive in the screening tool of generalized anxiety disorder (GAD). There was a significant association between experiencing anxiety and male gender (p=0.055), level of training (p=0.002), deployment to cover ICUs (p=0.050), testing positive for COVID-19 (p=0.054) and having an infected family member (p=0.004). Conclusion: Coronavirus-19 pandemic has a serious effect on all healthcare workers and surgical residents have experienced a considerable amount of stress. Accordingly, this psychological burden should be appropriately addressed in organizations planning strategies. We suggest formulating guidelines to help surgical trainees to continue their learning process with least psychological burden.
Collapse
Affiliation(s)
- Yasser M Aljehani
- Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia. E-mail.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Muller AE, Hafstad EV, Himmels JPW, Smedslund G, Flottorp S, Stensland SØ, Stroobants S, Van de Velde S, Vist GE. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Res 2020; 293:113441. [PMID: 32898840 PMCID: PMC7462563 DOI: 10.1016/j.psychres.2020.113441] [Citation(s) in RCA: 468] [Impact Index Per Article: 117.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 08/27/2020] [Accepted: 08/29/2020] [Indexed: 12/20/2022]
Abstract
The covid-19 pandemic has heavily burdened healthcare systems throughout the world. We performed a rapid systematic review to identify, assess and summarize research on the mental health impact of the covid-19 pandemic on HCWs (healthcare workers). We utilized the Norwegian Institute of Public Health's Live map of covid-19 evidence on 11 May and included 59 studies. Six reported on implementing interventions, but none reported on effects of the interventions. HCWs reported low interest in professional help, and greater reliance on social support and contact. Exposure to covid-19 was the most commonly reported correlate of mental health problems, followed by female gender, and worry about infection or about infecting others. Social support correlated with less mental health problems. HCWs reported anxiety, depression, sleep problems, and distress during the covid-19 pandemic. We assessed the certainty of the estimates of prevalence of these symptoms as very low using GRADE. Most studies did not report comparative data on mental health symptoms before the pandemic or in the general population. There seems to be a mismatch between risk factors for adverse mental health outcomes among HCWs in the current pandemic, their needs and preferences, and the individual psychopathology focus of current interventions.
Collapse
Affiliation(s)
| | | | | | | | | | - Synne Øien Stensland
- Norwegian Centre for Violence and Traumatic Stress Studies, Research and Communication Unit for Musculoskeletal Health (FORMI), Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway
| | | | | | | |
Collapse
|
15
|
Weiner L, Berna F, Nourry N, Severac F, Vidailhet P, Mengin AC. Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: the REduction of STress (REST) study protocol for a randomized controlled trial. Trials 2020; 21:870. [PMID: 33087178 PMCID: PMC7576984 DOI: 10.1186/s13063-020-04772-7] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 09/24/2020] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND The acknowledgment of the mental health toll of the COVID-19 epidemic in healthcare workers has increased considerably as the disease evolved into a pandemic status. Indeed, high prevalence rates of depression, sleep disorders, and post-traumatic stress disorder (PTSD) have been reported in Chinese healthcare workers during the epidemic peak. Symptoms of psychological distress are expected to be long-lasting and have a systemic impact on healthcare systems, warranting the need for evidence-based psychological treatments aiming at relieving immediate stress and preventing the onset of psychological disorders in this population. In the current COVID-19 context, internet-based interventions have the potential to circumvent the pitfalls of face-to-face formats and provide the flexibility required to facilitate accessibility to healthcare workers. Online cognitive behavioral therapy (CBT) in particular has proved to be effective in treating and preventing a number of stress-related disorders in populations other than healthcare workers. The aim of our randomized controlled trial study protocol is to evaluate the efficacy of the 'My Health too' CBT program-a program we have developed for healthcare workers facing the pandemic-on immediate perceived stress and on the emergence of psychiatric disorders at 3- and 6-month follow-up compared to an active control group (i.e., bibliotherapy). METHODS Powered for superiority testing, this six-site open trial involves the random assignment of 120 healthcare workers with stress levels > 16 on the Perceived Stress Scale (PSS-10) to either the 7-session online CBT program or bibliotherapy. The primary outcome is the decrease of PSS-10 scores at 8 weeks. Secondary outcomes include depression, insomnia, and PTSD symptoms; self-reported resilience and rumination; and credibility and satisfaction. Assessments are scheduled at pretreatment, mid-treatment (at 4 weeks), end of active treatment (at 8 weeks), and at 3-month and 6-month follow-up. DISCUSSION This is the first study assessing the efficacy and the acceptability of a brief online CBT program specifically developed for healthcare workers. Given the potential short- and long-term consequences of the COVID-19 pandemic on healthcare workers' mental health, but also on healthcare systems, our findings can significantly impact clinical practice and management of the ongoing, and probably long-lasting, health crisis. TRIAL REGISTRATION ClinicalTrials.gov NCT04362358 , registered on April 24, 2020.
Collapse
Affiliation(s)
- Luisa Weiner
- Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
- Laboratoire de Psychologie des Cognitions, Université de Strasbourg, 12 rue goethe, 67000, Strasbourg, France.
| | - Fabrice Berna
- Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France
- INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la Schizophrénie, Strasbourg, France
- Faculté de Médecine, Université de Strasbourg, Strasbourg, France
| | - Nathalie Nourry
- Faculté de Médecine, Université de Strasbourg, Strasbourg, France
- Service de Pathologies Professionnelles et Médecine du Travail, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - François Severac
- Département de Santé Publique, GMRC, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
- Laboratoire de Biostatistique et Informatique Médicale, iCUBE UMR 7357, Université de Strasbourg, Illkirch, France
| | - Pierre Vidailhet
- Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France
- INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la Schizophrénie, Strasbourg, France
- Faculté de Médecine, Université de Strasbourg, Strasbourg, France
- Centre Régional Psychotraumatisme Grand Est, Strasbourg, France
| | - Amaury C Mengin
- Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France
- INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la Schizophrénie, Strasbourg, France
- Centre Régional Psychotraumatisme Grand Est, Strasbourg, France
| |
Collapse
|
16
|
Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre. Ir J Med Sci 2020; 190:455-460. [PMID: 32856269 PMCID: PMC7451224 DOI: 10.1007/s11845-020-02352-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 08/22/2020] [Indexed: 11/01/2022]
Abstract
PURPOSE Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions. METHODS Departmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital. RESULTS Seventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform. CONCLUSION Compared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.
Collapse
|
17
|
Vallée M, Kutchukian S, Pradère B, Verdier E, Durbant È, Ramlugun D, Weizman I, Kassir R, Cayeux A, Pécheux O, Baumgarten C, Hauguel A, Paasche A, Mouhib T, Meyblum J, Dagneaux L, Matillon X, Levy-Bohbot A, Gautier S, Saiydoun G. Prospective and observational study of COVID-19's impact on mental health and training of young surgeons in France. Br J Surg 2020; 107:e486-e488. [PMID: 32790175 PMCID: PMC7436595 DOI: 10.1002/bjs.11947] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Accepted: 07/01/2020] [Indexed: 01/22/2023]
Affiliation(s)
- Maxime Vallée
- Department of Urology, Poitiers University Hospital, 2 Rue de la Milétrie, 86021, Poitiers, France.,Poitiers University, INSERM U1070, "Pharmacologie des Anti-Infectieux", UFR Médecine-Pharmacie, Pôle Biologie Santé, 1 rue Georges Bonnte, Bâtiment B36 TSA 51106 86073 Poitiers Cedex 9, France
| | - Stessy Kutchukian
- Department of Urology, Poitiers University Hospital, 2 Rue de la Milétrie, 86021, Poitiers, France
| | - Benjamin Pradère
- Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France.,Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
| | - Emmanuelle Verdier
- Department of Paediatric Surgery, Poitiers University Hospital, 2 Rue de la Milétrie, 86021, Poitiers, France
| | - Ève Durbant
- Department of Ophthalmology, Reims University Hospital, Rue du Général Koenig, 51100, Reims, France
| | - Dharmesh Ramlugun
- Department of Cardiac Surgery, Strasbourg University Hospital, 1 Place de l'Hôpital, 67000, Strasbourg, France
| | - Ilan Weizman
- Department of ENT-Head and Neck Surgery, Grenoble University Hospital, Grenoble, France
| | - Rani Kassir
- Department of Pediatric Surgery, CHU Félix Guyon, La Réunion, Saint Denis, France.,Université de La Réunion, UFR Santé, 1 allée des Aigues Marines, 97487, Saint-Denis Cedex, France
| | - Antoine Cayeux
- Department of Digestive and Endocrine Surgery, Robert-Debré University Hospital, University of Reims Champagne-Ardenne, Rue Cognacq-Jay, 51092, Reims Cedex, France
| | - Océane Pécheux
- Department of Gynecology and Obstetrics, Douai Hospital, route de Cambrai, BP 10740, F-59507 Douai cedex, France.,Univ Lille, CHU Lille, Pôle Femme Mère Nouveau-né, Avenue Eugène Avinée, F-59000, Lille, France
| | - Clément Baumgarten
- Department of Neurosurgery, University Hospital of Grenoble, Avenue Maquis du Grésivaudan, 38700, La Tronche, France
| | - Alexandra Hauguel
- CHU Nantes, l'institut du thorax, service de chirurgie vasculaire, 44093, Nantes, France.,LadHyX, Laboratoire d'Hydrodynamique de l'Ecole polytechnique, CNRS UMR-7646, Institut Polytechnique de Paris, 91128, Palaiseau, France
| | - Agnès Paasche
- Department of maxillofacial surgery, Amiens-Picardie university hospital, Avenue Laennec, 80000, Amiens, France
| | - Taha Mouhib
- Department of orthopaedic surgery, CHU Felix Guyon, Allée des Topazes, 97400, Saint Denis, France
| | - Jean Meyblum
- Department of orthopaedic surgery, Hôpital Paris Saint-Joseph, 185 rue Raymond Losserand, 75014, Paris, France.,Université de Paris, 12 rue de l'Ecole de Médecine, 75006, Paris, France
| | - Louis Dagneaux
- Department of Orthopaedic surgery, Lower Limb surgery Unit, Lapeyronie university hospital, 371 av. Gaston Giraud, 34295, MONTPELLIER Cedex 05, France.,LMGC, University of MONTPELLIER, Montpellier, France
| | - Xavier Matillon
- Department of Urology and Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - Anthony Levy-Bohbot
- Department of oral surgery, Pitie-Salpetriere Hospital, Sorbonne University, APHP, 47-83 Boulevard de l'Hôpital, 75013, Paris, France
| | - Sylvain Gautier
- Paris-Saclay University, UVSQ, Univ. Paris-Sud, Inserm, Équipe soins primaires et prévention, CESP, 94807, Villejuif, France.,AP-HP, GHU Paris Saclay, Hôpital Raymond Poincaré, Département Hospitalier d'Epidémiologie et de Santé Publique, Garches, France
| | - Gabriel Saiydoun
- Department of cardiac surgery, Henri Mondor University Hospital, APHP, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.,University of Paris-Est Creteil, UFR Médecine-Pharmacie, 61 Avenue du Général de Gaulle, 94000, Créteil, France.,Institut Mondor de Recherche Biomedicale, IMRB, Inserm U955, Institut Mondor de Recherche Biomédicale, Faculté de Santé de Créteil, 8 rue du Général Sarrail, 94010, CRETEIL Cedex, France
| |
Collapse
|
18
|
Abdessater M, Rouprêt M, Misrai V, Matillon X, Gondran-Tellier B, Freton L, Vallée M, Dominique I, Felber M, Khene ZE, Fortier E, Lannes F, Michiels C, Grevez T, Szabla N, Boustany J, Bardet F, Kaulanjan K, Seizilles de Mazancourt E, Ploussard G, Pinar U, Pradere B. COVID19 pandemic impacts on anxiety of French urologist in training: Outcomes from a national survey. Prog Urol 2020; 30:448-455. [PMID: 32376208 PMCID: PMC7177119 DOI: 10.1016/j.purol.2020.04.015] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 04/14/2020] [Accepted: 04/15/2020] [Indexed: 12/20/2022]
Abstract
INTRODUCTION The COVID-19 outbreak in France is disturbing our health system. Urologists in training who are already known to have burnout, are in the front line to face this disease. The aim of our study was to assess the psychological impact of COVID-19 pandemic on young French urologists in training. MATERIAL AND METHODS A self-administered anonymous questionnaire evaluating the pandemic added stress, and its negative impact on work and training quality, was e-mailed to the members of the French Association of Urologists in Training (AFUF). The association includes all French junior and senior residents. The survey lasted 3 days. Multivariable analyses using logistic regression was performed to identify the predictive factors. RESULTS Two hundred and seventy-five (55.5%) of the 495 AFUF members responded to the questionnaire. More than 90% of responders felt more stressed by the pandemic. Fellows and senior residents were more likely to feel that the crisis had an important impact on their work quality (OR=1.76, IC95=[1.01-3.13]), even more when COVID 19 patients were present in their department (OR=2.31, IC95=[1.20-4.65]). Past medical history of respiratory disease (OR=2.57, IC95=[1.31-5.98]) and taking in charge COVID19 patients (OR=1.85, IC95=[0.98-3.59]) were additional risk factors. CONCLUSION COVID19 pandemic has a negative impact on young French urologists in training and on their work and training quality. Managing their psychosocial well-being during this time is as important as managing their physical health. LEVEL OF EVIDENCE 3.
Collapse
Affiliation(s)
- M Abdessater
- Sorbonne Université, GRC n(o) 5, Predictive onco-urology, AP-HP, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France
| | - M Rouprêt
- Sorbonne Université, GRC n(o) 5, Predictive onco-urology, AP-HP, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France.
| | - V Misrai
- Clinique Pasteur, 31300 Toulouse, France
| | - X Matillon
- Department of Urology and Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - B Gondran-Tellier
- Department of Urology, La Conception University Hospital, Assistance-Publique Marseille, Marseille, France
| | - L Freton
- Department of Urology, University Hospital of Rennes, Rennes, France
| | - M Vallée
- Department of Urology, Poitiers University Hospital, Poitiers, France
| | - I Dominique
- Department of Urology, Groupe Hospitalier Diaconesses Croix Saint-Simon, Paris, France
| | - M Felber
- Sorbonne Université, GRC n(o) 5, Predictive onco-urology, AP-HP, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France
| | - Z-E Khene
- Department of Urology, University Hospital of Rennes, Rennes, France
| | - E Fortier
- Department of Urology, Montpellier University Hospital, Montpellier, France
| | - F Lannes
- Department of Urology, La Conception University Hospital, Assistance-Publique Marseille, Marseille, France
| | - C Michiels
- Department of Urology, Bordeaux University Hospital, Bordeaux, France
| | - T Grevez
- Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France
| | - N Szabla
- Department of Urology and Transplantation, Caen University Hospital, Caen, France
| | - J Boustany
- Department of Urology and Renal Transplantation, Henri Mondor University Hospital, Créteil, France
| | - F Bardet
- Department of Urology, Dijon University Hospital, Dijon, France
| | - K Kaulanjan
- Department of Urology, CHU Pointe-à-Pitre, Pointe-à-Pitre, Guadeloupe
| | - E Seizilles de Mazancourt
- Department of Urology and Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - G Ploussard
- Department of Urology, Ramsay Santé, Clinique La Croix du Sud, Quint Fonsegrives, France
| | - U Pinar
- Sorbonne Université, GRC n(o) 5, Predictive onco-urology, AP-HP, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France
| | - B Pradere
- Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France; Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
| | | |
Collapse
|