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Vol. 45. Issue 8.
Pages 530-536 (October 2021)
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Vol. 45. Issue 8.
Pages 530-536 (October 2021)
Review article
Changes in the ambulatory care of prostate cancer patients during the SARS-CoV-2 pandemic. Literature review and contribution of our group in telematic care
Cambios en el manejo ambulatorio de pacientes con cáncer de próstata durante la pandemia por SARS-CoV-2. Revisión bibliográfica y aporte de nuestro grupo en atención telemática
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J. García Rodríguez
Corresponding author
jgrmed@hotmail.com

Corresponding author.
, C. González Ruiz de León, R. Sacristán González, S. Méndez Ramírez, L. Modrego Ulecia, J.M. Fernández-Gómez
Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Tables (2)
Table 1. Color-coded priorities.
Table 2. Consultation priority according to PC stage.
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Abstract
Introduction and objective

The COVID-19 pandemic has brought about changes in the management of urology patients, especially those with prostate cancer.

The aim of this work is to show the changes in the ambulatory care practices by individualized telematic care for each patient profile.

Materials and methods

Articles published from March 2020 to January 2021 were reviewed. We selected those that provided the highest levels of evidence regarding risk in different aspects: screening, diagnosis, treatment and follow-up of prostate cancer.

Results

We developed a classification system based on priorities, at different stages of the disease (screening, diagnosis, treatment and follow-up) to which the type of care given, in-person or telephone visits, was adapted. We established 4 options, as follows: in priority A or low, care will be given by telephone in all cases; in priority B or intermediate, if patients are considered subsidiary of an in-person visit after telephone consultation, they will be scheduled within 3 months; in priority C or high, patients will be seen in person within a margin from 1 to 3 months and in priority D or very high, patients must always be seen in person within a margin of up to 48 h and considered very preferential.

Conclusions

Telematic care in prostate cancer offers an opportunity to develop new performance and follow-up protocols, which should be thoroughly analyzed in future studies, in order to create a safe environment and guarantee oncologic outcomes for patients.

Keywords:
Prostate cancer
COVID-19
Telematic care
Resumen
Introducción y objetivo

La pandemia por COVID-19 ha supuesto un cambio en la atención a pacientes en el ámbito urológico, especialmente con cáncer de próstata.

El objetivo de este trabajo es mostrar los cambios en el manejo a nivel ambulatorio individualizando para cada perfil de paciente la atención telemática.

Materiales y métodos

Se han revisado artículos publicados desde marzo del 2020 hasta enero del 2021. Se han seleccionado aquellos que aportaban los mayores niveles de evidencia en cuanto al riesgo en distintos aspectos: cribado, diagnóstico, tratamiento y seguimiento del cáncer de próstata.

Resultados

Desarrollamos una clasificación según prioridades, en diferentes etapas de la enfermedad (cribado, diagnóstico, tratamiento y seguimiento) adaptando a esta el tipo de control: presencial o telefónico. Establecemos 4 opciones: prioridad A o baja, en la que la atención será telefónica en todos los casos; prioridad B o intermedia, en la que si el paciente valorado telefónicamente se considera subsidiario de visita presencial, esta se citará dentro de los 3 meses posteriores; prioridad C o alta, el paciente será visto presencial con un margen para la visita de 1 a 3 meses, y prioridad D o muy alta, la visita deberá ser siempre presencial con un margen de hasta 48 h y considerada muy preferente.

Conclusiones

La atención telemática en cáncer de próstata representa una oportunidad para desarrollar nuevos protocolos de actuación y seguimiento que deberán ser analizados exhaustivamente en futuros trabajos con el fin de conformar un entorno seguro y garantizar resultados oncológicos para los pacientes.

Palabras clave:
Cáncer de próstata
COVID-19
Atención telemática

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