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Vol. 44. Issue 7.
Pages 450-457 (September 2020)
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Vol. 44. Issue 7.
Pages 450-457 (September 2020)
Review article
DOI: 10.1016/j.acuroe.2020.04.004
COVID-19 pandemic: Impact and rapid reaction of urology
Pandemia COVID-19: impacto y reacción rápida de la Urología
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V. Heviaa,
Corresponding author
vital.hevia.uro@gmail.com

Corresponding author.
, J. Lorcaa, M. Heviaa, A. Domíngueza, J. López-Plazaa, A. Artilesa, S. Álvareza, Á. Sáncheza, A. Frailea, L. López-Fandoa, E. Sanza, M. Ruiza, E. Alcarazb, F.J. Burgosa
a Servicio de Urología, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
b Área de Diagnóstico Urológico y Pruebas Instrumentales de Urología, Servicio de Urología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Tables (3)
Table 1. Mean monthly activity in the urology service of the Hospital Universitario Ramón y Cajal according to the different care units.
Table 2. Proposal for prioritization of uro-oncological pathology for the de-escalating and recovery phase.
Table 3. Proposed prioritization of benign urological pathology for the de-escalating and recovery phase.
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Abstract

The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Technology tools such as online training courses or surgical simulators may be convenient for the necessary reestablishment of resident education.

Keywords:
Coronavirus
SARS-CoV-2
Pandemic
Urology
Urological cancer
Triage
Prioritization
Resumen

La pandemia COVID-19 causada por el virus SARS-CoV-2 ha ocasionado decenas de miles de muertos en España y logrado colapsar los hospitales de la red sanitaria en la Comunidad de Madrid, debido en gran parte a su particular tendencia a causar neumonías graves con necesidad de soporte ventilatorio. Este hecho ha ocasionado el colapso de nuestro centro, llegando a tener una ocupación del 130% de sus camas por enfermos COVID-19, y causando por tanto el cese absoluto de actividad del servicio de urología, la práctica desaparición de la docencia de los residentes y la incorporación de buena parte de la plantilla de urología al grupo de personal médico que atiende a estos pacientes. Para la recuperación de esta elevada cantidad de actividad suspendida será necesaria una priorización de la patología en base a criterios puramente clínicos, para la cual se proponen tablas que recogen la relevancia de cada patología dentro de cada área de la urología. Herramientas brindadas por la tecnología como la formación online o los simuladores quirúrgicos podrán ser útiles para la necesaria restitución de la formación de residentes.

Palabras clave:
Coronavirus
SARS-CoV-2
Pandemia
Urología
Cáncer urológico
Triaje
Priorización

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