Evidence map›Paper›PMID 32539253›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists.

Cristiano M Gomes, Luciano A Favorito, João Victor T Henriques, Alfredo F Canalini, Karin M J Anzolch, Roni de Carvalho Fernandes, Carlos H S Bellucci, Caroline S Silva, Marcelo L Wroclawski, Antonio Carlos L Pompeo and 1 more

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Cristiano M GomesDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
Luciano A FavoritoUnidade de Pesquisa Urogenital, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil.
João Victor T HenriquesDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
Alfredo F CanaliniDivisão de Urologia, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil.
Karin M J AnzolchDepartamento de Urologia, Hospital Moinhos de Vento, Porto Alegre, RS, Brasil.
Roni de Carvalho FernandesDivisão de Urologia, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Carlos H S BellucciDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
Caroline S SilvaDepartamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
Marcelo L WroclawskiDepartamento de Urologia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
Antonio Carlos L PompeoDisciplina de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil.
José de BessaDepartamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
Universidade de São Paulo · BRUniversidade do Estado do Rio de Janeiro · BRUniversidade Estadual de Feira de Santana · BRFaculdade de Medicina do ABC · BRHospital Israelita Albert Einstein · BRHospital Moinhos de Vento · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo 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

methodsA 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.

resultsAmong 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).

conclusionsCOVID-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.

Indexed as

BetacoronavirusCoronavirus InfectionsLife StylePandemicsPneumonia, ViralWorkloadBrazilCOVID-19HumansPractice Patterns, Physicians'Quality of LifeSARS-CoV-2Surveys and QuestionnairesTelemedicineUrologic DiseasesUrologic Surgical ProceduresCOVID-19 [Supplementary Concept]Practice Patterns, Physicians’Urology

Identifiers

PMID32539253
PMCPMC7527096
OpenAlexW3035601512

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.