Evidence map›Paper›PMID 32680626›Full record

ArticleJournal of pediatric urology2020

A survey and panel discussion of the effects of the COVID-19 pandemic on paediatric urological productivity, guideline adherence and provider stress.

Fardod O'Kelly, Scott Sparks, Casey Seideman, Patricio Gargollo, Candace Granberg, Joan Ko, Neha Malhotra, Sarah Hecht, Kelly Swords, Courtney Rowe and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of pediatric urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

21 authors.

Fardod O'KellyDivision of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada. Electronic address: fokelly@rcsi.ie.
Scott SparksDivision of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.
Casey SeidemanDivision of Pediatric Urology, OHSU Doernbecher Children's Hospital, Portland, OR, USA.
Patricio GargolloDivision of Pediatric Urology, Mayo Clinic, MN, USA.
Candace GranbergDivision of Pediatric Urology, Mayo Clinic, MN, USA.
Joan KoDivision of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.
Neha MalhotraDepartment of Urology, University of Utah, USA.
Sarah HechtDivision of Pediatric Urology, Children's Hospital Colorado, USA.
Kelly SwordsDivision of Pediatric Urology, Rady Children's Hospital, San Diego, CA, USA.
Courtney RoweDivision of Pediatric Urology, Connecticut Children's Hospital, USA.
Ben WhittamDivision of Pediatric Urology, Riley Children's, Indianapolis, IN, USA.
Anne-Francoise SpinoitDepartment of Urology, University Hospital Ghent, Belgium.
Anne DudleyDivision of Pediatric Urology, Connecticut Children's Hospital, USA.
Jonathan EllisonDivision of Pediatric Urology, Children's Wisconsin, USA.
David ChuDivision of Pediatric Urology, Lurie Children's Chicago, IL, USA.
Jonathan RouthDivision of Urologic Surgery, Duke University Medical Centre, NC, USA.
Glenn CannonDivision of Pediatric Urology, University of Pittsburgh Medical Centre, PA, USA.
Paul KokorowskiDivision of Pediatric Urology, Children's Hospital of Los Angeles, CA, USA.
Martin KoyleDivision of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Mesrur Selcuk SilayDivision of Pediatric Urology, Biruni University, Istanbul, Turkey.
APAUC (Academic Paediatric and Adolescent Urology Collaborative) and the YAU (Young Academic Urologists) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has led to an unprecedented need to re-organise and re-align priorities for all surgical specialties. Despite the current declining numbers globally, the direct effects of the pandemic on institutional practices and on personal stress and coping mechanisms remains unknown. The aims of this study were to assess the effect of the pandemic on daily scheduling and work balances, its effects on stress, and to determine compliance with guidelines and to assess whether quarantining has led to other areas of increased productivity.

methodsA trans-Atlantic convenience sample of paediatric urologists was created in which panellists (Zoom) discussed the direct effects of the COVID-19 pandemic on individual units, as well as creating a questionnaire using a mini-Delphi method to provide current semi-quantitative data regarding practice, and adherence levels to recently published risk stratification guidelines. They also filled out a Perceived Stress Scale (PSS) questionnaire to assess contemporary pandemic stress levels.

resultsThere was an 86% response rate from paediatric urologists. The majority of respondents reported near complete disruption to planned operations (70%), and trainee education (70%). They were also worried about the effects of altered home-lives on productivity (≤90%), as well as a lack of personal protective equipment (57%). The baseline stress rate was measured at a very high level (PSS) during the pandemic. Adherence to recent operative guidelines for urgent cases was 100%.

conclusionThis study represents a panel discussion of a number of practical implications for paediatric urologists, and is one of the few papers to assess more pragmatic effects and combines opinions from both sides of the Atlantic. The impact of the pandemic has been very significant for paediatric urologists and includes a decrease in the number of patients seen and operated on, decreased salary, increased self-reported stress levels, substantially increased telemedicine usage, increased free time for various activities, and good compliance with guidelines and hospital management decisions.

Indexed as

BetacoronavirusSurveys and QuestionnairesAdaptation, PsychologicalAdultChildCoronavirus InfectionsCOVID-19Cross-Sectional StudiesFemaleGuideline AdherenceHumansMaleMiddle AgedPandemicsPneumonia, ViralSARS-CoV-2COVID-19PandemicPSS (Perceived stress scale)SARS-CoV-2TelemedicineTraining

Identifiers

PMID32680626
PMCPMC7334656

What OpenQuestion holds

Textmetadata
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.