Evidence map›Paper›PMID 32931510›Full record

ArticlePloS one2020

To defer or not to defer? A German longitudinal multicentric assessment of clinical practice in urology during the COVID-19 pandemic.

Nina N Harke, Jan P Radtke, Boris A Hadaschik, Christian Bach, Frank P Berger, Andreas Blana, Hendrik Borgmann, Florian A Distler, Sebastian Edeling, Tobias Egner and 23 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Impact of the COVID-19 pandemic on oncological care in Germany: rapid review.Journal of cancer research and clinical oncology · 2023
    Review
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Review
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

33 authors at 20 institutions in 2 countries.

Nina N HarkeDepartment of Urology and Urologic Oncology, Hanover Medical School, Hanover, Germany.ORCID 0000-0002-6154-7101
Jan P RadtkeDepartment of Urology, University of Duisburg-Essen, Essen, Germany.
Boris A HadaschikDepartment of Urology, University of Duisburg-Essen, Essen, Germany.
Christian BachDepartment of Urology, RWTH Aachen University, Aachen, Germany.
Frank P BergerDepartment of Urology, University of Jena, Jena, Germany.
Andreas BlanaDepartment of Urology, Fürth Hospital, Fürth, Germany.
Hendrik BorgmannDepartment of Urology, Johannes Gutenberg University Medical Center, Mainz, Germany.
Florian A DistlerDepartment of Urology, Paracelsus Medical University, Nuremberg, Germany.
Sebastian EdelingDepartment of Urology, Da Vinci Zentrum, Hanover, Germany.
Tobias EgnerDepartment of Urology, Klinikum Würzburg Mitte, Würzburg, Germany.
Christina L EngelsDepartment of Urology, Municipal Hospital Karlsruhe, Karlsruhe, Germany.
Mahmoud FarzatDepartment of Urology, Diakonie Klinikum, Siegen, Germany.
Alexander HaeseMartini-Klinik Prostate Cancer Center, University Clinic Hamburg-Eppendorf, Hamburg, Germany.
Rainer HeinDepartment of Urology, Klinikum Magdeburg, Magdeburg, Germany.
Markus A KuczykDepartment of Urology and Urologic Oncology, Hanover Medical School, Hanover, Germany.
Andreas ManseckDepartment of Urology, Klinikum Ingolstadt, Ingolstadt, Germany.ORCID 0000-0001-7366-4586
Rudolf MoritzDepartment of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.
Michael MuschDepartment of Urology, Pediatric Urology and Urologic Oncology, Kliniken Essen-Mitte, Essen, Germany.
Inga PetersDepartment of Urology and Urologic Oncology, Hanover Medical School, Hanover, Germany.
Sasa PokupicDepartment of Urology, Asklepios Klinikum Harburg, Hamburg, Germany.
Bernardo RoccoDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Andreas SchneiderDepartment of Urology, Main-Kinzig-Kliniken Standort Gelnhausen, Gelnhausen, Germany.
André SchumannDepartment of Urology and Kidney Transplantation, Martin Luther University, Halle (Saale), Germany.
Christian SchwentnerDepartment of Urology, Diakonieklinikum Stuttgart, Stuttgart, Germany.
Chiara M SighinolfiDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Stephan BuseDepartment of Urology and Urologic Oncology, Alfried Krupp Krankenhaus, Essen, Germany.
Jens-Uwe StolzenburgDepartment of Urology, University of Leipzig, Leipzig, Germany.
Michael C TrußDepartment of Urology, Klinikum Dortmund, Dortmund, Germany.
Michael WaldnerDepartment of Urology, St. Elisabeth Krankenhaus Köln-Hohenlind, Köln, Germany.
Christian WülfingDepartment of Urology, Asklepios Klinik Altona, Hamburg, Germany.
Volker ZimmermannsDepartment of Urology, Siloah St. Trudpert Klinikum, Pforzheim, Germany.
Jörn H WittDepartment of Urology, Pediatric Urology and Urologic Oncology, Prostate Center Northwest, St. Antonius Hospital Gronau, Gronau, Germany.
Christian WagnerDepartment of Urology, Pediatric Urology and Urologic Oncology, Prostate Center Northwest, St. Antonius Hospital Gronau, Gronau, Germany.
Medizinische Hochschule Hannover · DESt.-Antonius-Hospital Gronau · DEUniversity of Duisburg-Essen · DEUniversity of Modena and Reggio Emilia · ITAlfried Krupp Hospital · DEAsklepios Klinik Altona · DEAsklepios Klinikum Harburg · DEDiakonie Klinikum Jung-Stilling · DEDiakonie-Klinikum Stuttgart · DEFriedrich Schiller University Jena · DEGollwitzer-Meier-Klinik · DEJohannes Gutenberg University Mainz · DEKliniken Essen-Mitte · DEKlinikum Dortmund · DEKlinikum Fürth · DEKlinikum Ingolstadt · DEKlinikum Magdeburg · DEKlinikum Würzburg Mitte · DELeipzig University · DEMartin Luther University Halle-Wittenberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAfter the outbreak of COVID-19 unprecedented changes in the healthcare systems worldwide were necessary resulting in a reduction of urological capacities with postponements of consultations and surgeries. MATERIAL AND

methodsAn email was sent to 66 urological hospitals with focus on robotic surgery (RS) including a link to a questionnaire (e.g. bed/staff capacity, surgical caseload, protection measures during RS) that covered three time points: a representative baseline week prior to COVID-19, the week of March 16th-22nd and April 20th-26th 2020. The results were evaluated using descriptive analyses.

results27 out of 66 questionnaires were analyzed (response rate: 41%). We found a decrease of 11% in hospital beds and 25% in OR capacity with equal reductions for endourological, open and robotic procedures. Primary surgical treatment of urolithiasis and benign prostate syndrome (BPS) but also of testicular and penile cancer dropped by at least 50% while the decrease of surgeries for prostate, renal and urothelial cancer (TUR-B and cystectomies) ranged from 15 to 37%. The use of personal protection equipment (PPE), screening of staff and patients and protection during RS was unevenly distributed in the different centers-however, the number of COVID-19 patients and urologists did not reach double digits.

conclusionThe German urological landscape has changed since the outbreak of COVID-19 with a significant shift of high priority surgeries but also continuation of elective surgical treatments. While screening and staff protection is employed heterogeneously, the number of infected German urologists stays low.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19GermanyHealth PersonnelHospitalizationHumansInternetPandemicsPersonal Protective EquipmentPneumonia, ViralRobotic Surgical ProceduresSARS-CoV-2Surveys and QuestionnairesUrologic DiseasesUrologists

Identifiers

PMID32931510
PMCPMC7491711
OpenAlexW3086268466

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.