Evidence map›Paper›PMID 33048213›Full record

ArticleDer Urologe. Ausg. A2020

[What should urologists know about SARS-CoV-2? Risk analysis for urological operations and recommendations for action in clinical routine].

Y Kunz, W Horninger, G-M Pinggera

Open access · bronzeAbstract read
In one paragraph

Article in Der Urologe. Ausg. A, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. 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

3 authors at 1 institution in 1 country.

Y KunzAbteilung für Urologie, Medizinische Universitätsklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
W HorningerAbteilung für Urologie, Medizinische Universitätsklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
G-M PinggeraAbteilung für Urologie, Medizinische Universitätsklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich. germar.pinggera@tirol-kliniken.at.
Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 poses a challenge to healthcare systems worldwide. Due to the increasing number of cases, surgeons in urology have also been confronted with SARS-CoV‑2 infections. Thus, there is an urgent need for clinical guidance and recommendations.

aimOur work aims to create a widespread assessment of a possible risk for infection with SARS-CoV‑2 during surgical procedures. Based on current data and current national and international guidelines, we try to assess the risk of infection when handling human tissue and the necessary hygienic measures that are needed. Finally, recommendations for daily urologic work are derived and explained. MATERIALS AND

methodsThe current literature in PubMed, bioRxiv and medRxiv and data available from the WHO and Robert-Koch-Institut on SARS-CoV‑2 and surgical procedures in (potentially) infected patients are reviewed. The endpoint of our research was 21 April 2020.

conclusionBased on our research, general and specific recommendations for clinical urologic praxis can be derived. Although it remains unclear whether SARS-CoV‑2 is transmitted via the aerosols produced, current PPE in operating rooms probably does not offer sufficient protection during surgical interventions during the SARS-CoV‑2 pandemic. Use of FFP‑2 masks, safety goggles and full-body protective suits is crucial. To contain viral spread on surfaces and personnel, complex filter systems (HEPA) should be used as well as closed suction devices during surgery. Combined with consequent disinfection of surfaces and behavioral measures, a safe environment for healthcare workers in urology can be created. Thus, according to current knowledge, we believe that emergency and urgent surgical procedures are not contraindicated, provided that appropriate precautionary safety measures are followed.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralUrologic Surgical ProceduresUrologistsCOVID-19HumansSARS-CoV-2ACE2CoronavirusCOVID-19EndourologyLaparoscopy

Identifiers

PMID33048213
PMCPMC7550842
OpenAlexW3093133363

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.