Telemedicine Online Visits in Urology During the COVID-19 Pandemic—Potential, Risk Factors, and Patients’ Perspective
The current coronavirus disease 2019 (COVID-19) pandemic has placed considerable strain on hospital resources. We explored whether telemedicine (defined as a videoconference) might help. We undertook prospective structured phone interviews of urological patients (n = 399). We evaluated their suitabi...
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| Veröffentlicht in: | European urology 2020-07, Vol.78 (1), p.16-20 |
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| creator | Boehm, Katharina Ziewers, Stefani Brandt, Maximilian P. Sparwasser, Peter Haack, Maximilian Willems, Franziska Thomas, Anita Dotzauer, Robert Höfner, Thomas Tsaur, Igor Haferkamp, Axel Borgmann, Hendrik |
| description | The current coronavirus disease 2019 (COVID-19) pandemic has placed considerable strain on hospital resources. We explored whether telemedicine (defined as a videoconference) might help. We undertook prospective structured phone interviews of urological patients (n = 399). We evaluated their suitability for telemedicine (judged by a panel of four physicians) and their risks from COVID-19 (10 factors for a poor outcome), and collected willingness for telemedicine and demographic data. Risk factors for an adverse outcome from COVID-19 infection were common (94.5% had one or more) and most patients (63.2%) were judged suitable for telemedicine. When asked, 84.7% of patients wished for a telemedical rather than a face-to-face consultation. Those favouring telemedicine were younger (68 [58–75] vs 76 [70–79.2] yr, p |
| doi_str_mv | 10.1016/j.eururo.2020.04.055 |
| format | Article |
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Risk factors for a severe course of coronavirus disease 2019 are common (94.5%) in urology patients. Most patients wished for a telemedical consultation (84.7%). This appears to be a solution to offer contact-free continuity of care.
Most urology patients have at least one risk factor for an unfavourable outcome of coronavirus disease 2019 (94.5%). A large proportion of urology patients are willing to be scheduled for telemedical appointments (84.7%). This appears to be a solution to offer contact-free continuity of care.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2020.04.055</identifier><identifier>PMID: 32362498</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>2019 novel coronavirus ; Betacoronavirus ; Coronavirus ; Coronavirus Infections - complications ; Coronavirus Infections - epidemiology ; Coronavirus Infections - transmission ; COVID-19 ; Disease Transmission, Infectious - prevention & control ; E-health ; Humans ; Medical Oncology - methods ; Outpatients ; Pandemics ; Pneumonia, Viral - complications ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - transmission ; Remote Consultation - methods ; Risk Factors ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Telehealth ; Telemedicine - methods ; Urologic Neoplasms - complications ; Urologic Neoplasms - diagnosis</subject><ispartof>European urology, 2020-07, Vol.78 (1), p.16-20</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier B.V.</rights><rights>2020 European Association of Urology. Published by Elsevier B.V. All rights reserved. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c529t-b2a987786250491331c34f433f994331502f7b0258510ac16e7ac0ae2a51f5a63</citedby><cites>FETCH-LOGICAL-c529t-b2a987786250491331c34f433f994331502f7b0258510ac16e7ac0ae2a51f5a63</cites><orcidid>0000-0003-1532-4385 ; 0000-0002-0875-7441</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.eururo.2020.04.055$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32362498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boehm, Katharina</creatorcontrib><creatorcontrib>Ziewers, Stefani</creatorcontrib><creatorcontrib>Brandt, Maximilian P.</creatorcontrib><creatorcontrib>Sparwasser, Peter</creatorcontrib><creatorcontrib>Haack, Maximilian</creatorcontrib><creatorcontrib>Willems, Franziska</creatorcontrib><creatorcontrib>Thomas, Anita</creatorcontrib><creatorcontrib>Dotzauer, Robert</creatorcontrib><creatorcontrib>Höfner, Thomas</creatorcontrib><creatorcontrib>Tsaur, Igor</creatorcontrib><creatorcontrib>Haferkamp, Axel</creatorcontrib><creatorcontrib>Borgmann, Hendrik</creatorcontrib><title>Telemedicine Online Visits in Urology During the COVID-19 Pandemic—Potential, Risk Factors, and Patients’ Perspective</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>The current coronavirus disease 2019 (COVID-19) pandemic has placed considerable strain on hospital resources. We explored whether telemedicine (defined as a videoconference) might help. We undertook prospective structured phone interviews of urological patients (n = 399). We evaluated their suitability for telemedicine (judged by a panel of four physicians) and their risks from COVID-19 (10 factors for a poor outcome), and collected willingness for telemedicine and demographic data. Risk factors for an adverse outcome from COVID-19 infection were common (94.5% had one or more) and most patients (63.2%) were judged suitable for telemedicine. When asked, 84.7% of patients wished for a telemedical rather than a face-to-face consultation. Those favouring telemedicine were younger (68 [58–75] vs 76 [70–79.2] yr, p < 0.001). There was no difference in preference with oncological (mean 86%) or benign diagnoses (mean 85%), or with COVID-19 risks factors. In subgroup analysis, men with prostate cancer preferred telemedicine (odds ratio: 2.93 [1.07–8.03], p = 0.037). We concluded that many urological patients have risk factors for a poor outcome from COVID-19 and most preferred telemedicine consultations at this time. This appears to be a solution to offer contact-free continuity of care.
Risk factors for a severe course of coronavirus disease 2019 are common (94.5%) in urology patients. Most patients wished for a telemedical consultation (84.7%). This appears to be a solution to offer contact-free continuity of care.
Most urology patients have at least one risk factor for an unfavourable outcome of coronavirus disease 2019 (94.5%). A large proportion of urology patients are willing to be scheduled for telemedical appointments (84.7%). This appears to be a solution to offer contact-free continuity of care.</description><subject>2019 novel coronavirus</subject><subject>Betacoronavirus</subject><subject>Coronavirus</subject><subject>Coronavirus Infections - complications</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - transmission</subject><subject>COVID-19</subject><subject>Disease Transmission, Infectious - prevention & control</subject><subject>E-health</subject><subject>Humans</subject><subject>Medical Oncology - methods</subject><subject>Outpatients</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - complications</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - transmission</subject><subject>Remote Consultation - methods</subject><subject>Risk Factors</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Telehealth</subject><subject>Telemedicine - methods</subject><subject>Urologic Neoplasms - complications</subject><subject>Urologic Neoplasms - diagnosis</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1vEzEQtRCIpoV_gJCPHLrL2F7vri9IKKUfUqVEqO3VcpzZ1GGzDvZupNz6I7j07_WX1GlKgQuXmcO8eW_mPUI-MMgZsPLzMschDMHnHDjkUOQg5SsyYnUlskqW8JqMQADPeC3qA3IY4xIAhFTiLTkQXJS8UPWIbK-wxRXOnXUd0knX7tqNi66P1HX0OvjWL7b0ZAiuW9D-Ful4cnNxkjFFp6ab48rZh7tfU99j1zvTHtPvLv6gp8b2PsRjmiAJ17s0jQ9393SKIa7R9m6D78ibxrQR3z_3I3J9-u1qfJ5dTs4uxl8vMyu56rMZN6quqrrkEgrFhGBWFE0hRKNUqkwCb6oZcFlLBsayEitjwSA3kjXSlOKIfNnzrodZetSmU4Jp9Tq4lQlb7Y3T_046d6sXfqMrVgslZSL49EwQ_M8BY69XLlpsW9OhH6LmQtVMVlyJBC32UBt8jAGbFxkGepeaXup9anqXmoZCw5PCx79PfFn6HdOfHzAZtXEYdLTJU5tyC8lNPffu_wqP9MmtIw</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Boehm, Katharina</creator><creator>Ziewers, Stefani</creator><creator>Brandt, Maximilian P.</creator><creator>Sparwasser, Peter</creator><creator>Haack, Maximilian</creator><creator>Willems, Franziska</creator><creator>Thomas, Anita</creator><creator>Dotzauer, Robert</creator><creator>Höfner, Thomas</creator><creator>Tsaur, Igor</creator><creator>Haferkamp, Axel</creator><creator>Borgmann, Hendrik</creator><general>Elsevier B.V</general><general>European Association of Urology. 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We explored whether telemedicine (defined as a videoconference) might help. We undertook prospective structured phone interviews of urological patients (n = 399). We evaluated their suitability for telemedicine (judged by a panel of four physicians) and their risks from COVID-19 (10 factors for a poor outcome), and collected willingness for telemedicine and demographic data. Risk factors for an adverse outcome from COVID-19 infection were common (94.5% had one or more) and most patients (63.2%) were judged suitable for telemedicine. When asked, 84.7% of patients wished for a telemedical rather than a face-to-face consultation. Those favouring telemedicine were younger (68 [58–75] vs 76 [70–79.2] yr, p < 0.001). There was no difference in preference with oncological (mean 86%) or benign diagnoses (mean 85%), or with COVID-19 risks factors. In subgroup analysis, men with prostate cancer preferred telemedicine (odds ratio: 2.93 [1.07–8.03], p = 0.037). We concluded that many urological patients have risk factors for a poor outcome from COVID-19 and most preferred telemedicine consultations at this time. This appears to be a solution to offer contact-free continuity of care.
Risk factors for a severe course of coronavirus disease 2019 are common (94.5%) in urology patients. Most patients wished for a telemedical consultation (84.7%). This appears to be a solution to offer contact-free continuity of care.
Most urology patients have at least one risk factor for an unfavourable outcome of coronavirus disease 2019 (94.5%). A large proportion of urology patients are willing to be scheduled for telemedical appointments (84.7%). This appears to be a solution to offer contact-free continuity of care.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>32362498</pmid><doi>10.1016/j.eururo.2020.04.055</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-1532-4385</orcidid><orcidid>https://orcid.org/0000-0002-0875-7441</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European urology, 2020-07, Vol.78 (1), p.16-20 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | 2019 novel coronavirus Betacoronavirus Coronavirus Coronavirus Infections - complications Coronavirus Infections - epidemiology Coronavirus Infections - transmission COVID-19 Disease Transmission, Infectious - prevention & control E-health Humans Medical Oncology - methods Outpatients Pandemics Pneumonia, Viral - complications Pneumonia, Viral - epidemiology Pneumonia, Viral - transmission Remote Consultation - methods Risk Factors SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Telehealth Telemedicine - methods Urologic Neoplasms - complications Urologic Neoplasms - diagnosis |
| title | Telemedicine Online Visits in Urology During the COVID-19 Pandemic—Potential, Risk Factors, and Patients’ Perspective |
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