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

Overview of attention for article published in International braz j urol, December 2020
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Title
Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists
Published in
International braz j urol, December 2020
DOI 10.1590/s1677-5538.ibju.2020.99.15
Pubmed ID
Authors

Cristiano M. Gomes, Luciano A. Favorito, João Victor T. Henriques, Alfredo F. Canalini, Karin M. J. Anzolch, Roni de C. Fernandes, Carlos H. S. Bellucci, Caroline S. Silva, Marcelo L. Wroclawski, Antonio Carlos L. Pompeo, Jose de Bessa Jr.

Abstract

To evaluate the impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists during the month of April 2020. A 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. Among 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). COVID-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. Available at. <https://www.intbrazjurol.com.br/pdf/aop/20209915_Gomes_OA.pdf>.

Mendeley readers

The data shown below were compiled from readership statistics for 163 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 163 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 25 15%
Student > Master 21 13%
Researcher 17 10%
Other 13 8%
Student > Ph. D. Student 11 7%
Other 40 25%
Unknown 36 22%
Readers by discipline Count As %
Medicine and Dentistry 51 31%
Nursing and Health Professions 17 10%
Social Sciences 12 7%
Psychology 9 6%
Unspecified 5 3%
Other 24 15%
Unknown 45 28%