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

Authors
  • Gomes, Cristiano M.1
  • Favorito, Luciano A.2
  • Henriques, João Victor T.1
  • Canalini, Alfredo F.3
  • Anzolch, Karin M. J.4
  • Fernandes, Roni de C.5
  • Bellucci, Carlos H. S.1
  • Silva, Caroline S.6
  • Wroclawski, Marcelo L.7, 8
  • Pompeo, Antonio Carlos L.9
  • de Bessa, Jose Jr.6
  • 1 Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil;, São Paulo SP , (Brazil)
  • 2 Unidade de Pesquisa Urogenital, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil;, Rio de Janeiro RJ , (Brazil)
  • 3 Divisão de Urologia, Universidade Estadual do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil;, Rio de Janeiro RJ , (Brazil)
  • 4 Departamento de Urologia, Hospital Moinhos de Vento, Porto Alegre, RS, Brasil;, Porto Alegre RS , (Brazil)
  • 5 Divisão de Urologia, Santa Casa de São Paulo, São Paulo, SP, Brasil;, São Paulo SP , (Brazil)
  • 6 Departamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil;, Feira de Santana BA , (Brazil)
  • 7 Departamento de Urologia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil;, São Paulo SP , (Brazil)
  • 8 Departamento de Urologia, Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil;, São Paulo SP , (Brazil)
  • 9 Disciplina de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil, Santo André SP , (Brazil)
Type
Published Article
Journal
International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology
Publisher
Sociedade Brasileira de Urologia
Publication Date
Sep 02, 2020
Volume
46
Issue
6
Pages
1042–1071
Identifiers
DOI: 10.1590/S1677-5538.IBJU.2020.99.15
PMID: 32539253
PMCID: PMC7527096
Source
PubMed Central
Keywords
Disciplines
  • Original Article
License
Green

Abstract

Objectives To evaluate the impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists during the month of April 2020. Materials and Methods 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. Results 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). Conclusions 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.

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