COVID-19がブラジルの泌尿器科医の臨床実践、収入、健康、生活行動に与えた影響

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

• Cristiano M Gomes
• Luciano A Favorito
• João Victor T Henriques
• Alfredo F Canalini
• Karin M J Anzolch
• Roni de Carvalho Fernandes
• Carlos H S Bellucci
• Caroline S Silva
• Marcelo L Wroclawski
• Antonio Carlos L Pompeo
• José de Bessa

抄録

目的:

2020年4月の1ヶ月間、COVID-19がブラジルの泌尿器科医の臨床実践、収入、健康、生活行動に与える影響を評価すること。

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.

材料および方法:

ブラジル泌尿器科学会の全泌尿器科医会員を対象に、39問のウェブ調査を実施した。社会統計学的、職業的、健康、行動のパラメータを評価した。主な目的は、COVID-19の2ヵ月後の泌尿器科医の臨床実践と収入の変化を評価することであった。また、異なる州におけるCOVID-19の罹患率に基づく地理的差異についても検討した。

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.

結果:

調査を完了した泌尿器科医 766 人のうち、患者訪問、選択手術、緊急手術の 50％以上の削減が、それぞれ 83.2％、89.6％、54.8％と報告された。収入の 50%以上の削減は 54.3%が報告した。コスト削減のための対策は、ほとんどの病院で実施された。ビデオ相談は38.7%が実施しました。健康とライフスタイルの変化としては、体重増加（32.9％）、身体活動の減少（60.0％）、アルコール摂取量の増加（39.9％）、性行為の減少（34.9％）が挙げられた。最後に、ブラジルの泌尿器科医の13.5％がSARS-CoV-2に感染し、約3分の1が入院を必要とした。COVID-19の発生率が最も高かった州の泌尿器科医は、患者の来院数および必要のない手術の減少（OR=2.95、95％CI 1.86～4.75、p<0.0001）、およびSARS-CoV-2感染のリスクが高かった（OR=4.36、95％CI 1.74～10.54、p=0.012）。

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).

結論:

COVID-19はブラジルの泌尿器科医の診療に大規模な混乱をもたらし、患者の来院数と手術手技の大幅な減少をもたらした。また、医師の収入、健康、個人生活にも悲惨な結果が観察された。これらの知見は、おそらく他の医療専門分野にも適用可能です。<https://www.intbrazjurol.com.br/pdf/aop/20209915_Gomes_OA.pdf>で利用可能です。

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. Available at. <https://www.intbrazjurol.com.br/pdf/aop/20209915_Gomes_OA.pdf>.

Copyright® by the International Brazilian Journal of Urology.