{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:18:43Z","timestamp":1772165923435,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,6]],"date-time":"2021-03-06T00:00:00Z","timestamp":1614988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,6]],"date-time":"2021-03-06T00:00:00Z","timestamp":1614988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The first wave of the COVID-19 pandemic in March 2020 forced our healthcare system in the Bronx, New York to cancel nearly all scheduled surgeries. We developed a framework for prioritizing postponed urologic surgeries that was utilized once cases were permitted to be rescheduled. As many parts of our country experience first and second waves of this pandemic, our framework may serve as a resource for other centers experiencing restrictions on the\u00a0scheduling of elective urologic surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As the COVID-19 pandemic started and peaked in New York, almost all of our scheduled urologic surgeries were cancelled. Each Urologist was asked to rank his\/her cancelled surgeries by priority (Level 1\u2014least urgent; Level 2\u2014moderately urgent; Level 3\u2014most urgent). A committee of Urologists assigned a subclass to Level 3 and 2 cases (3a\u2014least urgent; 3b\u2014moderately urgent; 3c\u2014most urgent; 2a\u2014lower priority; 2b\u2014higher priority). The committee then reviewed cases by urgency to derive a final priority ranking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 478 total urologic surgeries were canceled and categorized: 250 Level 1, 130 Level 2, 98 Level 3 (73 adult, 25 pediatric). Level 3c involved renal cell carcinoma\u2009\u2265\u2009T2b, high-grade bladder urothelial carcinoma, adrenal mass\/cancer\u2009&gt;\u20096\u00a0cm, testicular cancer requiring radical orchiectomy, and penile cancer. Level 3b involved T2a renal masses requiring nephrectomy, while high-risk prostate cancer and symptomatic nephrolithiasis were classified as 3a. Level 2 included testicular cancer requiring retroperitoneal lymph node dissection and complicated benign prostatic hyperplasia. Surgeries for urologic reconstruction, non-complicated nephrolithiasis, erectile dysfunction, and urinary incontinence were considered Level 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our disease-specific approach to surgical rescheduling offers appropriate guidance for triaging urologic surgeries. Our system can provide guidance to other institutions as COVID-19 cases surge in different regions and with the growing second wave.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-021-01067-9","type":"journal-article","created":{"date-parts":[[2021,3,6]],"date-time":"2021-03-06T04:04:11Z","timestamp":1615003451000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Methodology for triage of urologic surgical cases in the setting of a pandemic"],"prefix":"10.1186","volume":"21","author":[{"given":"Ahmed","family":"Aboumohamed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josh","family":"Gottlieb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0497-6716","authenticated-orcid":false,"given":"Matthew","family":"DeMasi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Barry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Sankin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara","family":"Watts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,6]]},"reference":[{"key":"1067_CR1","unstructured":"NYC Health. COVID-19: data. New York City: NYC Health. 2020. https:\/\/www1.nyc.gov\/site\/doh\/covid\/covid-19-data-archive.page. Accessed 19 Dec 2020."},{"key":"1067_CR2","unstructured":"American College of Surgeons. Joint statement: roadmap for resuming elective surgery after COVID-19 pandemic. Chicago, IL: American College of Surgeons. 2020. https:\/\/www.facs.org\/covid-19\/clinical-guidance\/roadmap-elective-surgery. Accessed 28 June 2020."},{"key":"1067_CR3","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1016\/j.eururo.2020.04.028","volume":"78","author":"MC Moschovas","year":"2020","unstructured":"Moschovas MC, Sighinolfi MC, Rocco B, Bhat S, Onol F, Rogers T, et al. Balancing the effects of COVID-19 against potential progression and mortality in high-risk prostate cancer. Eur Urol. 2020;78:e14\u20135.","journal-title":"Eur Urol"},{"key":"1067_CR4","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.eururo.2020.04.063","volume":"78","author":"CJD Wallis","year":"2020","unstructured":"Wallis CJD, Novara G, Marandino L, Bex A, Kamat A, Karnes RJ, et al. Risks from deferring treatment for genitourinary cancers: a collaborative review to aid triage and management during the COVID-19 pandemic. Eur Urol. 2020;78:29\u201342.","journal-title":"Eur Urol"},{"key":"1067_CR5","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1016\/j.eururo.2020.03.027","volume":"77","author":"KD Stensland","year":"2020","unstructured":"Stensland KD, Morgan TM, Moinzadeh A, Lee CT, Briganti A, Catto JWF, et al. Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur Urol. 2020;77:663\u20136.","journal-title":"Eur Urol"},{"key":"1067_CR6","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/j.jpurol.2020.04.007","volume":"16","author":"JSLT Quaedackers","year":"2020","unstructured":"Quaedackers JSLT, Stein R, Bhatt N, Dogan HS, Hoen L, Nijman RJM, et al. Clinical and surgical consequences of the COVID-19 pandemic for patients with pediatric urological problems: statement of the EAU guidelines panel for paediatric urology, March 30 2020. J Pediatr Urol. 2020;16:284\u20137.","journal-title":"J Pediatr Urol"},{"issue":"20","key":"1067_CR7","first-page":"30317","volume":"S1072\u20137515","author":"VN Prachand","year":"2020","unstructured":"Prachand VN, Milner R, Angelos P, Posner MC, Fung JJ, Agrawal N, et al. Medically necessary, time-sensitive procedures: scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. 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