European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era

doi:10.1016/j.eururo.2020.04.056

Multicenter Study

. 2020 Jul;78(1):21-28.

doi: 10.1016/j.eururo.2020.04.056. Epub 2020 Apr 27.

European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era

Maria J Ribal¹, Philip Cornford², Alberto Briganti³, Thomas Knoll⁴, Stavros Gravas⁵, Marek Babjuk⁶, Christopher Harding⁷, Alberto Breda⁸, Axel Bex⁹; GORRG Group; Jens J Rassweiler¹⁰, Ali S Gözen¹⁰, Giovannalberto Pini¹¹, Evangelos Liatsikos¹², Gianluca Giannarini¹³, Alex Mottrie¹⁴, Ramnath Subramaniam¹⁵, Nikolaos Sofikitis¹⁶, Bernardo M C Rocco¹⁷, Li-Ping Xie¹⁸, J Alfred Witjes¹⁹, Nicolas Mottet²⁰, Börje Ljungberg²¹, Morgan Rouprêt²², Maria P Laguna²³, Andrea Salonia³, Gernot Bonkat²⁴, Bertil F M Blok²⁵, Christian Türk²⁶, Christian Radmayr²⁷, Noam D Kitrey²⁸, Daniel S Engeler²⁹, Nicolaas Lumen³⁰, Oliver W Hakenberg³¹, Nick Watkin³², Rizwan Hamid³³, Jonathon Olsburgh³⁴, Julie Darraugh³⁵, Robert Shepherd³⁵, Emma-Jane Smith³⁵, Christopher R Chapple³⁶, Arnulf Stenzl³⁷, Hendrik Van Poppel³⁸, Manfred Wirth³⁹, Jens Sønksen⁴⁰, James N'Dow⁴¹; EAU Section Offices and the EAU Guidelines Panels

Affiliations

¹ Uro-Oncology Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain. Electronic address: m.ribal@uroweb.org.
² Liverpool University Hospitals Foundation NHS Trust, Liverpool, UK.
³ Department of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
⁴ Department of Urology, Sindelfingen-Böblingen Medical Centre, University of Tübingen, Sindelfingen, Germany.
⁵ Department of Urology, University Hospital of Larissa, Larissa, Greece.
⁶ Department of Urology, 2nd Faculty of Medicine, Hospital Motol, Charles University, Prague, Czech Republic; Department of Urology, Medical University of Vienna, Vienna, Austria.
⁷ Urology Department, Freeman Hospital, Newcastle-upon-Tyne, UK.
⁸ Oncology Urology Unit, Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.
⁹ The Royal Free London NHS Foundation Trust and UCL Division of Surgery and Interventional Science, London, UK; Department of Urology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
¹⁰ Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Heilbronn, Germany.
¹¹ Department of Urology, Ospedale San Raffaele-Turro, Milan, Italy.
¹² Urology Department, University of Patras, Patras, Greece.
¹³ Urology Unit, Academic Medical Centre Hospital "Santa Maria della Misericordia", Udine, Italy.
¹⁴ Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.
¹⁵ Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
¹⁶ Department of Urology, Medical School, University of Ioannina, University Campus, Ioannina, Greece.
¹⁷ Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.
¹⁸ Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
¹⁹ Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.
²⁰ Department of Urology, University Hospital, St. Etienne, France.
²¹ Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.
²² Urology, Sorbonne University, GRC 5 Predictive onco-uro, AP-HP, Pitie-Salpetriere Hospital, Paris, France.
²³ Department of Urology Medipol Mega, Istanbul Medipol University, Istanbul, Turkey; Amsterdam UMC, Amsterdam, The Netherlands.
²⁴ Alta Uro AG, Merian Iselin Klinik, Center of Biomechanics and Calorimetry, University Basel, Basel, Switzerland.
²⁵ Department of Urology, Erasmus MC, Rotterdam, The Netherlands.
²⁶ Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria; Urologische Praxis mit Steinzentrum, Vienna, Austria.
²⁷ Department of Urology, Medical University of Innsbruck, Innsbruck, Austria.
²⁸ Department of Urology, Sheba Medical Centre, Tel-Hashomer, Israel.
²⁹ Department of Urology, Cantonal Hospital St Gallen, Switzerland.
³⁰ Department of Urology, Ghent University Hospital, Ghent, Belgium.
³¹ Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Rostock, Germany.
³² NHS Foundation Trust, St. George's University Hospitals, London, UK.
³³ Department of Female, Functional and Restorative Urology, University College London Hospitals NHS Foundation Trust, London, UK.
³⁴ Department of Urology and Transplant, Guy's & St Thomas' NHS Trust Hospitals, London, UK.
³⁵ European Association of Urology Guidelines Office, Arnhem, The Netherlands.
³⁶ Department of Urology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
³⁷ Department of Urology, University Hospital Tuebingen, Tuebingen, Germany.
³⁸ Department of Urology, University Hospitals Leuven, Leuven, Belgium.
³⁹ Department of Urology, Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
⁴⁰ Department of Urology, Herlev and Gentofte University Hospital, Herlev, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
⁴¹ Academic Urology Unit, University of Aberdeen, Aberdeen, UK.

PMID: 32376137
PMCID: PMC7183974
DOI: 10.1016/j.eururo.2020.04.056

Multicenter Study

European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era

Maria J Ribal et al. Eur Urol. 2020 Jul.

. 2020 Jul;78(1):21-28.

doi: 10.1016/j.eururo.2020.04.056. Epub 2020 Apr 27.

Authors

Affiliations

¹ Uro-Oncology Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain. Electronic address: m.ribal@uroweb.org.
² Liverpool University Hospitals Foundation NHS Trust, Liverpool, UK.
³ Department of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
⁴ Department of Urology, Sindelfingen-Böblingen Medical Centre, University of Tübingen, Sindelfingen, Germany.
⁵ Department of Urology, University Hospital of Larissa, Larissa, Greece.
⁶ Department of Urology, 2nd Faculty of Medicine, Hospital Motol, Charles University, Prague, Czech Republic; Department of Urology, Medical University of Vienna, Vienna, Austria.
⁷ Urology Department, Freeman Hospital, Newcastle-upon-Tyne, UK.
⁸ Oncology Urology Unit, Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.
⁹ The Royal Free London NHS Foundation Trust and UCL Division of Surgery and Interventional Science, London, UK; Department of Urology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
¹⁰ Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Heilbronn, Germany.
¹¹ Department of Urology, Ospedale San Raffaele-Turro, Milan, Italy.
¹² Urology Department, University of Patras, Patras, Greece.
¹³ Urology Unit, Academic Medical Centre Hospital "Santa Maria della Misericordia", Udine, Italy.
¹⁴ Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.
¹⁵ Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
¹⁶ Department of Urology, Medical School, University of Ioannina, University Campus, Ioannina, Greece.
¹⁷ Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.
¹⁸ Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
¹⁹ Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.
²⁰ Department of Urology, University Hospital, St. Etienne, France.
²¹ Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.
²² Urology, Sorbonne University, GRC 5 Predictive onco-uro, AP-HP, Pitie-Salpetriere Hospital, Paris, France.
²³ Department of Urology Medipol Mega, Istanbul Medipol University, Istanbul, Turkey; Amsterdam UMC, Amsterdam, The Netherlands.
²⁴ Alta Uro AG, Merian Iselin Klinik, Center of Biomechanics and Calorimetry, University Basel, Basel, Switzerland.
²⁵ Department of Urology, Erasmus MC, Rotterdam, The Netherlands.
²⁶ Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria; Urologische Praxis mit Steinzentrum, Vienna, Austria.
²⁷ Department of Urology, Medical University of Innsbruck, Innsbruck, Austria.
²⁸ Department of Urology, Sheba Medical Centre, Tel-Hashomer, Israel.
²⁹ Department of Urology, Cantonal Hospital St Gallen, Switzerland.
³⁰ Department of Urology, Ghent University Hospital, Ghent, Belgium.
³¹ Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Rostock, Germany.
³² NHS Foundation Trust, St. George's University Hospitals, London, UK.
³³ Department of Female, Functional and Restorative Urology, University College London Hospitals NHS Foundation Trust, London, UK.
³⁴ Department of Urology and Transplant, Guy's & St Thomas' NHS Trust Hospitals, London, UK.
³⁵ European Association of Urology Guidelines Office, Arnhem, The Netherlands.
³⁶ Department of Urology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
³⁷ Department of Urology, University Hospital Tuebingen, Tuebingen, Germany.
³⁸ Department of Urology, University Hospitals Leuven, Leuven, Belgium.
³⁹ Department of Urology, Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
⁴⁰ Department of Urology, Herlev and Gentofte University Hospital, Herlev, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
⁴¹ Academic Urology Unit, University of Aberdeen, Aberdeen, UK.

PMID: 32376137
PMCID: PMC7183974
DOI: 10.1016/j.eururo.2020.04.056

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is unlike anything seen before by modern science-based medicine. Health systems across the world are struggling to manage it. Added to this struggle are the effects of social confinement and isolation. This brings into question whether the latest guidelines are relevant in this crisis. We aim to support urologists in this difficult situation by providing tools that can facilitate decision making, and to minimise the impact and risks for both patients and health professionals delivering urological care, whenever possible. We hope that the revised recommendations will assist urologist surgeons across the globe to guide the management of urological conditions during the current COVID-19 pandemic.

Keywords: Coronavirus disease 2019; European Association of Urology; Guidelines; Guidelines Office; Pandemic; Section Offices.

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Comment in

Re: Maria J. Ribal, Philip Cornford, Alberto Briganti, et al. European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era. Eur Urol. In press. https://doi.org/10.1016/j.eururo.2020.04.056: Metastatic Prostate Cancer and COVID-19: Do Current Data Allow Modification of Established Treatment Recommendations?
Thomas C, Grüllich C, Erb HHH. Thomas C, et al. Eur Urol Focus. 2020 Sep 15;6(5):1135-1136. doi: 10.1016/j.euf.2020.05.018. Epub 2020 Jun 4. Eur Urol Focus. 2020. PMID: 32534970 Free PMC article. No abstract available.
Re: European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era.
Cruz F. Cruz F. Eur Urol. 2021 Mar;79(3):427. doi: 10.1016/j.eururo.2020.11.030. Epub 2020 Nov 28. Eur Urol. 2021. PMID: 33261939 No abstract available.

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1. European Association of Urology . 2020 edition. European Association of Urology Guidelines Office; Arnhem, The Netherlands: 2020. European Association of Urology guidelines.
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[1] Worldometer COVID-19 data. https://www.worldometers.info/coronavirus/2020.

[2] Worldometer COVID-19 data. https://www.worldometers.info/coronavirus/2020.

[3] European Association of Urology . 2020 edition. European Association of Urology Guidelines Office; Arnhem, The Netherlands: 2020. European Association of Urology guidelines.

[4] European Association of Urology . 2020 edition. European Association of Urology Guidelines Office; Arnhem, The Netherlands: 2020. European Association of Urology guidelines.

[5] Ficarra V, Novara G, Abrate A, et al. Urology practice during COVID-19 pandemic. Minerva Urol Nefrol. In press. 10.23736/S0393-2249.20.03846-1. - DOI - PubMed

[6] Ficarra V, Novara G, Abrate A, et al. Urology practice during COVID-19 pandemic. Minerva Urol Nefrol. In press. 10.23736/S0393-2249.20.03846-1. - DOI - PubMed

[7] John T. CNN; 2020. Iceland lab’s testing suggests 50% of coronavirus cases have no symptoms. https://edition.cnn.com/2020/04/01/europe/iceland-testing-coronavirus-in...

[8] John T. CNN; 2020. Iceland lab’s testing suggests 50% of coronavirus cases have no symptoms. https://edition.cnn.com/2020/04/01/europe/iceland-testing-coronavirus-in...

[9] Day M. Covid-19: four fifths of cases are asymptomatic, China figures indicate. BMJ. 2020;369:m1375. - PubMed

[10] Day M. Covid-19: four fifths of cases are asymptomatic, China figures indicate. BMJ. 2020;369:m1375. - PubMed

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European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era

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European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era

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