The global survey investigating the psychological health of surgeons in the time of COVID-19 was finally published @AnnalsofSurgery! It is a combined effort from the whole #SoMe4Surgery community. @CUHKMedicine @NUSMedicine (1/n) journals.lww.com/annalsofsurger…
This is an international cross-surgical specialty survey. A total of 4283 participants from 101 countries responded within 15 DAYS. This will NEVER be successful without the strong support from the surgical community aka #SoMe4Surgery established by @juliomayol! (2/n)
The survey was developed using a modified Delphi method. There were 66 questions in total, including the DASS-21 (Depression, Anxiety and Stress Scale) and IES-R (For post-traumatic stress disorder) scores. (3/n)
COVID-19 had a huge psychological impact on surgeons!
- 32.8% were screened positive for depression
- 30.8% for anxiety
- 25.9% for stress
- And 24% for post-traumatic stress disorder! (4/n)
Respondents who knew someone who died of COVID-19 were more likely to be screened positive for depression, anxiety, stress and PTSD. Similarly, respondents who knew someone diagnosed with COVID-19 were more likely to be screened positive for depression, stress and PTSD. (5/n)
Among the different surgical specialties, Neurosurgery, Ophthalmology and Cardiothoracic Surgery seemed to be more affected. Females and younger respondents were also more likely to be screened positive for depression, anxiety, stress and PTSD. See Appendix for more info! (6/n)
In summary, surgical personnel demonstrated noteworthy levels of psychological trauma in the battle against COVID-19. Surgeons are humans, and we MUST take special attention to the possible development of psychological disorders in long run! (7/7)
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More from @jteoh_hk

25 Sep 20
It is my great pleasure to guest edit this Special Issue on #AEEP!! Thank you all contributors in making this happen. #AEEP - It is a Quest for the Best!! #UroSoMe (1/n) onlinelibrary.wiley.com/toc/14390272/2…
Dr Reddy / @PeterGilling first gave an overview about the evolution of #AEEP. From the first attempt in #AEEP to #HoLEP, #ThuLEP, #BipolEP, #GreenLEP, etc. Understanding history also means learning from history! (2/n)
Prof. Oh gave an excellent review on the anatomical perspective of #AEEP. For #AEEP, understanding the surgical anatomy of the capsular plane, bladder neck, apical sphincteric area and blood vessel distribution is very important! (3/n)
Read 16 tweets
17 Jun 20
I really believe Social Media Analytics can be Very Useful. Our team @CUHKMedicine just published an article at @ATSBlueEditor, trying to explore the relationship between public interest in surgical mask and the COVID-19 pandemic. atsjournals.org/doi/abs/10.116… (1/n)
We utilized @GoogleTrends to search for public interests in protective measures such as surgical mask, hand washing and social distancing. We were able to retrieve data regarding their Relative Search Volumes (RSV) from a global perspective. (2/n)
This is the heat map showing RSV of surgical mask over the course of COVID-19 pandemic. We noted a divergent pattern with early popularity particularly in Asia-Pacific countries. (3/n)
Read 7 tweets
3 Jun 20
Very proud of my student @VinsonChan who has performed a systematic review on COVID-19 and Urology. I think it does contain important information that every urologist should know. It was just published at @wjurol, and you can find the paper here :) link.springer.com/article/10.100… (1/n)
We conducted a literature search up to 8th April, and 25 studies were included in the quantitative synthesis. We summarized the data regarding urinary symptoms, acute kidney injury, viral RNA in urine and stool specimens, and clinical outcomes of renal transplant patients. (2/n)
We found 21 studies including 3714 patients, and none of them had urinary symptoms because of COVID-19. Two patients had urinary symptoms (because of underlying urological problems) PLUS fever, which eventually turned out to be COVID-19. (3/n)
Read 9 tweets
5 May 20
Is intravesical instillation for Ca bladder affected at your centre in the pandemic of Covid-19? If so, I’d like to invite you to read this letter published @wjurol! It’s a humble sharing of thoughts/experiences with @MRoupret @DrShariat @trwherrmann (1/n) ncbi.nlm.nih.gov/pmc/articles/P… Image
Covid-19 has induced a lot of fear and panic among HCPs and patients. Bladder cancer tends to occur in smokers & older patients - unfortunately they also represent a population who are vulnerable to developing mortality if they get infected with Covid-19… (2/n) Image
Intravesical chemotherapy and BCG require repeated hospital visits for instillations. However, hospitals are high-risk areas of Covid-19 infection. We need to consider carefully about the benefits and risks of continuing these treatment during this critical time period... (3/n) Image
Read 12 tweets
5 Mar 20
Coronavirus has become a frequently discussed issue within the urological community.. I wish to share this article with you all, a @NEJM paper written by the China Expert Group for Covid-19, and co-authored by Prof. David Hui from @CUHKMedicine. #UroSoMe (1/n) Image
For easy reference, I will try to write down the summary in bullet points (2/n)
Baseline data
- 1099 patients with Covid-19 from 552 hospitals and 30 provinces in China.
- Median age was 47 years
- 58.1% were male
- 1.9% had direct contact with wildlife animals

#UroSoMe Image
Presentation (3/n)
- 43.8% had fever upon admission, but 88.7% had fever during the whole hospitalization
- 67.8% had cough
- Only 3.8% had diarrhea
- Median incubation period was 4 days

#UroSoMe ImageImage
Read 6 tweets

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