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2. Explorando la perspectiva de los residentes sobre las modalidades y contenidos de aprendizaje inteligente para la educación virtual de urología: lección aprendida durante la pandemia del COVID-19 Exploring the Residents’ Perspective on Smart learning Modalities and Contents for Virtual Urology Education: Lesson Learned During the COVID-19 Pandemic

Author

Campi R, Amparore D, Checcucci E, Claps F, Teoh J, Serni S, Mario Scarpa R, Porpiglia F, Carrion D, Juan Gómez Rivas, Loeb S, Cacciamani G, and Esperto F

3. Slowdown of urology residents’ learning curve during COVID-19 emergency

Author

Daniele Amparore, Giuseppe Carrieri, Vincenzo Ficarra, P. Verri, Francesco Porpiglia, Cristian Fiori, Prokar Dasgupta, R. Scarpa, Francesco Claps, Riccardo Campi, Enrico Checcucci, Franceso Esperto, Porpiglia, F., Checcucci, E., Amparore, D., Verri, P., Campi, R., Claps, F., Esperto, F., Fiori, C., Carrieri, G., Ficarra, V., Mario Scarpa, R., and Dasgupta, P.

Subjects
2019-20 coronavirus outbreak, medicine.medical_specialty, Activities of daily living, Smart-Learning, Urology department, Coronavirus disease 2019 (COVID-19), Urology, Pneumonia, Viral, 030232 urology & nephrology, 03 medical and health sciences, Betacoronavirus, 0302 clinical medicine, Pandemic, Medicine, Humans, Viral, Duration (project management), Covid‐19 in Urology, Pandemics, COVID-19, Resident, Simulation, Webinar, Betacoronaviru, business.industry, Coronavirus Infection, SARS-CoV-2, Teaching, Comment, Internship and Residency, Pneumonia, Coronavirus Infections, Urologic Surgical Procedures, Learning Curve, 030220 oncology & carcinogenesis, Urologic Surgical Procedure, Training program, business, Healthcare system, Human
Abstract

The coronavirus disease 2019 (COVID-19), has rapidly been spreading worldwide and Italy has been hit hard, forced the Italian Healthcare System to change and adapt to these extreme conditions. The Urology Department daily activities were drastically reduced and limited only to non-deferrable procedures and the entire organogram were reorganized following a rigorous flow-chart. It's evident that this unprecedent scenario is having an impact on residents training program, considering that it is very difficult to predict the duration of emergency. The urology residents do not have the opportunity to carry out clinical activities nor to be tutored, as the senior physicians are engaged in the emergency's management.

Published
2020

4. Slowdown of urology residents' learning curve during the COVID-19 emergency.

Author

Porpiglia F, Checcucci E, Amparore D, Verri P, Campi R, Claps F, Esperto F, Fiori C, Carrieri G, Ficarra V, Mario Scarpa R, and Dasgupta P

Subjects
Betacoronavirus, COVID-19, Humans, SARS-CoV-2, Teaching, Coronavirus Infections epidemiology, Internship and Residency, Learning Curve, Pandemics, Pneumonia, Viral epidemiology, Urologic Surgical Procedures education
Published
2020
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5. Prostate health index and prostate cancer gene 3 score but not percent-free Prostate Specific Antigen have a predictive role in differentiating histological prostatitis from PCa and other nonneoplastic lesions (BPH and HG-PIN) at repeat biopsy.

Author

De Luca S, Passera R, Fiori C, Bollito E, Cappia S, Mario Scarpa R, Sottile A, Franco Randone D, and Porpiglia F

Subjects
Aged, Aged, 80 and over, Diagnosis, Differential, Humans, Male, Middle Aged, Prospective Studies, Prostate-Specific Antigen analysis, Prostatic Hyperplasia diagnosis, Antigens, Neoplasm analysis, Biomarkers, Tumor analysis, Prostatic Neoplasms diagnosis, Prostatitis diagnosis
Abstract

Objective: To determine if prostate health index (PHI), prostate cancer antigen gene 3 (PCA3) score, and percentage of free prostate-specific antigen (%fPSA) may be used to differentiate asymptomatic acute and chronic prostatitis from prostate cancer (PCa), benign prostatic hyperplasia (BPH), and high-grade prostate intraepithelial neoplasia (HG-PIN) in patients with elevated PSA levels and negative findings on digital rectal examination at repeat biopsy (re-Bx)., Patients and Methods: In this prospective study, 252 patients were enrolled, undergoing PHI, PCA3 score, and %fPSA assessments before re-Bx. We used 3 multivariate logistic regression models to test the PHI, PCA3 score, and %fPSA as risk factors for prostatitis vs. PCa, vs. BPH, and vs. HG-PIN. All the analyses were performed for the whole patient cohort and for the "gray zone" of PSA (4-10ng/ml) cohort (171 individuals)., Results: Of the 252 patients, 43 (17.1%) had diagnosis of PCa. The median PHI was significantly different between men with a negative biopsy and those with a positive biopsy (34.9 vs. 48.1, P<0.001), as for the PCA3 score (24 vs. 54, P<0.001) and %fPSA (11.8% vs. 15.8%, P = 0.012). The net benefit of using PCA3 and PHI to differentiate prostatitis and PCa was moderate, although it extended to a good range of threshold probabilities (40%-100%), whereas that from using %fPSA was negligible: this pattern was reported for the whole population as for the "gray zone" PSA cohort., Conclusion: In front of a good diagnostic performance of all the 3 biomarkers in distinguishing negative biopsy vs. positive biopsy, the clinical benefit of using the PCA3 score and PHI to estimate prostatitis vs. PCa was comparable. PHI was the only determinant for prostatitis vs. BPH, whereas no biomarkers could differentiate prostate inflammation from HG-PIN., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Published
2015
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