CARLOS HENRIQUE SUZUKI BELLUCCI
Projetos de Pesquisa
Unidades Organizacionais
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
5 resultados
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- Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists(2020) GOMES, Cristiano M.; FAVORITO, Luciano A.; HENRIQUES, Joao Victor T.; CANALINI, Alfredo F.; ANZOLCH, Karin M. J.; FERNANDES, Roni de C.; BELLUCCI, Carlos H. S.; SILVA, Caroline S.; WROCLAWSKI, Marcelo L.; POMPEO, Antonio Carlos L.; JR, Jose de BessaObjectives: To evaluate the impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists during the month of April 2020. 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. 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 nonessential 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). 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.
- Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents(2021) PREZOTTI, Jose Antonio; HENRIQUES, Joao Victor T.; FAVORITO, Luciano A.; CANALINI, Alfredo F.; MACHADO, Marcos G.; V, Thulio B. Brandao; V, Akemi M. Barbosa; MOROMIZATO, Julyana K. M.; ANZOLCH, Karin M. J.; FERNANDES, Roni de C.; RODRIGUES, Fransber R. A.; BELLUCCI, Carlos H. S.; SILVA, Caroline S.; POMPEO, Antonio Carlos L.; JR, Jose de Bessa; GOMES, Cristiano M.Objectives: To evaluate the impact of COVID-19 on clinical and surgical practice, educational activities, health and lifestyle behavior of Brazilian urology residents. Materials and Methods: A web-based survey was sent to 468 Brazilian urology residents from postgraduate years (PGY) 3 to 5 to collect data on clinical practice and training after 4 months of COVID-19. We also assessed health-related and behavior changes, rate of infection by SARS-CoV-2, deployment to the front line of COVID-19, residents' concerns, and access to personal protective equipment (PPE). Results: Massive reductions in elective and emergency patient consultations, diagnostic procedures and surgeries were reported across the country, affecting PGY 3 to 5 alike. Most in-person educational activities were abolished. The median damage to the urological training expected for 2020 was 6.0 [3.4-7.7], on a scale from 0 to 10, with senior residents estimating a greater damage (P< 0.001). Educational interventions developed included online case-based discussions, subspeciality conferences and lectures, and grand rounds. Most senior residents favored extending residency to compensate for training loss and most younger residents favored no additional training (p< 0.001). Modifications in health and lifestyle included weight gain (43.8%), reduced physical activity (68.6%), increased alcoholic intake (44.9%) and cigarette consumption (53.6%), worsening of sexual life (25.2%) and feelings of sadness or depression (48,2%). Almost half were summoned to work on the COVID-19 front-line and 24.4% had COVID-19. Most residents had inadequate training to deal with COVID-19 patients and most reported a shortage of PPE. Residents' concerns included the risk of contaminating family members, being away from residency program, developing severe COVID-19 and overloading colleagues. Conclusions: COVID-19 had a massive impact in Brazilian urology residents' training, health and lifestyle behavior, which may reflect what happened in other medical specialties. Studies should confirm these findings to help developing strategies to mitigate residents' losses.
- Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury(2017) GOMES, Cristiano M.; MIRANDA, Eduardo P.; BESSA JR., Jose de; BELLUCCI, Carlos Henrique Suzuki; BATTISTELLA, Linamara Rizzo; ABDO, Carmita Helena Najjar; BRUSCHINI, Homero; SROUGI, Miguel; MULHALL, John P.Introduction: Spinal cord injury (SCI) is usually a sudden traumatic event and has a negative effect on sexual function. Aim: To evaluate the characteristics of sexual activity in men with SCI and identify predictors of being sexually active and having a satisfactory sex life. Methods: We assessed sexual activity profiles of men with SCI from a Brazilian tertiary rehabilitation center from February to August 2012. All patients older than 18 years with SCI for longer than 1 year were invited to participate. We analyzed age, time since SCI, patient age at SCI, employment status, partner status, completeness of lesion, functional independence, urinary continence, and Sexual Health Inventory for Men (SHIM) score. Main Outcome Measures: The SHIM was used to assess erectile function (EF). Satisfaction with sex life was analyzed as a dichotomous variable. Predictors of an active and satisfactory sex life were identified using univariable and multivariable analyses. Results: We evaluated 295 men with mean age of 40.7 +/- 14.5 years. Most patients had a complete SCI (65.1%) and 159 (53.9%) were incontinent. The median SHIM score was 5 (interquartile range = 0-16) and only 71 men (24.1%) had a SHIM score of at least 17. Of these men, 159 (53.9%) were sexually active. Only 63 men (39.6%) were satisfied with their sex life after SCI. In univariable analysis, all variables were associated with an active sex life. Those with a SHIM score of at least 17 had a greater likelihood of being sexually active (odds ratio = 116, 95% confidence interval = 14-432). EF was the only parameter associated with a satisfactory sex life (odds ratio = 1.3, 95% confidence interval = 1.2-1.4). Conclusions: Most men with SCI were sexually inactive and/or dissatisfied with their sex life. Age, duration of SCI, completeness of SCI, continence, having a partner, and good EF were identified as predictors of an active sex life. However, only EF was a predictor of a satisfactory sex life.
conferenceObject DETRUSOR PRESSURES ARE ASSOCIATED WITH COLLAGEN TYPE III EXPRESSION IN THE DETRUSOR OF PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA(2020) BELLUCCI, Carlos; HEMERLY, Thiago; GUIMARAES, Vanessa; VIANA, Nayara; CAMARGO, Gabriel; REIS, Sabrina; BRUSCHINI, Homero; SROUGI, Miguel; LEITE, Katia; GOMES, CristianoconferenceObject EXPRESSION OF HYPOXIA AND FIBROSIS RELATED GENES IN PATIENTS WITH NEUROGENIC LOWER URINARY TRACT DYSFUNCTION UNDERGOING BLADDER AUGMENTATION(2018) HEMERLY, T. S.; BELLUCCI, C. H. S.; JR, J. Bessa; BARBOSA, J. A. B. A.; REIS, S. T. D.; CAMARGO, G. M.; BRUSCHINI, H.; SROUGI, M.; LEITE, K. R.; GOMES, C. M.