Reply to Tommy Jiang, Sriram V. Eleswarapu, and Vadim Osadchiy’s Letter to the Editor re Patrick Lewicki, Spyridon P. Basourakos, Bashir Al Hussei 2021 Patrick Lewicki.pdf

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journalhomepage:-
LettertotheEditor

ReplytoTommyJiang,,and
generalizetosubspecialtieswithinurology,wewouldbe
VadimOsadchiy’sLettertotheEditorre:Patrick
curioustoknowtowhatextentpatientanxietywas
Lewicki,,BashirAlHusseinAl
responsibleforobservedchangesin,forexample,urologic
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oncology,whereinterventionmaybemoreimperativebut
Urology:

UrolOpenSci2021;25:52–-19
mayalsoallowustounderstandtheinfluenceofrapidly
PandemiconKidneyStones:MatchingOnline
expandingtelemedicineonpatientbehaviorduringthis
DiscussionstoRealWorldData
time[8].
Severalquestionsremainwithrespecttotheimpactof
WereadwithgreatinterestabouttheworkbyJiangetal,theCOVID-,how
whichconnectsourfindingsfromalargeadministrativeeffectivewasthetriageofurologicconditions?Didharm
database[1]todatafromapatientforumonkidneystonesreachpatientsbecauseofover-orunder-triaging?Will
[2].TheirstudyprovidesaplausibleexplanationforourCOVID-19causelong-lastingchangesinthestructureof
findingsandhelpsinunderstandingthevariousfactorsurologypractice?Datafromthemonthsandyearsfollowing
underpinningthedecreaseinurologiccareobservedacrosstheearlystagesofthepandemicwillbenecessarytofully
allUSgeographicregionsintheearlystagesoftheCOVID-,

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varietyofdifferentsources,frombigdataanalysestounderstandshortcomingsandpointsforimprovementnot
patientreportsandsingle-institutionexperiences,justforfuturedisastermanagementbutalsoforpatient-
improvesourabilitytorefinehypotheses,withthecenteredcareasawhole.
referencedworkasastrongexample.
JiangetalhavebuiltonearlierstudieslookingatsocialConflictsofinterest:Theauthorshavenothingtodisclose.
mediauseamongsturologypatients[3,4],inthiscaseinthe
uniquesettingoftheCOVID-
Acknowledgments:.
analysisofusercommentsonReddit,thesecondmost
andTheresaDowFoundationoftheNewYorkCommunityTrustanda
visitedsocialmediawebsiteintheUSA[5],allowedthe
DamonRunyonCancerResearchFoundationPhysicianScientistTraining
grouptostudythepossiblemisconceptions,fears,and
.
responsesthatmaybemagnifiedthroughsuchwebsites—a
processfurtheramplifiedduringtheearlystagesoftheReferences
COVID--
[1]LewickiP,BasourakosSP,AlHusseinAlAwamlhB,
tionofinformationengagementandmodernsocialmedia
theimpactofCOVID-19onurology:datafromalargenationwide
platformsiskeytounderstandinghowpatientsexploreand
;25:52–6.
actonhealth-relateddata[6].Again,thepandemicservesas[2]JiangT,OsadchiyV,WeinbergerJM,-19
–
themostprominenthealthcarerelatedexampleofpandemiconpatientpreferencesanddecisionmakingforsymp-
:///
exploringandactingonthesedataontheirown,.
[3]LoebS,KatzMS,LangfordA,ByrneN,
mayrepresentasourceofmisinformationinspiteof
;15:422–://.
potentialbenefits[7].
1038/s41585-018-0006-0.
TheworkbyJiangetalsuggeststhatpatientconcerns
[4]AlsyoufM,StokesP,HurD,AmasyaliA,RuckleH,HuB.‘Fakenews’
andanxietyrelatedtoin-personencounters,procedures,
inurology:evaluatingtheaccuracyofarticlessharedonsocial
andemergencyroomvisitsmayberesponsibleforthe
;124:701–6.
decreaseinurologyencountervolumeobservedinourdata,/.
particularlygiventhattheobservationsseemedtobe
[5]/
independentofthegeographicspreadoftheCOVID-19topsites/countries/US.
/
2666-1683/©-
NC-NDlicense(-nc-nd//).
48EUROPEANUROLOGYOPENSCIENCE29(2021)47–48
a
[6]JY-CTeoh,MackenzieG,TortoleroL,:DepartmentofUrology,NewYork-PresbyterianHospital,WeillCornell
;6:434–,NewYork,NY,USA
b
/,WeillCornellMedicine,New
[7]TsaoS-F,ChenH,TisseverasingheT,YangY,LiL,,NY,USA
c
mediatoldusinthetimeofCOVID-19:,UniversityHospitalsClevelandMedicalCenter,Case
DigitalHealth2021;3:E175–:///WesternReserveUniversitySchoolofMedicine,Cleveland,OH,USA
S2589-7500(20)30315-0.
[8]ChaoGF,LiKY,ZhuZ,*,NewYork-Presbyterian
duringtheCOVID-://,WeillCornellMedicalCenter,,NewYork,NY
org/.,USA.
E-mailaddress:******@().
May6,2021
a,
PatrickLewicki*
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BashirAlHusseinAlAwamlh
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XianWu
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