EAU Guidelines Office Rapid Reaction Group: An organisation-wide collaborative effort to adapt the EAU guidelines recommendations to the COVID-19 era

Composed of highly experienced Board and Panel members, GORRG aims to provide rapid guidance, underpinned by the best knowledge available, on adapting EAU Guidelines recommendations to the current situation. All recommendations in the Guidelines have therefore been re-examined in-line with national and local COVID-19 guidelines and, where appropriate, adapted to the current situation. Once reassessed each new recommendation has seen rapid peer-review.

The revised recommendations cover the following areas:

Surgical treatment
In addition, each recommendation has been prioritised to allow clinicians to reflect local circumstances. Doctors will need to implement make the decision to de-escalate from a high to a lower priority or vice versa.

EMERGENCY: Cannot be postponed for more 24 hours. Life threatening situation (BLACK COLOUR).

HIGH PRIORITY: The last to cancel, prevent delay of > 6 weeks. Clinical harm (progression, metastasis, loss of organ function and deaths very likely if postponed > 6 weeks (RED COLOUR).

INTERMEDIATE PRIORITY: Cancel but reconsider in case of increase in capacity (not recommended postponing more than 3 moths: Clinical harm (progression, metastasis, loss of organ function) possible if postponed 3-4 months but unlikely) (YELLOW COLOUR).

LOW PRIORITY: Clinical harm (progression, metastasis, loss of function) very unlikely if postponed 6 months (GREEN COLOUR).

It should be understood there might not be high quality evidence for the compromises proposed but it is anticipated the new information will function as an additional guide to the management of urological conditions during the current Covid-19 (coronavirus disease 2019) pandemic, based on the current EAU Guidelines. We hope that these recommendations may also help as healthcare systems begin to emerge from the crisis and have to decide how to employ available resources.

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