Surgical activity in the COVID-19 era: trend of slowdown from a multicentre observational study
| Autor: | Alfio Corsaro, Vincenzo Altieri, Marco Oderda, Alessandro Antonelli, Maurizio Schenone, A. M. Bocciardi, Luca Cindolo, Paolo Verze, Antonio Galfano, Luigi Pucci, Filippo Annino, Riccardo Schiavina, Daniele D'Agostino, Antonio Luigi Pastore, Carmine Sciorio, Paolo Umari, A. Caffarelli, Giovannalberto Pini, Andrea Minervini, Marco Sandri, Mario Falsaperla, Lorenzo Spirito, Marco Borghesi, Orietta Dalpiaz, Antonio Celia, Francesco Greco, Angelo Porreca, Michele Amenta, Maria Chiara Sighinolfi, Simone Crivellaro, Pierluigi Bove, R. Nucciotti, Bernardo Rocco, Roberto Falabella, Riccardo Bertolo, Marinella Finocchiaro, Fabrizio Gallo, Giovanni Cacciamani, Carlo Ceruti, Giorgio Bozzini, Alberto Calori, Vincenzo Pagliarulo, R. Baio, Salvatore Micali, L. Costantino, Domenico Veneziano, Giovanni Costa, Alessandro Volpe, Lorenzo Berti, Paolo Parma, Carlo Terrone, Virginia Varca, Andrea Cocci, Stefano Zaramella, Franco Gaboardi, B. Dall’Oglio, Alessandro Tafuri |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Prioritization
medicine.medical_specialty elective surgical activities Coronavirus disease 2019 (COVID-19) business.industry COVID-19 surgery Urology General surgery Outbreak lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens lcsh:RC254-282 Pandemic Case fatality rate Health care medicine Observational study business Covid-19 Benign prostate |
| Zdroj: | European Urology Open Science, Vol 20, Iss, Pp S190-S191 (2020) European Urology Open Science |
| ISSN: | 2666-1683 |
| Popis: | Introduction: COVID-19 outbreak represented an unprecedented event that led to a redefinition of health care systems worldwide The impact of the emergency required a deviation of the care toward the assistance to COVID-19 patients, with reduction of resources for elective activities, including surgery We aim to report the decrease of urological surgical activity during the first weeks from the beginning of the pandemic, aiming to highlight the prioritization we applied to select patients for surgery Materials and methods: Thirty-three urological units with physicians affiliated to the AGILE group were involved in a survey Urologists were asked to report the amount of surgical elective procedures week- by-week, from the beginning of the emergency to the following month The type of surgery (oncologic, for urolithiasis, for benign prostate obstruction, other) was assessed as well Results: The 33 hospitals involved in the study account, globally, for 22,945 beds and are distributed in 13/20 Italian regions Before the outbreak, the involved urology units performed an overall amount of 1,213 procedures per week, half of which were oncological By the 20 of March, the amount of surgery declined by 78% Lombardy, the first region with positive-cases, experienced a 94% reduction The decrease in oncological and non- oncological surgical activity was 35,9% and 89%, respectively Among non-oncological procedures, stone surgery declined by 35,9% as well, whereas BPH and minor urological procedures completely dropped Reassessing for surgical activity on 20, April, a slight trend toward surgical restoration (+11%) started to appear Conclusions: Italy, the country with the highest fatality rate from COVID-19, had experienced a sudden decline in surgical activity;by the end of April, a current trend toward restoration of surgery started to appear Criteria for prioritization were consistent with an urgent/ emergent principle, with trauma, tumours and septic conditions being the ones prioritized The Italian experience can be helpful for future surgical pre-planning in other countries or pandemic settings Smart Communications (SC1–SC28) Andrology |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|