| Autor: |
Abdullah Gürel, Burhan Baylan, Ata Özen, İbrahim Keleş, Ünal Öztekin, Arif Demirbaş, Mustafa Karalar, Kemal Ulusoy, Mehmet Yılmaz, Erol Erşekerci, Burak Elmaağaç, Hasan Sulhan, Ahmet Emin Doğan, Mehmet Altan, Murat Keske, Mert Ali Karadağ |
| Přispěvatelé: |
Gürel, Abdullah, Baylan, Burhan, Keleş, İbrahim, Demirbaş, Arif, Karalar, Mustafa, Ulusoy, Kemal |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Popis: |
Objective: Coronavirus disease-2019 (COVID-19) pandemic changed various priorities in health area. Many elective surgeries for renal cell cancers (RCC) have been postponed. We examined the influence of the COVID-19 pandemic on the surgical treatment of RCC in Turkey. Materials and Methods: Surgically treated 457 patients for kidney tumor, from March 1, 2019 to February 28, 2021 in 9 centers in Turkey were analyzed retrospectively. Results: The number of surgical treatments for RCC during the COVID-19 pandemic has decreased significantly, in contrast to the same period before COVID-19. Admission symptoms were similar in these two periods (p=0.32). However, although not statistically significant, the rate of admission to hospital due to hematuria was higher during the pandemic period compared to the prepandemic period (14.4% vs 9.8%, respectively). The two study periods differed significantly in terms of the rate of metastatic RCC detected in preoperative imaging (13.1% vs 6.1%, during COVID-19 and pre-COVID-19, respectively) (p=0.01). Moreover, the study periods differed significantly in terms of time between imaging and operation [35 (2-240) vs 30 (1-210) days, during COVID-19 and pre-COVID-19, respectively] (p=0.01). However, these two periods were similar in terms of tumor size, type of surgery, and pathological stage (p≥0.05). Although the pathological stages were similar among the groups, nephrectomies due to the metastatic disease were significantly higher in the pandemic period (p=0.01). Conclusion: The number of RCC-related surgeries were significantly decreased during the pandemic period. However, the rate of surgery for metastatic disease has significantly increased. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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