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Porreca, A; Colicchia, M; D'Agostino, D; Amenta, M; Corsaro, A; Zaramella, S; Zegna, L; Gallo, F; Schenone, M; Bozzini, G; Calori, A; Pastore, AL; Al Salhi, Y; Sciorio, C; Spirito, L; Varca, V; Marenghi, C; Greco, F; Altieri, VM; Verze, P; Barba, C; Antonelli, A; Cerruto, MA; Falabella, R; Di Bello, S; Leonardo, C; Tufano, A; Volpe, A; Umari, P; Parma, P; Nidini, M; Pini, G; Borghesi, M; Terrone, C; Cacciamani, GE; Sighinolfi, MC; Busetto, GM; Wennberg, AM; Finocchiaro, M; Falsaperla, M; Oderda, M; Ceruti, C; Rocco, B; Schiavina, R; Bianchi, L; Mari, A; Di Maida, F; Dalpiaz, O; Celia, A; Pirozzi, M; Bove, P; Iacovelli, V; Cafarelli, A; Cindolo, L; Ferrari, G; Gatti, L; Pirola, G; Annino, F; Pucci, L; Romagnoli, D; Artibani, W; Minervini, A.
Urology in the Time of Coronavirus: Reduced Access to Urgent and Emergent Urological Care during the Coronavirus Disease 2019 Outbreak in Italy.
Urol Int. 2020; 104(7-8):631-636 Doi: 10.1159/000508512 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

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Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has put a substantial burden on the Italian healthcare system, resulting in the restructuring of hospitals to care for COVID-19 patients. However, this has likely impacted access to care for patients experiencing other conditions. We aimed to quantify the impact of COVID-19 on access to care for patients with urgent/emergent urological conditions throughout Italy. A questionnaire was sent to 33 urological units in the AGILE consortium, asking clinicians to report on the number of urgent/emergent urological patients seen and/or undergoing surgery over a 3-week period during the peak of the COVID-19 outbreak and a reference week prior to the outbreak. ANOVA and linear regression models were used to quantify these changes. Data from 27 urological centres in Italy showed a decrease from 956 patients/week seen just prior to the outbreak to 291 patients/week seen by the end of the study period. There was a difference in the number of patients with urgent/emergent urological disease seen within/during the different weeks (all p values < 0.05). A significant decrease in the number of patients presenting with haematuria, urinary retention, urinary tract infection, scrotal pain, renal colic, or trauma and urgent/emergent cases that required surgery was reported (all p values < 0.05). In Italy, during the COVID-19 outbreak there has been a decrease in patients seeking help for urgent/emergent urological conditions. Restructuring of hospitals and clinics is mandatory to cope with the COVID-19 pandemic; however, the healthcare system should continue to provide adequate levels of care also to patients with other conditions. © 2020 S. Karger AG, Basel.
Find related publications in this database (using NLM MeSH Indexing)
Ambulatory Care -
Betacoronavirus -
COVID-19 -
Coronavirus Infections - epidemiology
Disease Outbreaks -
Health Services Accessibility - trends
Hospitals - statistics & numerical data
Humans -
Humans - epidemiology
Pandemics -
Pneumonia, Viral - epidemiology
Regression Analysis -
SARS-CoV-2 -
Surveys and Questionnaires -
Urologic Diseases - epidemiology
Urologic Diseases - therapy
Urology - methods
Urology - trends

Find related publications in this database (Keywords)
Coronavirus disease 2019
Outbreak
Urological care
Italy
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