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Rocco, B; Sighinolfi, MC; Sandri, M; Altieri, V; Amenta, M; Annino, F; Antonelli, A; Baio, R; Bertolo, R; Bocciardi, A; Borghesi, M; Bove, P; Bozzini, G; Brunocilla, E; Cacciamani, G; Calori, A; Cafarelli, A; Celia, A; Carbone, A; Cocci, A; Corsaro, A; Costa, G; Ceruti, C; Cindolo, L; Crivellaro, S; Dalpiaz, O; D'Agostino, D; Dall'Oglio, B; Dente, D; Falabella, R; Falsaperla, M; Ferrari, G; Finocchiaro, M; Flammia, S; Gaboardi, F; Galfano, A; Gallo, F; Gatti, L; Greco, F; Khorrami, S; Leonardo, C; Marenghi, C; Nucciotti, R; Oderda, M; Pagliarulo, V; Parma, P; Pastore, AL; Pini, G; Porreca, A; Pucci, L; Schenone, M; Schiavina, R; Sciorio, C; Spirito, L; Tafuri, A; Terrone, C; Umari, P; Varca, V; Veneziano, D; Verze, P; Volpe, A; Micali, S; Berti, L; Zaramella, S; Zegna, L; Bertellini, E; Minervini, A.
The dramatic COVID 19 outbreak in Italy is responsible of a huge drop of urological surgical activity: a multicenter observational study.
BJU Int. 2021; 127(1):56-63
Doi: 10.1111/bju.15149
[OPEN ACCESS]
Web of Science
PubMed
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Dalpiaz Orietta
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- Abstract:
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To describe the trend in surgical volume in urology in Italy during the coronavirus disease 2019 (COVID-19) outbreak, as a result of the abrupt reorganisation of the Italian national health system to augment care provision to symptomatic patients with COVID-19.
A total of 33 urological units with physicians affiliated to the AGILE consortium (Italian Group for Advanced Laparo-Endoscopic Surgery; www.agilegroup.it) were surveyed. 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 33 hospitals involved in the study account overall for 22 945 beds and are distributed in 13/20 Italian regions. Before the outbreak, the involved urology units performed overall 1213 procedures/week, half of which were oncological. A month later, the number of surgeries had declined by 78%. Lombardy, the first region with positive COVID-19 cases, experienced a 94% reduction. The decrease in oncological and non-oncological surgical activity was 35.9% and 89%, respectively. The trend of the decline showed a delay of roughly 2 weeks for the other regions.
Italy, a country with a high fatality rate from COVID-19, experienced a sudden decline in surgical activity. This decline was inversely related to the increase in COVID-19 care, with potential harm particularly in the oncological field. The Italian experience may be helpful for future surgical pre-planning in other countries not so drastically affected by the disease to date.
© 2020 The Authors BJU International © 2020 BJU International Published by John Wiley & Sons Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
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COVID-19 - epidemiology
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Comorbidity -
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Elective Surgical Procedures -
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Humans -
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Humans - epidemiology
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Pandemics -
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SARS-CoV-2 -
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Surveys and Questionnaires -
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Urologic Diseases - epidemiology
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Urologic Diseases - surgery
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Urologic Surgical Procedures - statistics & numerical data
- Find related publications in this database (Keywords)
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COVID-19 outbreak
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urological surgery
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trend of variation
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#Urology
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#uroonc
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#COVID19